An Internet-Based Patient-Provider Communication System: Randomized Controlled Trial

Lin, Chen-Tan; Wittevrongel, Loretta; Moore, Laurie; Beaty, Brenda; Se, Ross

doi:10.2196/jmir.7.4.e47

Cited by 176 publications

(176 citation statements)

References 15 publications

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“…Further, sharing information has been shown to reduce patient requests for clinicians' time, foster a sense of control and empowerment while promoting self-efficacy and ownership of illness [16][17][18], and lead to increased participation as an informed partner in making health decisions [19][20][21][22]. Previous research suggests that patients want to use PHRs and believe that they will be valuable [23].…”

Section: Introductionmentioning

confidence: 99%

Patient Experiences Using an Inpatient Personal Health Record

Woollen¹,

Prey²,

Wilcox³

et al. 2016

Appl Clin Inform

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SummaryObjective: To investigate patients' experience using an inpatient personal health record (PHR) on a tablet computer to increase engagement in their hospital care. Methods: We performed observations and conducted semi-structured interviews with 14 post-operative cardiac surgical patients and their family members who received an inpatient PHR. Themes were identified using an inductive coding scheme. Results: All participants responded favorably to having access to view their clinical information. A majority (85.7%) of participants used the application following an initial training session. Patients reported high satisfaction with being able to view their hospital medications and access educational materials related to their medical conditions. Patients reported a desire to view daily progress reports about their hospital stay and have access to educational information about their postacute recovery. In addition, patients expressed a common desire to view their diagnoses, laboratory test results, radiology reports, and procedure notes in language that is patient-friendly. Conclusion:Patients have unmet information needs in the hospital setting. Our findings suggest that for some inpatients and their family members, providing personalized health information through a tablet computer may improve satisfaction, decrease anxiety, increase understanding of their health conditions, and improve safety and quality of care. BackgroundBeing a patient in the hospital is an anxiety-inducing experience. Poor communication and lack of access to information can have detrimental effects on a patient's psychological wellbeing and coping abilities [1][2][3][4][5]. Policymakers [6, 7] and patient advocates [8,9] are increasingly focusing on this problem. This study investigates how an inpatient personal health record (PHR) may help address the information needs of patients and improve their engagement and experience in the hospital.Provision of medical information and education about care can allay a patient's uncertainty and stress [10][11][12][13][14][15]. Further, sharing information has been shown to reduce patient requests for clinicians' time, foster a sense of control and empowerment while promoting self-efficacy and ownership of illness [16][17][18], and lead to increased participation as an informed partner in making health decisions [19][20][21][22]. Previous research suggests that patients want to use PHRs and believe that they will be valuable [23]. Moreover, patients believe that their adherence to treatment regimens will improve if they have the opportunity to read and understand their health information [24,25]. However, patients are not typically given the opportunity to review their health information in the hospital. For example, in a survey of hospitalized patients conducted by Cumbler and colleagues, 90% of respondents said they wanted to review their hospital medication list for accuracy, but only 28% said they were given the opportunity to do so [26]. Without access to a documented care plan, patients ar...

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Section: Introductionmentioning

confidence: 99%

Patient Experiences Using an Inpatient Personal Health Record

Woollen¹,

Prey²,

Wilcox³

et al. 2016

Appl Clin Inform

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“…2 Some reports have shown improved patient satisfaction with use of these options. [3][4][5] Several articles have discussed electronic messaging (emails) as a way to improve efficiency by decreasing patient telephone calls to the physician's office. [6][7][8][9] Various reports have described the use of the Internet to manage conditions such as depression, 10,11 diabetes mellitus, 12 hypertension, 13,14 and sexually transmitted diseases 15 and also to assist with breastfeeding support, 16 previsit well child encounters, 17 and communication with patients in safety net practices.…”

mentioning

confidence: 99%

Pilot Study of Providing Online Care in a Primary Care Setting

Adamson¹,

Bachman²

2010

SciVee

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OBJECTIVE:To study the use of e-visits in a primary care setting. PATIENTS AND METHODS:A pilot study of using the Internet for online care ("e-visits") was conducted in the Department of Family Medicine at Mayo Clinic in Rochester, MN. Patients in the department preregistered for the service, and then were able to use the online portal for consultations with their primary care physician. Use of the online portal was monitored and data were collected from November 1, 2007, through October 31, 2009. RESULTS:During the 2-year period, 4282 patients were registered for the service. Patients made 2531 online visits, and billings were made for 1159 patients. E-visits were submitted primarily by women during working hours and involved 294 different conditions. Of the 2531 e-visits, 62 (2%) included uploaded photographs, and 411 (16%) replaced nonbillable telephone protocols with billable encounters. The e-visits made office visits unnecessary in 1012 cases (40%); in 324 cases (13%), the patient was asked to schedule an appointment for a face-to-face encounter.CONCLUSION: Although limited in scope, to our knowledge this is the largest study of online visits in primary care using a structured history, allowing the patient to enter any problem, and billing the patient when appropriate. The extent of conditions possible for treatment by online care was far-ranging and was managed with a minimum of message exchanges by using structured histories. Processes previously given as a free service or by nurse triage and subject to malpractice (protocols) were now documented and billed.

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“…Çalışmanın sonucunda, internete dayalı girişimlerin bilgi ve davranışı değiştirmede etkin oldukları belirlenmiştir (28) . Lin ve arkadaşlarının (29) yapmış oldukları çalışmada ise, 600 diyabetik hasta, deney ve kontrol grubu olmak üzere iki gruba ayrılmış ve deney grubuna internet üzerinden diyabet eğitimi verilmiştir. Hastaların memnuniyet düzeylerine bakıl-dığında, deney grubundaki hastaların memnuniyet düzeyleri %80 iken, kontrol grubundaki hastaların %60 olduğu saptanmıştır.…”

Section: Diyabet Ve Diyabetik Ayak Eğitiminde Teknoloji -Mobil Eğitimunclassified