Engaging Patients in Their Care Versus Obscurantism

Tzeng, Huey‐Ming; Yin, Chang Yi; Fitzgerald, Kara

doi:10.1111/nuf.12105

Cited by 6 publications

(11 citation statements)

References 13 publications

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“…The committee issued ten recommendations to improve safe use of health IT, and concluded that health IT is expected to make health care more efficient and safe. Tzeng, Yin, & Fitzgerald (2015) assert health care providers must value this new culture of patient involvement, including supporting tools such as patient portals which allow patient and health care provider collaboration. As the largest segment of health care providers, nurses may be best positioned to lead adoption of EHR to promote better patient care, as stated in a 2010 report, "The Future of Nursing: Leading Change, Advancing Health" from the IOM.…”

Section: Background/statement Of the Problemmentioning

confidence: 99%

Patient Attitudes about Patient Portal Functions

Sequeira¹

2017

Preprint

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As part the U.S. government’s ongoing efforts to improve health care quality, the Electronic Health Records (EHR) Incentive Program from the Centers for Medicare and Medicaid (CMS) offers financial incentives to eligible health care providers (EP) who adopt, implement, improve, and demonstrate meaningful use of EHR. Beginning 2014, the Stage 2 Meaningful Use core objectives included the ability of patients to use online patient portals to view, download and transmit their health information. As a result, many EP offer a patient portal and encourage sign up, yet not all patients have done so. How patients perceive the patient portal, whether positively or negatively, may affect their adoption and use of the portal. A survey collected attitudes and beliefs about the patient portal from adult, female, primary care patients (n=257). The beliefs of patients who signed up, along with those who had not, were considered within the framework of the theory of planned behavior (TPB) to identify methods to increase patient use of the portal. The TPB correctly predicted portal sign up behavior in attitude (p<0.05) and intention (p<0.05) subscales. Overall, patients viewed portal characteristics as useful, but patients who had signed up identified them as significantly (p<0.01) more useful, and also, were found to have significantly (p<0.05) more education than those who did not sign up. Few methods to increase patient sign up were identified apart from targeted education to promote the portal’s usability and utility. More research is needed to identify potential methods health care providers can use to increase portal use in primary care patient populations. Implications for advanced public health nurse practice, training, policy, and research were identified and recommendations given.

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Section: Background/statement Of the Problemmentioning

confidence: 99%

Patient Attitudes about Patient Portal Functions

Sequeira¹

2017

Preprint

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“…Since a health co-op's mission is to empower members-patients (Girard, 2014;Novkovic, 2008) and an ePHR's purpose is similarly to empower patients (Tzeng et al, 2015), we suggest that there is a natural internal social alignment between a health co-op and an ePHR.…”

Section: Intra-organizational Social Alignmentmentioning

confidence: 99%

“…Empowering the patient is an integral part of the ePHR tool, since it allows individuals to control their personal information and, thus, to place themselves in the forefront of the management of their own health records (Tzeng et al, 2015). Similarly, health co-ops contribute to empowering their patients and members through their democratic functioning (Girard, 2014;Novkovic, 2008).…”

Section: Intra-organizational Social Alignmentmentioning

confidence: 99%

“…In fact, there are many similarities between open source development communities and non-profit organizations like health co-ops in terms of values, such as sharing access to resources and information (Eynaud, 2006). Moreover, patient empowerment is a shared value of health co-ops (as reflected in their mission) and of ePHRs (as reflected in their purpose) (Girard, 2014;Novkovic, 2008;Tzeng et al, 2015). We suggest that fit of values or social values alignment could play a particularly important role in IT-based service innovation in healthcare.…”

Section: Introductionmentioning

confidence: 99%

“…EPHRs promote patients' empowerment by allowing patients to re-appropriate and control their personal health information and to stand at the forefront of their health information management. An ePHR therefore has the potential to transform the role of patients and their relationship with healthcare professionals (Tzeng et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Healthcare service innovation based on information technology : The role of social values alignment

Marsan¹,

Audebrand²,

Croteau³

et al. 2017

Systèmes d'Information &Amp; Management

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Le dossier de santé personnel informatisé (DSPI) est une technologie de l’information (TI) conçue pour l’autonomisation des patients en matière d’autogestion de la santé. Toutefois, son déploiement réel reste moindre que prévu en raison de deux barrières principales que doivent adresser les fournisseurs de DSPI : manque de confiance envers le fournisseur dans la confidentialité des données et manque de flexibilité de l’outil. Pour outrepasser ces barrières, nous envisageons la possibilité que les DSPI soient offerts par les coopératives de santé en collaboration avec la communauté de développement open source partageant des valeurs similaires. En mobilisant le concept d’alignement social qui met l’accent sur les valeurs, nous explorons d’abord la possibilité d’alignements sociaux entre les valeurs sous-jacentes à la mission des coopératives de santé et celles sous-jacentes à la finalité des DSPI, et entre les valeurs fondamentales des coopératives de santé et celles des communautés de développement open source. Nous explorons aussi l’effet de ces alignements potentiels sur l’intérêt des coopératives de santé à innover avec un service de santé basé sur le DSPI. Pour atteindre nos objectifs de recherche 17 entrevues ont été menées dans des coopératives de santé au Québec, une province du Canada où le réseau des coopératives de santé est particulièrement actif. Nos résultats montrent que le concept d’alignement des valeurs sociales est utile dans le contexte de l’innovation de service basé sur un DSPI dans les coopératives de santé. Toutefois, notre analyse des données montre que l’alignement des valeurs sociales ne suffit pas pour qu’une telle innovation se produise. En effet, nos résultats nous ont conduits vers le concept de prédisposition organisationnelle afin de mieux comprendre ce qui est nécessaire pour augmenter la probabilité que l’innovation de service basé sur un DSPI se produise au sein des coopératives de santé. Cette étude se termine par l’amorce d’un développement théorique où nous bâtissons sur nos résultats et sur la littérature pour proposer un modèle conceptuel de l’innovation de service basé sur les TI dans les organisations de soins de santé.

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