A consumer health record for supporting the patient-centered management of chronic diseases

被引：11

作者：

De Clercq, PA ^{[1
]}

Hasman, A

Wolffenbuttel, BHR

机构：

[1] Univ Maastricht, Dept Med Informat, Maastricht, Netherlands

[2] Acad Hosp Maastricht, Dept Endocrinol, Maastricht, Netherlands

来源：

MEDICAL INFORMATICS AND THE INTERNET IN MEDICINE | 2003年 / 28卷 / 02期

关键词：

consumer health record; chronic disease management; diabetes; decision support; Internet; formative evaluation; patient-centered care;

D O I：

10.1080/14639230310001600506

中图分类号：

TP [自动化技术、计算机技术];

学科分类号：

0812 ;

摘要：

Objectives : To design and implement a shareable consumer health record system to investigate whether the system can assist in the management of chronic diseases. Methods : A toolkit was designed for constructing the consumer health record system in an evolutionary way. An ethnographic-like approach (formative evaluation) was used to let users (patients and care providers) assess the system leading to incremental changes in the system. Results : The evaluation provided us with sufficient information about which parts of the system needed adaptation. The final consumer health record system was well accepted by patients and care providers. The system is Web-based and is used at home by patients having diabetes. Both care providers and patients enter data. The system can download the data from a glucose meter. It provides feedback to patients on the basis of entered data and incorporated guidelines. It also allows discussion forums. Conclusion : Formative evaluation is useful for obtaining feedback from users about prototype systems. Care providers and patients together worked with the consumer health record. Both parties appreciated the system. The approach described here can be used for developing systems for other chronic patient groups.

引用

页码：117 / 127

页数：11

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