Abstract
Abstract
Background
Given the increasing integration of digital health technologies in team-based primary care, this review aimed at understanding the impact of eHealth on patient-provider and provider-provider relationships.
Methods
A review of reviews was conducted on three databases to identify papers published in English from 2008 onwards. The impact of different types of eHealth on relationships and trust and the factors influencing the impact were thematically analyzed.
Results
A total of 79 reviews were included. Patient-provider relationships were discussed more frequently as compared to provider-provider relationships. Communication systems like telemedicine were the most discussed type of technology. eHealth was found to have both positive and negative impacts on relationships and/or trust. This impact was influenced by a range of patient-related, provider-related, technology-related, and organizational factors, such as patient sociodemographics, provider communication skills, technology design, and organizational technology implementation, respectively.
Conclusions
Recommendations are provided for effective and equitable technology selection, application, and training to optimize the impact of eHealth on relationships and trust. The review findings can inform providers’ and policymakers’ decision-making around the use of eHealth in primary care delivery to facilitate relationship-building.
Funder
AMS Healthcare Fellowship in AI/Digital Health and Compassion program
Canada Research Chairs
Publisher
Springer Science and Business Media LLC
Reference139 articles.
1. Starfield B. Primary care: an increasingly important contributor to effectiveness, equity, and efficiency of health services. SESPAS report 2012. Gac Sanit. 2012;26:20–6. https://doi.org/10.1016/j.gaceta.2011.10.009.
2. Thomas-MacLean R, Tarlier D, Fortin M, Ackroyd-Stolarz S, Stewart M. TUTOR-PHC 2003/2004 research trainees “no cookie-cutter response” conceptualizing primary health care. 2008. https://www.uwo.ca/fammed/csfm/tutor-phc/training/trainingmanuals.html. Accessed 28 Jan 2023.
3. Suter E, Mallinson S, Misfeldt R, Boakye O, Nasmith L, Wong ST. Advancing team-based primary health care: a comparative analysis of policies in western Canada. BMC Health Serv Res. 2017;17(1):493. https://doi.org/10.1186/s12913-017-2439-1.
4. Russell GM, Miller WL, Gunn JM, Levesque JF, Harris MF, Hogg WE, Scott CM, Advocat JR, Halma L, Chase SM, Crabtree BF. Contextual levers for team-based primary care: lessons from reform interventions in five jurisdictions in three countries. Fam Pract. 2018;35(3):276–84. https://doi.org/10.1093/fampra/cmx095.
5. Wagner EH, Flinter M, Hsu C, Cromp D, Austin BT, Etz R, Crabtree BF, Ladden MD. Effective team-based primary care: observations from innovative practices. BMC Fam Pract. 2017;18(1):13. https://doi.org/10.1186/s12875-017-0590-8.
Cited by
4 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献