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Dagens #fsvoversigt:
Information and communication technology-enabled person-centered care for the
"big five" chronic conditions: scoping review.
J Med Internet Res. 2015;17(3):e77
Authors: Wildevuur SE, Simonse LW
Abstract
BACKGROUND: Person-centered information and communication technology (ICT)
could encourage patients to take an active part in their health care and
decision-making process, and make it possible for patients to interact directly
with health care providers and services about their personal health concerns.
Yet, little is known about which ICT interventions dedicated to person-centered
care (PCC) and connected-care interactions have been studied, especially for
shared care management of chronic diseases. The aim of this research is to
investigate the extent, range, and nature of these research activities and
identify research gaps in the evidence base of health studies regarding the
"big 5" chronic diseases: diabetes mellitus, cardiovascular disease, chronic
respiratory disease, cancer, and stroke.
OBJECTIVE: The objective of this paper was to review the literature and to
scope the field with respect to 2 questions: (1) which ICT interventions have
been used to support patients and health care professionals in PCC management
of the big 5 chronic diseases? and (2) what is the impact of these
interventions, such as on health-related quality of life and cost efficiency?
METHODS: This research adopted a scoping review method. Three electronic
medical databases were accessed: PubMed, EMBASE, and Cochrane Library. The
research reviewed studies published between January 1989 and December 2013. In
5 stages of systematic scanning and reviewing, relevant studies were
identified, selected, and charted. Then we collated, summarized, and reported
the results.
RESULTS: From the initial 9380 search results, we identified 350 studies that
qualified for inclusion: diabetes mellitus (n=103), cardiovascular disease
(n=89), chronic respiratory disease (n=73), cancer (n=67), and stroke (n=18).
Persons with one of these chronic conditions used ICT primarily for
self-measurement of the body, when interacting with health care providers, with
the highest rates of use seen in chronic respiratory (63%, 46/73) and
cardiovascular (53%, 47/89) diseases. We found 60 relevant studies (17.1%,
60/350) on person-centered shared management ICT, primarily using telemedicine
systems as personalized ICT. The highest impact measured related to the
increase in empowerment (15.4%, 54/350). Health-related quality of life
accounted for 8%. The highest impact connected to health professionals was an
increase in clinical outcome (11.7%, 41/350). The impacts on organization
outcomes were decrease in hospitalization (12.3%, 43/350) and increase of cost
efficiency (
10.9%, 38/350).
CONCLUSIONS: This scoping review outlined ICT-enabled PCC in chronic disease
management. Persons with a chronic disease could benefit from an ICT-enabled
PCC approach, but ICT-PCC also yields organizational paybacks. It could lead to
an increase in health care usage, as reported in some studies. Few
interventions could be regarded as "fully" addressing PCC. This review will be
especially helpful to those deciding on areas where further development of
research or implementation of ICT-enabled PCC may be warranted.
PMID: 25831199 [PubMed - indexed for MEDLINE]
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Dette abstract er hentet via PubMed fra National Library of Medicine, USA
(http://www.ncbi.nlm.nih.gov/About/disclaimer.html).
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Se abstractet i PubMed: http://evidens.link/1Ow819A
Ikonerne under 'Full text links' i øverste højre hjørne (i standardudgaven af
PubMed) viser, om du har online-adgang til hele artiklen. Du kan læse mere om
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