Use of patient-generated health data for shared decision-making in the clinical environment: ready for prime time

摘要

Connected care is becoming established as a legitimate and effective way to provide many types of care (1). Models of connected care increasingly use patient-generated health data (PGHD) as a means by which patients and their care team can work together to improve both quality of care and quality of life (2). Workflows that enable the management of chronic conditions in ways that are more acceptable to patients and their care teams are needed, and PGHD-mediated approaches may hold potential. For example, in-home remote monitoring via a telehealth system can alert providers to ineffective management of congestive heart failure and chronic obstructive pulmonary disease, allowing them to adjust patients’ medications or care before hospitalization is needed (3). Motion detectors can report the lack of movement within the home that may signal a fall or other health problem, allowing individuals to remain independent and in their homes (4). Social media content has been shown to accurately reflect treatment practices in cancer (5). PGHD also have a role in the diagnosis of health conditions (6).