Global Challenges in People-Centered E-Health
Yuri Quintana, Charles Safran
Division of Clinical Informatics, Beth Israel Deaconess Medical Center and Harvard Medical School
Abstract
People-centered health care seeks an active role for the patient
while empowering all other members of the health care team.
By promoting greater patient responsibility and optimal usage,
patient-centered health care leads to improved health
outcomes, quality of life and optimal value for health care
investment. This paper reviews some definitions of people-
centered health care and various e-health approaches around
the world used to implement this vision. The barriers and
enablers to implementation this type of approach are explored.
This paper provides a proposed research agenda for future
implementations of people-centered e-health.
Keywords:
Person-centred health care; participatory health; health
services research; individualized care; complex systems;
transdisciplinary research; people-centered e-health.
Introduction
It has been long argued that “the largest and yet least used
health care resource, worldwide, is the patient or prospective
patient” [1-4]. In recent years, technology has helped to
provide patients a greater voice in how health care is accessed
and delivered. People-Centered Health Care medicine [5] is a
model of medical care in which the active role of the patient is
emphasized. The overall vision for people-centered health care
is one in which individuals, families, and communities can
participate in trusted health systems that respond to their needs
in humane and holistic ways. People-centered health care is an
umbrella term that better encapsulates the foremost
consideration of the patient across all levels of health systems.
The definition of people-centered health care has shifted over
the years, and the implementation has also shifted; however,
the core values have remained the same.
Methods
We searched the PubMed using the search query (“people-
centered” or “patient-centered” or “people-centred” or
“patient-centred” or “participatory medicine”) and (“patient
empowerment” or “patient participation” or “family
engagement” or “social justice”) in titles and abstract,
searched the Internet with the same terms. We then reviewed
websites and publications and summarized the objectives,
approaches and outcomes of some of the frequently cited
programs in the areas of patient empowerment, patient
participation, family engagement, and social access.
Conclusions
People-centered health care programs [1-9] provide an
opportunity to promote patient empowerment, patient
participation, family engagement, and social justice. Some
programs have shown some promising results by showing
increasing numbers of patients using the programs but the
evidence on outcomes is still limited. Most of the programs
are in developed countries. Some international guidelines have
been developed for these programs. This paper has proposed
some strategies for the design and implementation of
programs in developing countries. More research is needed for
how to design and evaluate these programs in different
settings and cultures. Patient representatives should be part of
product design teams, health care provider committees, and in
government policy committees so that programs that are
created support patient priorities.
References
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http://waysandmeans.house.gov Accessed Dec 16, 2014.
[5] World Health Organization (Western Pacific Region).
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[6] Frydman, Gilles. A Patient-Centric Definition of Partici-
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Address for correspondence
Yuri Quintana, Ph.D., Director for Global Health Informatics,
Division of Clinical Informatics, Beth Isreal Deaconess Medical
Cenrter, and Harvard Medical School
Email: yquintan@bidmc.harvard.edu
MEDINFO 2015: eHealth-enabled Health
I.N. Sarkar et al. (Eds.)
© 2015 IMIA and IOS Press.
This article is published online with Open Access by IOS Press and distributed under the terms
of the Creative Commons Attribution Non-Commercial License.
doi:10.3233/978-1-61499-564-7-977
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