A systematic review of the attributes of electronic personal health Records for Patients with multiple sclerosis

Aslani, Nasim; Ahmadi, Maryam; Samadbeik, Mahnaz

doi:10.1007/s12553-019-00387-4

Cited by 12 publications

(33 citation statements)

References 46 publications

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“…Of the included reviews, 7 (70%) did not specify a particular framework for the analysis of the results [ 20 - 24 , 27 , 28 ], 1 (10%) used the System Engineering Initiative for Patient Safety model to categorize interventions [ 15 ], 1 (10%) used the Clinical Adoption Framework [ 25 ], and 1 (10%) applied the Problem Solving Cycle [ 26 ]. Reviews in which no framework was specified considered portal design, use, and usability [ 20 ]; input, process, and output factors [ 27 ]; content and capabilities [ 28 ]; impact on outcome measures [ 24 ]; barriers to and facilitators of adoption and user experience [ 21 ]; characteristics of older users, evaluation of outcome measures and results, and barriers to and facilitators of use [ 22 ]; and impact on trust and communication and consideration of ethical issues [ 23 ].…”

Section: Resultsmentioning

confidence: 99%

“…Reviews focusing on patient portals in acute care hospitals included adult patients with acute medical conditions [ 23 ], inpatients and outpatients classified as vulnerable (including those with cardiovascular diseases, those with HIV, those with ophthalmic conditions and those with chronic or unspecified conditions) [ 15 ], patients who have had cardiac surgery, patients who were in an intensive care unit, patients with cancer, parents of patients who were in a neonatal intensive care unit, and caregivers or patients who underwent bone marrow transplant. Reviews focusing on multiple care settings included patients with multiple sclerosis [ 28 ], patients in any medical domain [ 25 ], adult patients with chronic diseases, patients in family practice settings [ 24 ], and patients with unspecified conditions [ 26 , 27 ]. The reviews focused on older patients aged ≥60 years did not specify an illness or medical domain.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Contextual Factors That Impact the Implementation of Patient Portals With a Focus on Older People in Acute Care Hospitals: Scoping Review

Khadjesari¹,

Houghton²,

Brown³

et al. 2023

JMIR Aging

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Background Older people are the highest users of health services but are less likely to use a patient portal than younger people. Objective This scoping review aimed to identify and synthesize the literature on contextual factors that impact the implementation of patient portals in acute care hospitals and among older people. Methods A scoping review was conducted according to the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. The following databases were searched from 2010 to June 2020: MEDLINE and Embase via the Ovid platform, CINAHL and PsycINFO via the EBSCO platform, and the Cochrane Library. Eligible reviews were published in English; focused on the implementation of tethered patient portals; included patients, health care professionals, managers, and budget holders; and aimed at identifying the contextual factors (ie, barriers and facilitators) that impact the implementation of patient portals. Review titles and abstracts and full-text publications were screened in duplicate. The study characteristics were charted by one author and checked for accuracy by a second author. The NASSS (Non-adoption, Abandonment, Scale-up, Spread, and Sustainability) framework was used to synthesize the findings. Results In total, 10 systematic reviews published between 2015 and 2020 were included in the study. Of these, 3 (30%) reviews addressed patient portals in acute care hospitals, and 2 (20%) reviews addressed the implementation of patient portals among older people in multiple settings (including acute care hospitals). To maximize the inclusion of the literature on patient portal implementation, we also included 5 reviews of systematic reviews that examined patient portals in multiple care settings (including acute care hospitals). Contextual factors influencing patient portal implementation tended to cluster in specific NASSS domains, namely the condition, technology, and value proposition. Certain aspects within these domains received more coverage than others, such as sociocultural factors and comorbidities, the usability and functionality aspects of the technology, and the demand-side value. There are gaps in the literature pertinent to the consideration of the provision of patient portals for older people in acute care hospitals, including the lack of consideration of the diversity of older adults and their needs, the question of interoperability between systems (likely to be important where care involves multiple services), the involvement of lay caregivers, and looking beyond short-term implementation to ways in which portal use can be sustained. Conclusions We identified important contextual factors that impact patient portal implementation and key gaps in the literature. Future research should focus on evaluating strategies that address disparities in use and promote engagement with patient portals among older people in acute care settings.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Contextual Factors That Impact the Implementation of Patient Portals With a Focus on Older People in Acute Care Hospitals: Scoping Review

Khadjesari¹,

Houghton²,

Brown³

et al. 2023

JMIR Aging

View full text Add to dashboard Cite

show abstract

“…A decision support system is a computerbased information system designed to support corporate and business decision-making activ-ities [16]. The expansion of knowledge in the medical field and the complexity of diagnosis and treatment decisions have drawn the attention of experts to use decision support systems in various diseases, and therapies [17][18][19]. In recent years, the intelligence systems, such as CDSS, have been used to assist in the delivery of health care for various purposes in cardiovascular surgery, as well as the complications of diabetes [20].…”

Section: Discussionmentioning

confidence: 99%

Developing a Clinical Decision Support System for Prediction Postoperative Coronary Artery Bypass Grafting Infection in Diabetic Patients

et al. 2022

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“…36,37 Existing supporting health care tools can potentially provide a range of applications and platforms to facilitate health care aides' assignments, 38 transmit observations, and enhance communication between families, clients, and health care providers within the ecosystem of care. 39 ICT can help to deliver real-time support and keep clients' information confidential and available, 40,41 and ultimately improve caring activities and health care delivery. 37 Despite the various technology-based interventions that exist, none have been designed with health care aides in mind or intended to support their workflows.…”

Section: Background and Significancementioning

confidence: 99%

Barriers and Benefits of Information Communication Technologies Used by Health Care Aides

et al. 2022

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Background Although information and communication technologies (ICT) are becoming more common among health care providers, there is little evidence on how ICT can support health care aides. Health care aides, also known as personal care workers, are unlicensed service providers who encompass the second largest workforce, next to nurses, that provide care to older adults in Canada. Objective The purpose of this literature review is to examine the range and extent of barriers and benefits of ICT used by health care workers to manage and coordinate the care-delivery workflow for their clients. Methods We conducted a literature review to examine the range and extent of ICT used by health care aides to manage and coordinate their care delivery, workflow, and activities. We identified 8,958 studies of which 40 were included for descriptive analyses. Results We distinguished the following five different purposes for the use and implementation of ICT by health care aides: (1) improve everyday work, (2) access electronic health records for home care, (3) facilitate client assessment and care planning, (4) enhance communication, and (5) provide care remotely. We identified 128 barriers and 130 benefits related to adopting ICT. Most of the barriers referred to incomplete hardware and software features, time-consuming ICT adoption, heavy or increased workloads, perceived lack of usefulness of ICT, cost or budget restrictions, security and privacy concerns, and lack of integration with technologies. The benefits for health care aides' adoption of ICT were improvements in communication, support to workflows and processes, improvements in resource planning and health care aides' services, and improvements in access to information and documentation. Conclusion Health care aides are an essential part of the health care system. They provide one-on-one care to their clients in everyday tasks. Despite the scarce information related to health care aides, we identified many benefits of ICT adoption.

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A systematic review of the attributes of electronic personal health Records for Patients with multiple sclerosis

Cited by 12 publications

References 46 publications

Contextual Factors That Impact the Implementation of Patient Portals With a Focus on Older People in Acute Care Hospitals: Scoping Review

Contextual Factors That Impact the Implementation of Patient Portals With a Focus on Older People in Acute Care Hospitals: Scoping Review

Developing a Clinical Decision Support System for Prediction Postoperative Coronary Artery Bypass Grafting Infection in Diabetic Patients

Barriers and Benefits of Information Communication Technologies Used by Health Care Aides

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