Overall, patients perceived HealthSpace as neither useful nor easy to use and its functionality aligned poorly with their expectations and self management practices. Those who used email style messaging were positive about its benefits, but enthusiasm beyond three early adopter clinicians was low, and fewer than 100 of 30000 patients expressed interest. Policy makers’ hopes that “deploying” HealthSpace would lead to empowered patients, personalised care, lower NHS costs pandora necklaces, better data quality, and improved health literacy were not realised over the three year evaluation period.Conclusion Unless personal electronic health records align closely with people’s attitudes, self management practices, identified information needs, and the wider care package (including organisational routines and incentive structures for clinicians), the risk that they will be abandoned or not adopted at all is substantial.
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pandora earrings Statistical heterogeneity between trials was estimated from the median between trial variance 2 observed in the posterior distribution, and goodness of fit of the model was assessed using residual deviances.38 Analyses were done in Stata 12.1 and WinBUGS 1.4.ResultsCharacteristics of trials and patientsSupplemental figure 1 presents the flow chart of the study and summarises the process of identifying trials. We screened the titles and abstracts of 14888 potentially eligible reports, examined the full text of 620 articles, and identified 399 articles on 100 trials that met our inclusion criteria. Table 1 presents the characteristics of the included trials. pandora earrings
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