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    標題: Patient-centred e-health supports value cocreation and quality of medical care in Taiwan
    作者: Yan, Yu-Hua
    Yang, Chen-Wei
    Fang, Shih-Chieh
    貢獻者: Tainan Municipal Hosp, Superintendent Off, Show Chwan Med Care Corp
    Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm
    Fooyin Univ, Dept Hlth Business Adm
    Natl Cheng Kung Univ, Dept Business Adm
    關鍵字: access to information
    digital information resources
    eHealth
    health care
    patient participation
    日期: 2021
    上傳時間: 2023-11-11 11:50:25 (UTC+8)
    出版者: WILEY
    摘要: Background Patient-centred e-health (PCEH) focusses on the interaction between patients and physicians. However, only a limited number of studies have focussed on the design of physician-patient value cocreation mechanisms in the PCEH context. Thus, we extend Gronroos' concept of value cocreation to understand how PCEH might improve the quality of care. Objectives This study proposes a theoretical framework to embody PCEH-supported value cocreation and presents some empirical validation. We expect that PCEH-supported value cocreation should comprise capabilities for patient empowerment, intention for information sharing, complementation for checking and verifying information, and interaction for shared understanding. Methods This study surveyed a small group of patients that have used PCEH, 'My Health Bank' in Taiwan. The questionnaires were delivered to patients in hospitals (n = 167 questionnaires, 98% response rate). Results Results indicate that certain PCEH-supported value cocreation mechanisms-capabilities for patient empowerment and interaction for shared understanding-affect the perceived quality of medical care. Limitations The survey only considered patient perceptions of value cocreation. Conclusion This study shows the patient perception of value cocreation in patient-centred e-Health. Further research needs to validate the framework for health professionals and in other e-Health record information sharing settings.
    關聯: HEALTH INFO LIBR J, v.39, n.1, pp.68-78
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