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Telemed J E Health. 2010 Sep;16(7):787-91. doi: 10.1089/tmj.2009.0156.

E-health applications and services for patient empowerment: directions for best practices in The Netherlands.

Author information

1
TNO Quality of Life, Prevention, and Care, Leiden, The Netherlands. laurence.alpay@tno.nl

Abstract

OBJECTIVE:

E-health may enable the empowerment process for patients, particularly the chronically ill. However, e-health is not always designed with the requirements of patient empowerment in mind. Drawing on evidence-based e-health studies, we propose directions for best practices to develop e-health that promotes patient empowerment.

METHODS:

The concept of patient empowerment in the Dutch setting is discussed first. The prerequisites for patient empowerment are then described and translated into empowerment areas relevant to e-health.

MATERIALS:

We reviewed Dutch e-health studies that provide insights into what works, and what does not, in e-health.

RESULTS:

On the basis of the lessons learned from the studies, we propose directions for best practices to develop e-health that promotes patient empowerment. These directions cover various aspects, such as the design and implementation of e-health, its information content and usability, awareness, and acceptance. The studies also indicate the difficulty of establishing that e-health is really dedicated to patient empowerment.

CONCLUSIONS:

Despite the body of knowledge about patient empowerment, as well as the technological visibility of e-health, evidence for best practices in general and for patient empowerment in particular is scarce. We call for a more systematic evaluation of e-health for patient empowerment and more reliable evidence. Beyond the organizational and technical issues involved in e-health, there is also a need to demonstrate its practical benefits to patients. The Netherlands is active in developing sustainable e-health. National initiatives are now in place to support the processes with the aim of establishing the required evidence-based best practices.

PMID:
20815745
DOI:
10.1089/tmj.2009.0156
[Indexed for MEDLINE]

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