Marjolein Gysels|Alison Richardson|Irene J Higginson
Does the patient?held record improve continuity and related outcomes in cancer care: a systematic review
St Thomas' Hospital|King's College London|Florence Nightingale Foundation|King's College London|St Thomas' Hospital|King's College London
assess effectiveness patientheld record phr cancer carepatients cancer may receive care different services resulting gaps phr could provide continuity patient involvement carerelevant literature identified five electronic databases medline embase cinahl cctr cdsr hand searchespatientheld records cancer care purpose improving communication information exchange within different levels care promote continuity care patients involvement caredata extraction recorded characteristics intervention type study factors contributed methodological quality individual studies data contrasted setting objectives population study design outcome measures changes outcome including knowledge satisfaction anxiety depression methodological quality randomized control trials nonexperimental studies assessed separate standard grading scalesseven randomized control trials six nonexperimental studies identified evaluations phr reached equivocal findings randomized trials found absence effect nonexperimental evaluations shed light conditions successful use patients welcomed introduction phr main problems related suitability different patient groups lack agreement patients health professionals regarding function research required determine conditions phr realize potential tool promote continuity care patient participation