J. Med. Internet Res. - Electronic symptom reporting between patient and provider for improved health care service quality: a systematic review of randomized controlled trials. part 1: state of the art.

Tópicos

{ patient(2315) diseas(1263) diabet(1191) }
{ ehr(2073) health(1662) electron(1139) }
{ studi(2440) review(1878) systemat(933) }
{ research(1085) discuss(1038) issu(1018) }
{ decis(3086) make(1611) patient(1517) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ treatment(1704) effect(941) patient(846) }
{ take(945) account(800) differ(722) }
{ blood(1257) pressur(1144) flow(957) }
{ monitor(1329) mobil(1314) devic(1160) }
{ drug(1928) target(777) effect(648) }
{ method(984) reconstruct(947) comput(926) }
{ howev(809) still(633) remain(590) }
{ use(1733) differ(960) four(931) }
{ process(1125) use(805) approach(778) }
{ model(2656) set(1616) predict(1553) }
{ group(2977) signific(1463) compar(1072) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ measur(2081) correl(1212) valu(896) }
{ motion(1329) object(1292) video(1091) }
{ data(1714) softwar(1251) tool(1186) }
{ cost(1906) reduc(1198) effect(832) }
{ use(976) code(926) identifi(902) }
{ system(1976) rule(880) can(841) }
{ framework(1458) process(801) describ(734) }
{ clinic(1479) use(1117) guidelin(835) }
{ method(1557) propos(1049) approach(1037) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ import(1318) role(1303) understand(862) }
{ data(2317) use(1299) case(1017) }
{ signal(2180) analysi(812) frequenc(800) }
{ data(3008) multipl(1320) sourc(1022) }
{ intervent(3218) particip(2042) group(1664) }
{ estim(2440) model(1874) function(577) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ assess(1506) score(1403) qualiti(1306) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: Over the last two decades, the number of studies on electronic symptom reporting has increased greatly. However, the field is very heterogeneous: the choices of patient groups, health service innovations, and research targets seem to involve a broad range of foci. To move the field forward, it is necessary to build on work that has been done and direct further research to the areas holding most promise. Therefore, we conducted a comprehensive review of randomized controlled trials (RCTs) focusing on electronic communication between patient and provider to improve health care service quality, presented in two parts. Part 2 investigates the methodological quality and effects of the RCTs, and demonstrates some promising benefits of electronic symptom reporting.OBJECTIVE: To give a comprehensive overview of the most mature part of this emerging field regarding (1) patient groups, (2) health service innovations, and (3) research targets relevant to electronic symptom reporting.METHODS: We searched Medline, EMBASE, PsycINFO, Cochrane Central Register of Controlled Trials, and IEEE Xplore for original studies presented in English-language articles published from 1990 to November 2011. Inclusion criteria were RCTs of interventions where patients or parents reported health information electronically to the health care system for health care purposes and were given feedback.RESULTS: Of 642 records identified, we included 32 articles representing 29 studies. The included articles were published from 2002, with 24 published during the last 5 years. The following five patient groups were represented: respiratory and lung diseases (12 studies), cancer (6), psychiatry (6), cardiovascular (3), and diabetes (1). In addition to these, 1 study had a mix of three groups. All included studies, except 1, focused on long-term conditions. We identified four categories of health service innovations: consultation support (7 studies), monitoring with clinician support (12), self-management with clinician support (9), and therapy (1). Most of the research (21/29, 72%) was conducted within four combinations: consultation support innovation in the cancer group (5/29, 17%), monitoring innovation in the respiratory and lung diseases group (8/29, 28%), and self-management innovations in psychiatry (4/29, 14%) and in the respiratory and lung diseases group (4/29, 14%). Research targets in the consultation support studies focused on increased patient centeredness, while monitoring and self-management mainly aimed at documenting health benefits. All except 1 study aiming for reduced health care costs were in the monitoring group.CONCLUSION: RCT-based research on electronic symptom reporting has developed enormously since 2002. Research including additional patient groups or new combinations of patient groups with the four identified health service innovations can be expected in the near future. We suggest that developing a generic model (not diagnosis specific) for electronic patient symptom reporting for long-term conditions may benefit the field.

Resumo Limpo

ckground last two decad number studi electron symptom report increas great howev field heterogen choic patient group health servic innov research target seem involv broad rang foci move field forward necessari build work done direct research area hold promis therefor conduct comprehens review random control trial rcts focus electron communic patient provid improv health care servic qualiti present two part part investig methodolog qualiti effect rcts demonstr promis benefit electron symptom reportingobject give comprehens overview matur part emerg field regard patient group health servic innov research target relev electron symptom reportingmethod search medlin embas psycinfo cochran central regist control trial ieee xplore origin studi present englishlanguag articl publish novemb inclus criteria rcts intervent patient parent report health inform electron health care system health care purpos given feedbackresult record identifi includ articl repres studi includ articl publish publish last year follow five patient group repres respiratori lung diseas studi cancer psychiatri cardiovascular diabet addit studi mix three group includ studi except focus longterm condit identifi four categori health servic innov consult support studi monitor clinician support selfmanag clinician support therapi research conduct within four combin consult support innov cancer group monitor innov respiratori lung diseas group selfmanag innov psychiatri respiratori lung diseas group research target consult support studi focus increas patient centered monitor selfmanag main aim document health benefit except studi aim reduc health care cost monitor groupconclus rctbase research electron symptom report develop enorm sinc research includ addit patient group new combin patient group four identifi health servic innov can expect near futur suggest develop generic model diagnosi specif electron patient symptom report longterm condit may benefit field

Resumos Similares

Telemed J E Health - Smartphone interventions for long-term health management of chronic diseases: an integrative review. ( 0,775909117758687 )
Int J Med Inform - Does the use of consumer health information technology improve outcomes in the patient self-management of diabetes? A meta-analysis and narrative review of randomized controlled trials. ( 0,709989632479731 )
Telemed J E Health - The empirical foundations of telemedicine interventions for chronic disease management. ( 0,699141987657379 )
BMC Med Inform Decis Mak - Addressing health literacy in patient decision aids. ( 0,690093564325797 )
Telemed J E Health - The impact of mobile health interventions on chronic disease outcomes in developing countries: a systematic review. ( 0,687449310359664 )
J. Med. Internet Res. - Clinical effects of home telemonitoring in the context of diabetes, asthma, heart failure and hypertension: a systematic review. ( 0,686013856592877 )
J Am Med Inform Assoc - The effectiveness of interventions using electronic reminders to improve adherence to chronic medication: a systematic review of the literature. ( 0,680338793204683 )
Int J Med Inform - Web-based interventions for the management of type 2 diabetes mellitus: a systematic review of recent evidence. ( 0,678267506367476 )
J. Med. Internet Res. - The effects on health behavior and health outcomes of Internet-based asynchronous communication between health providers and patients with a chronic condition: a systematic review. ( 0,677417574130154 )
Telemed J E Health - Diabetes management via mobile phones: a systematic review. ( 0,655955803396195 )
Perspect Health Inf Manag - Registry-based diabetes risk detection schema for the systematic identification of patients at risk for diabetes in West Virginia primary care centers. ( 0,651796463317231 )
Perspect Health Inf Manag - Tele-ICU: efficacy and cost-effectiveness of remotely managing critical care. ( 0,642685726589476 )
Comput Methods Programs Biomed - Model-based decision support in diabetes care. ( 0,642016771269408 )
J Am Med Inform Assoc - Open source electronic health records and chronic disease management. ( 0,639901314587463 )
BMC Med Inform Decis Mak - Advancing clinical decision support using lessons from outside of healthcare: an interdisciplinary systematic review. ( 0,638193830669615 )
AMIA Annu Symp Proc - Teleretinal screening for diabetic retinopathy in six Los Angeles urban safety-net clinics: initial findings. ( 0,632417423283944 )
Int J Med Inform - A systematic review of IT for diabetes self-management: are we there yet? ( 0,632244770723785 )
J Am Med Inform Assoc - The long-term financial impact of electronic health record implementation. ( 0,623868781055706 )
Telemed J E Health - One-year efficacy and safety of the telehealth system in poorly controlled type 2 diabetic patients receiving insulin therapy. ( 0,621573503961462 )
Int J Med Inform - Online self-management interventions for chronically ill patients: cognitive impairment and technology issues. ( 0,618526528418144 )
Int J Med Inform - Home telemonitoring in COPD: a systematic review of methodologies and patients' adherence. ( 0,616383646996575 )
Telemed J E Health - Asynchronous virtual visits for the follow-up of chronic conditions. ( 0,613976428880445 )
J. Med. Internet Res. - Features of mobile diabetes applications: review of the literature and analysis of current applications compared against evidence-based guidelines. ( 0,613632893396991 )
Med Decis Making - An equity framework for health technology assessments. ( 0,608514374265946 )
BMC Med Inform Decis Mak - Internet-enabled pulmonary rehabilitation and diabetes education in group settings at home: a preliminary study of patient acceptability. ( 0,602447369489474 )
Med Decis Making - Bridging health technology assessment (HTA) and efficient health care decision making with multicriteria decision analysis (MCDA): applying the EVIDEM framework to medicines appraisal. ( 0,60144918403527 )
J. Med. Internet Res. - Mobile health applications for the most prevalent conditions by the World Health Organization: review and analysis. ( 0,601260498663647 )
AMIA Annu Symp Proc - A case control study to improve accuracy of an electronic fall prevention toolkit. ( 0,600471512842907 )
Telemed J E Health - Prevalence and severity of diabetic retinopathy in Northwest Cameroon as identified by teleophthalmology. ( 0,597940269721454 )
Artif Intell Med - A pilot study of distributed knowledge management and clinical decision support in the cloud. ( 0,597287317221721 )
J. Med. Internet Res. - Web 2.0 chronic disease self-management for older adults: a systematic review. ( 0,595689882454537 )
AMIA Annu Symp Proc - The promise of the CCD: challenges and opportunity for quality improvement and population health. ( 0,59544956561004 )
J Telemed Telecare - A systematic review of the cost and cost-effectiveness of telehealth for patients suffering from chronic obstructive pulmonary disease. ( 0,595287414513934 )
Telemed J E Health - Access to mobile communication technology and willingness to participate in automated telemedicine calls among chronically ill patients in Honduras. ( 0,5947763937881 )
Int J Med Inform - User experiences with different regional health information exchange systems in Finland. ( 0,589699789511679 )
J Biomed Inform - glUCModel: a monitoring and modeling system for chronic diseases applied to diabetes. ( 0,588252477625769 )
J Am Med Inform Assoc - Healthcare information technology's relativity problems: a typology of how patients' physical reality, clinicians' mental models, and healthcare information technology differ. ( 0,586660958489879 )
Appl Clin Inform - Care everywhere, a point-to-point HIE tool: utilization and impact on patient care in the ED. ( 0,58647412317974 )
J Med Syst - Quality and cost improvement of healthcare via complementary measurement and diagnosis of patient general health outcome using electronic health record data: research rationale and design. ( 0,584188863398896 )
Res Synth Methods - Synthesis of survival and disease progression outcomes for health technology assessment of cancer therapies. ( 0,58385432953511 )
Int J Med Inform - Evidence-based management of ambulatory electronic health record system implementation: an assessment of conceptual support and qualitative evidence. ( 0,582478567015792 )
Methods Inf Med - A decision support system for the treatment of patients with ventricular assist device support. ( 0,580188591007627 )
BMC Med Inform Decis Mak - Type 2 diabetes genetic association database manually curated for the study design and odds ratio. ( 0,579726729945697 )
J. Med. Internet Res. - Information and communication technology to support self-management of patients with mild acquired cognitive impairments: systematic review. ( 0,574687789666641 )
J Med Syst - Developing a web 2.0 diabetes care support system with evaluation from care provider perspectives. ( 0,573496047055325 )
AMIA Annu Symp Proc - Using Arden Syntax to identify registry-eligible very low birth weight neonates from the Electronic Health Record. ( 0,571018510798952 )
J Med Syst - Decision support systems and applications in ophthalmology: literature and commercial review focused on mobile apps. ( 0,56930436146804 )
J Clin Monit Comput - Intrathecal drug delivery for chronic pain management-scope, limitations and future. ( 0,567230943616642 )
Appl Clin Inform - Impact of homecare electronic health record on timeliness of clinical documentation, reimbursement, and patient outcomes. ( 0,564309456762022 )
J Biomed Inform - Older adults and mobile phones for health: a review. ( 0,561746392174956 )
J Biomed Inform - Technical desiderata for the integration of genomic data with clinical decision support. ( 0,561709838819178 )
J Med Syst - Computer-based identification of type 2 diabetic subjects with and without neuropathy using dynamic planter pressure and principal component analysis. ( 0,561083392950774 )
BMC Med Inform Decis Mak - An algorithm to identify patients with treated type 2 diabetes using medico-administrative data. ( 0,559430821202913 )
J Am Med Inform Assoc - Innovative information visualization of electronic health record data: a systematic review. ( 0,55893701317619 )
J Telemed Telecare - Telephone-delivered cognitive behavioural therapy: a systematic review and meta-analysis. ( 0,558779881008349 )
J Telemed Telecare - Therapeutic videoconferencing interventions for the treatment of long-term conditions. ( 0,558436452008932 )
J Am Med Inform Assoc - The impact of the electronic medical record on structure, process, and outcomes within primary care: a systematic review of the evidence. ( 0,557629494485778 )
J Telemed Telecare - Effects of type 2 diabetes behavioural telehealth interventions on glycaemic control and adherence: a systematic review. ( 0,556389367882363 )
Int J Med Inform - Methodologies for assessing telemedicine: a systematic review of reviews. ( 0,555643465152127 )
Telemed J E Health - A novel telemonitoring device for improving diabetes control: protocol and results from a randomized clinical trial. ( 0,554711231444633 )
Health Informatics J - The use of weblogs within palliative care: a systematic literature review. ( 0,553042862482828 )
Perspect Health Inf Manag - Electronic health records and information portability: a pilot study in a rural primary healthcare center in India. ( 0,552559235479025 )
J Med Syst - An assessment of patient behavior over time-periods: a case study of managing type 2 diabetes through blood glucose readings and insulin doses. ( 0,548969466908132 )
BMC Med Inform Decis Mak - A tailored, interactive health communication application for patients with type 2 diabetes: study protocol of a randomised controlled trial. ( 0,548689849127968 )
Med Biol Eng Comput - A robust sliding mode controller with internal model for closed-loop artificial pancreas. ( 0,547617401022455 )
J Telemed Telecare - Physicians' perceptions of clinical supervision and educational support via videoconference: a systematic review. ( 0,547483989911519 )
Telemed J E Health - Effects of home telemonitoring to support improved care for chronic obstructive pulmonary diseases. ( 0,547072452616143 )
Telemed J E Health - Telemedicine for the reduction of myocardial infarction mortality: a systematic review and a meta-analysis of published studies. ( 0,544653655032772 )
Health Info Libr J - Do quality improvement systems improve health library services? A systematic review. ( 0,544041754867275 )
AMIA Annu Symp Proc - Creating and Evaluating a Dynamic Study Randomization and Enrollment Tool within a Robust EHRs. ( 0,543695684277699 )
J Telemed Telecare - Home telehealth for chronic obstructive pulmonary disease: a systematic review and meta-analysis. ( 0,543364099207248 )
J Telemed Telecare - Fundus autofluorescence and colour fundus imaging compared during telemedicine screening in patients with diabetes. ( 0,543139404355776 )
Int J Med Inform - The IT productivity paradox in health: a stakeholder's perspective. ( 0,542674080857995 )
J Am Med Inform Assoc - Personal health records and hypertension control: a randomized trial. ( 0,542347102756745 )
Comput Methods Programs Biomed - Empowering village doctors and enhancing rural healthcare using cloud computing in a rural area of mainland China. ( 0,54182084418452 )
Telemed J E Health - Shared care combined with telecare improves glycemic control of diabetic patients in a rural underserved community. ( 0,541553337310979 )
BMC Med Inform Decis Mak - Development and evaluation of a de-identification procedure for a case register sourced from mental health electronic records. ( 0,540215892578587 )
Telemed J E Health - Nonmydriatic retinal image review at time of endocrinology visit results in short-term HbA1c reduction in poorly controlled patients with diabetic retinopathy. ( 0,53860188064993 )
Int J Med Inform - The effect of electronic medical record-based clinical decision support on HIV care in resource-constrained settings: a systematic review. ( 0,537748595945531 )
BMC Med Inform Decis Mak - User-centered design of a web-based self-management site for individuals with type 2 diabetes - providing a sense of control and community. ( 0,537677877327714 )
J Telemed Telecare - A review of telemedicine interventions in diabetes care. ( 0,537163563220764 )
J Clin Monit Comput - Endotracheal tube cuff--small important part of a big issue. ( 0,535638648674639 )
J Med Syst - Benefits and challenges of electronic health record system on stakeholders: a qualitative study of outpatient physicians. ( 0,535530067157941 )
Telemed J E Health - Monitoring activities of daily living of the elderly and the potential for its use in telecare and telehealth: a review. ( 0,53111513808108 )
J. Med. Internet Res. - Systematic reviews and meta-analyses of home telemonitoring interventions for patients with chronic diseases: a critical assessment of their methodological quality. ( 0,529414620435586 )
Telemed J E Health - Group diabetes education administered through telemedicine: tools used and lessons learned. ( 0,529276587510772 )
IEEE J Biomed Health Inform - Home telemonitoring of vital signs--technical challenges and future directions. ( 0,529248285261319 )
Comput Math Methods Med - Scale space methods for analysis of type 2 diabetes patients' blood glucose values. ( 0,529245283018868 )
Telemed J E Health - Feasibility and acceptance of a pharmacist-run tele-oncology service for chemotherapy-induced nausea and vomiting in ambulatory cancer patients. ( 0,525836620009862 )
Int J Med Inform - Electronic health records implementation: an evaluation of information system impact and contingency factors. ( 0,524619085322607 )
J Am Med Inform Assoc - Developing a data infrastructure for a learning health system: the PORTAL network. ( 0,523056575660529 )
J. Med. Internet Res. - Design of an mHealth app for the self-management of adolescent type 1 diabetes: a pilot study. ( 0,522825306217309 )
J Med Syst - Algorithms for the automated detection of diabetic retinopathy using digital fundus images: a review. ( 0,522198795482049 )
J Biomed Inform - How cytokines co-occur across asthma patients: from bipartite network analysis to a molecular-based classification. ( 0,519148353488476 )
J. Med. Internet Res. - Patients' reported reasons for non-use of an internet-based patient-provider communication service: qualitative interview study. ( 0,517853943954235 )
J Med Syst - Fuzzy rule-based expert system for evaluating level of asthma control. ( 0,517804789295767 )
Appl Clin Inform - Confronting and resolving an ethical dilemma associated with a practice based evaluation using observational methodology of health information technology. ( 0,51754366322054 )
J Am Med Inform Assoc - The next-generation electronic health record: perspectives of key leaders from the US Department of Veterans Affairs. ( 0,517045963599937 )
AMIA Annu Symp Proc - The Impact of HIT on Cost and Quality in Patient-Centered Medical Home Practices. ( 0,516586152540868 )
Int J Med Inform - Knowledge, use and attitude toward eHealth among patients with chronic lung diseases. ( 0,51637795794382 )