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2023, vol. 28, br. 88, str. 57-69
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Elektronska komunikacija u porodičnoj medicini
Electronic communication in primary healthcare
aDom zdravlja, Krupa na Uni, Bosna i Hercegovina bDom zdravlja, Kraljevo
Sažetak
Tradicionalna komunikacija ljekara i pacijenata sastoji se verbalne i neverbalne komunikacije. Neverbalna komunikacija može naglasiti, izmjeniti ili dopuniti poruku izrečenu verbalnim putem, te smanjiti mogućnost nerazumjevanja poruke. Internetske aplikacije nude mogućnost za komunikaciju ljekara i pacijenata izvan zdravstvene ustanove. E-mail komunikacija izabranog ljekara i pacijenta se definiše kao elektronska komunikacija doktora i pacijenata u ugovornom odnosu u kome davalac zdravstvene informacije snosi odgovornost za zdravlje pacijenta kao njegov izabrani ljekar. Urađen je pregled literature baziran na izvještajima evropskih i američkih studija kako bi utvrdili da li primjena elektronske komunikacije u porodičnoj medicini može doprinijeti povećanju kvaliteta zdravstvene zaštite. Pretraživanje PUBMED-a, BMJ-a, JMIR-a i OVID-a izvršeno je korištenjem pojmova: elektronska komunikacija, porodična medicina, e-mail, ljekar, pacijent. Kao najvažniji benefiti elektronske komunikacije u porodičnoj medicini navode se jednostavnost i povećana učinkovitost komunikacije, širenje resursa i sposobnosti komuniciranja, ušteda vremena i mogućnost ispisa elektronskih poruka. Nedostaci leže u potencijalnom ugrožavanju povjerljivosti, nedostatku novčane nadoknade i preopterećenosti ordinarijusa, potencijalu za pogrešnu komunikaciju, dijagnostičku grešku i nerealnim očekivanjima korisnika. Informacione tehnologije ne smiju zamijeniti tradicionalnu komunikaciju između ljekara i pacijenta. Iako rezultati dostupnih studija nisu pružili dovoljno čvrstih dokaza za šire uvođenje elektronske komunikacije u svakodnevnu praksu, uz poštovanje smjernica dobre kliničke prakse, elektronska pošta i drugi oblici internet komunikacija mogli bi doprinijeti povećanju kvaliteta primarne zdravstvene zaštite.
Abstract
Traditional communication between physicians and patients consists of verbal and non-verbal communication. Non-verbal communication can emphasize, modify, or supplement a message that is verbally conveyed and reduce the possibility of misunderstanding. Web applications offer the ability to communicate with physicians and patients outside the healthcare facility. E-mail communication of the selected physician and patient is defined as electronic communication of doctors and patients in a contractual relationship in which the health information provider bears responsibility for the patient's health as his or her chosen physician. A literature review was conducted based on European and American studies reports to determine whether the use of electronic communication in family medicine could contribute to improving the quality of health care. The search for PUBMED, BMJ, JMIR and OVID was performed using the terms: electronic communication, family medicine, email, physician, patient. The most important benefits of electronic communication in family medicine are the simplicity and increased efficiency of communication, the expansion of resources and the ability to communicate, saving time and the ability to print electronic messages. The disadvantages lie in the potential compromise of confidentiality, the lack of monetary compensation and overload of the doctors, the potential for miscommunication, diagnostic error and unrealistic user expectations. Information technology must not replace traditional physician-patient communication. Although the results of the available studies have not provided strong enough evidence to broaden the introduction of electronic communications into everyday practice, adhering to the guidelines of good clinical practice, email and other forms of internet communication could contribute to improving the quality of primary care.
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Reference
|
|
Novododat članak: provera, normiranje i linkovanje referenci u toku. |
|
Tešanović G, Stanetić K, Petrović V, Savić. 2014. Porodična medicina. Banja Luka: Narodna i univerzitetska biblioteka Republike Srpske
|
|
Antoun J. Electronic mail communication between physicians and patients: a review of challenges and opportunities. Family Practice. 2016; 33 (2): 121-126
|
|
Virjir A, Yarnall K SH, Krause KM, Pollak KI, Scannell MA, Gradison M, Østbye T. Use of email in a family practice setting: opportunities and challenges in patientand physician-initiated communication. BMC Medicine. 2006: 4:18. https://doi.org/10.1186/1741-7015-4-18
|
|
Lee WW, Sulmasy LS, American College of Physicians Ethics, Professionalism and Human Rights Committee. American College of Physicians Ethical Guidance for Electronic Patient-Physician Communication: Aligning Expectations. J Gen Intern Med. 2020;35(9):2715-2720. doi:10.1007/s11606-020-05884-1
|
|
Bishop TF, Press MJ, Mendelsohn JL, Casalino LP. Electronic communication improves access, but barriers to its widespread adoption remain. Health Aff (Millwood). 2013; 32(8): 1361-1367. doi:10.1377/hlthaff.2012.1151
|
|
Awad A, Trenfield SJ, Pollard TD, Ong JJ, Elbadawi M, McCoubrey EL, et al. Connected healthcare: Improving patient care using digital health technologies. Adv Drug Deliv Rev. 2021; 178: 113958. doi:10.1016/j.addr.2021.113958
|
|
Seth P, Abu-Abed MI, Kapoor V, Nicholson K, Agarwal G. Email Between Patient and Provider: Assessing the Attitudes and Perspectives of 624 Primary Health Care Patients. JMIR Med Inform. 2016; 4(4): e42. doi:10.2196/medinform.5853
|
|
Heudel PE, Delrieu L, Dumas E, et al. Impact of Limited E-Health Literacy on the Overall Survival of Patients With Cancer. JCO Clin Cancer Inform. 2022; 6: e2100174. doi:10.1200/CCI.21.00174
|
|
Bani Issa W, Al Akour I, Ibrahim A, et al. Privacy, confidentiality, security and patient safety concerns about electronic health records. Int Nurs Rev. 2020; 67(2): 218-230. doi:10.1111/inr.12585
|
|
Makarem NN, Antoun J. Email communication in a developing country: different family physician and patient perspectives. Libyan J Med. 2016; 11: 32679. doi:10.3402/ljm. v11.32679
|
|
Atherton H, Boylan AM, Eccles A, Fleming J, Goyder CR, Morris RL. Email Consultations Between Patients and Doctors in Primary Care: Content Analysis. J Med Internet Res. 2020; 22(11): e18218. doi:10.2196/18218
|
|
Stein JN, Klein JW, Payne TH, et al. Communicating with Vulnerable Patient Populations: A Randomized Intervention to Teach Inpatients to Use the Electronic Patient Portal. Appl Clin Inform. 2018; 9(4): 875-883. doi:10.1055/s-0038-1676333
|
|
Petrov-Kiurski MĐ. Zastupljenost profesionalnog stresa i sindroma sagorevanja na poslu kod lekara opšte medicine. Opšta medicina. 2020;26(1-2):1-12. doi: 10.5937/ opmed2002001P
|
|
Santana S, Lausen B, Bujnowska-Fedak M, et al. Online communication between doctors and patients in Europe: status and perspectives. J Med Internet Res. 2010; 12(2): e20. doi:10.2196/jmir.1281
|
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