@Article{info:doi/10.2196/jopm.8846,
author="Wildevuur, Sabine
and Thomese, Fleur
and Ferguson, Julie
and Klink, Ab",
title="Information and Communication Technologies to Support Chronic Disease Self-Management: Preconditions for Enhancing the Partnership in Person-Centered Care",
journal="J Participat Med",
year="2017",
month="Jul",
day="07",
volume="9",
number="1",
pages="e14",
keywords="person-centered care; chronic disease management; cancer; self-management; partnership; information; communication; technologies",
abstract="Objective: In order to alleviate the pressure on health care systems exerted by the growing prevalence of chronic diseases, information and communication technologies (ICT) are being introduced to enable self-management of chronic diseases by supporting partnerships between patients and health care professionals. This move towards chronic disease self-management is accompanied by a shift in focus on integrating the patient with his or her perceptions on the chronic disease as a full-fledged partner into the health care system. This new perspective has been described as ``person-centered care'' (PCC). To date, information and communication technologies only partially build on the principles of PCC. This paper examines the preconditions of ICT to enable a person-centered approach to chronic disease management. Methods: Using cancer treatment as a case study for ICT-enabled PCC, we conducted a comparative analysis of thirteen scientific studies on interventions presented as ICT-enabled PCC for cancer treatment, to answer the research question: What are the preconditions of ICT-enabled PCC in chronic disease management? Based on the intended and actual outcomes, we distilled in several analytic steps the preconditions of ICT-enabled PCC for chronic disease self-management. Results: We distinguished four user-related preconditions of ICT-enabled PCC: (shared) decision making, personalized ICT, health-related quality of life, and efficiency. Conclusions: We argue that these four preconditions together can improve people's self-management of chronic diseases by strengthening the partnership between the patient and the healthcare professional. Moreover, the study revealed a discrepancy between intended and reported actual outcomes in terms of realizing person-centered care. ",
issn="2152-7202",
doi="10.2196/jopm.8846",
url="http://jopm.jmir.org/2017/1/e14/",
url="https://doi.org/10.2196/jopm.8846"
}