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Shared Decision-making Using Personal Health Record Technology a Scoping Review at the Crossroads

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Review

. 2017 Jul one;24(4):857-866.

doi: ten.1093/jamia/ocw172.

Shared controlling using personal health record engineering: a scoping review at the crossroads

Affiliations

  • PMID: 28158573
  • PMCID: PMC7651971
  • DOI: 10.1093/jamia/ocw172

Free PMC article

Review

Shared decision-making using personal health record technology: a scoping review at the crossroads

Selena Davis  et al. J Am Med Inform Assoc. .

Gratis PMC article

Abstruse

Objective: This scoping review aims to make up one's mind the size and scope of the published literature on shared decision-making (SDM) using personal wellness record (PHR) applied science and to map the literature in terms of system design and outcomes.

Materials and methods: Literature from Medline, Google Scholar, Cumulative Alphabetize to Nursing and Centrolineal Health Literature, Engineering Village, and Spider web of Science (2005-2015) using the search terms "personal health records," "shared decision making," "patient-provider communication," "decision aid," and "decision back up" was included. Manufactures ( north = 38) addressed the efficacy or effectiveness of PHRs for SDM in engaging patients in self-care and decision-making or ways patients tin can be supported in SDM via PHR.

Results: Assay resulted in an integrated SDM-PHR conceptual framework. An increased interest in SDM via PHR is apparent, with 55% of articles published within last iii years. Sixty percent of the literature originates from the United states. Xx-half dozen articles accost a detail clinical status, with ten focused on diabetes, and one-3rd offer empirical prove of patient outcomes. The tethered and standalone PHR architectural types were most studied, while the interconnected PHR type was the focus of more recently published methodological approaches and discussion manufactures.

Give-and-take: The study reveals a scarcity of rigorous enquiry on SDM via PHR. Research has focused on one or a few of the SDM elements and non on the intended complete procedure.

Conclusion: Merely every bit PHR engineering science designed on an interconnected architecture has the potential to facilitate SDM, integrating the SDM process into PHR technology has the potential to drive PHR value.

Keywords: conclusion support; patient-centered intendance; personal wellness records; self-direction; shared conclusion-making.

Figures

Figure 1.
Figure ane.

Flow diagram for commodity selection process

Figure 2.
Effigy 2.

SDM-PHR conceptual framework

Figure 3.
Figure iii.

Percentage of articles by land of origin

Figure 4.
Figure four.

Number of articles by clinical condition

Figure 5.
Effigy 5.

iSDM-PHR conceptual framework

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