Health Care Applicability of a Patient-Centric Web Portal for Patients’ Medication Experience

Hong, Song Hee; Lee, Woojung; AlRuthia, Yazed

doi:10.2196/jmir.5813

Cited by 4 publications

(2 citation statements)

References 23 publications

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“…Moreover, PWPs should only contain essential information [12], and developers should consider that patients with low health literacy will have particular difficulty interpreting numbers and risk estimations [30]. The information should also be available in a printable format because patients perceive Web-based information as less trustworthy than printed information [53].…”

Section: Discussionmentioning

confidence: 99%

Assessing the Needs and Perspectives of Patients With Asthma and Chronic Obstructive Pulmonary Disease on Patient Web Portals: Focus Group Study

Metting¹,

Schrage²,

Kocks³

et al. 2018

JMIR Formativ Res

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BackgroundAs accessibility to the internet has increased in society, many health care organizations have developed patient Web portals (PWPs), which can provide a range of self-management options to improve patient access. However, the available evidence suggests that they are used inefficiently and do not benefit patients with low health literacy. Asthma and chronic obstructive pulmonary disease (COPD) are common chronic diseases that require ongoing self-management. Moreover, patients with COPD are typically older and have lower health literacy.ObjectiveThis study aimed to obtain and present an overview of patients’ perspectives of PWPs to facilitate the development of a portal that better meets the needs of patients with asthma and COPD.MethodsWe performed a focus group study using semistructured interviews in 3 patient groups from the north of the Netherlands who were recruited through the Dutch Lung Foundation. Each group met 3 times for 2 hours each at a 1-week interval. Data were analyzed with coding software, and patient descriptors were analyzed with nonparametric tests. The consolidated criteria for reporting qualitative research were followed when conducting the study.ResultsWe included 29 patients (16/29, 55% male; mean age 65 [SD 10] years) with COPD (n=14), asthma-COPD overlap (n=4), asthma (n=10), or other respiratory disease (n=1). There was a large variation in the internet experience; some patients hardly used the internet (4/29, 14%), whereas others used internet >3 times a week (23/29, 79%). In general, patients were positive about having access to a PWP, considering access to personal medical records as the most important option, though only after discussion with their physician. A medication overview was considered a useful option. We found that communication between health care professionals could be improved if patients could use the PWP to share information with their health care professionals. However, as participants were worried about the language and usability of portals, it was recommended that language should be adapted to the patient level. Another concern was that disease monitoring through Web-based questionnaire use would only be useful if the results were discussed with health care professionals.ConclusionsParticipants were positive about PWPs and considered them a logical step. Today, most patients tend to be better educated and have internet access, while also being more assertive and better informed about their disease. A PWP could support these patients. Our participants also provided practical suggestions for implementation in current and future PWP developments. The next step will be to develop a portal based on these recommendations and assess whether it meets the needs of patients and health care providers.

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Section: Discussionmentioning

confidence: 99%

Assessing the Needs and Perspectives of Patients With Asthma and Chronic Obstructive Pulmonary Disease on Patient Web Portals: Focus Group Study

Metting¹,

Schrage²,

Kocks³

et al. 2018

JMIR Formativ Res

View full text Add to dashboard Cite

show abstract

“…Three senior centers were located in city while four were in the suburbs. The first part of the survey was to collect views of all seniors, without restricting to those taking antihypertensive medications, on health care applicability of a hypothetical set of patients’ reviews and ratings of medication experience,15 and the second part was to collect actual ratings of patient experience occurring while taking antihypertensive medications. The number of study participants who would complete the second part of the survey was estimated to be at least 180, given that 60% of the older people in the US were taking at least one medication for control of hypertension 16,17.…”

Section: Methodsmentioning

confidence: 99%

The mediatory role of medication adherence in improving patients’ medication experience through patient–physician communication among older hypertensive patients

Lee¹,

Noh²,

Kang³

et al. 2017

PPA

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BackgroundUnderstanding how patient–physician communication affects patients’ medication experience would help hypertensive patients maintain their regular long-term medication therapy. This study aimed to examine whether patient–physician communication (information and interpersonal treatment) affects patients’ medication experience directly or indirectly through changing medication adherence for each of the two communication domains.MethodsA self-administered cross-sectional survey was conducted for older patients who had visited a community senior center as a member. Two communication domains were assessed using two subscales of the Primary Care Assessment Survey. Medication adherence and experience were measured using the Morisky Medication Adherence Scale and a five-point Likert scale, respectively. Mediatory effects were assessed via Baron and Kenny’s procedure and a Sobel test.ResultsPatient–physician communication had a positive prediction on patients’ medication experience (β=0.25, P=0.03), and this was fully mediated by medication adherence (z=3.62, P<0.001). Of the two components of patient–physician communication, only informative communication showed a mediatory effect (z=2.21, P=0.03).ConclusionPatient–physician communication, specifically informative communication, had the potential to improve patients’ medication experience via changes in medication adherence. This finding can inform health care stakeholders of the mediatory role of medication adherence in ensuring favorable medication experience for older hypertensive patients by fostering informative patient–physician communication.

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Assessing the Needs and Perspectives of Patients With Asthma and Chronic Obstructive Pulmonary Disease on Patient Web Portals: Focus Group Study (Preprint)

Metting¹,

Schrage²,

Kocks³

et al. 2017

Preprint

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BACKGROUND As accessibility to the internet has increased in society, many health care organizations have developed patient Web portals (PWPs), which can provide a range of self-management options to improve patient access. However, the available evidence suggests that they are used inefficiently and do not benefit patients with low health literacy. Asthma and chronic obstructive pulmonary disease (COPD) are common chronic diseases that require ongoing self-management. Moreover, patients with COPD are typically older and have lower health literacy. OBJECTIVE This study aimed to obtain and present an overview of patients’ perspectives of PWPs to facilitate the development of a portal that better meets the needs of patients with asthma and COPD. METHODS We performed a focus group study using semistructured interviews in 3 patient groups from the north of the Netherlands who were recruited through the Dutch Lung Foundation. Each group met 3 times for 2 hours each at a 1-week interval. Data were analyzed with coding software, and patient descriptors were analyzed with nonparametric tests. The consolidated criteria for reporting qualitative research were followed when conducting the study. RESULTS We included 29 patients (16/29, 55% male; mean age 65 [SD 10] years) with COPD (n=14), asthma-COPD overlap (n=4), asthma (n=10), or other respiratory disease (n=1). There was a large variation in the internet experience; some patients hardly used the internet (4/29, 14%), whereas others used internet >3 times a week (23/29, 79%). In general, patients were positive about having access to a PWP, considering access to personal medical records as the most important option, though only after discussion with their physician. A medication overview was considered a useful option. We found that communication between health care professionals could be improved if patients could use the PWP to share information with their health care professionals. However, as participants were worried about the language and usability of portals, it was recommended that language should be adapted to the patient level. Another concern was that disease monitoring through Web-based questionnaire use would only be useful if the results were discussed with health care professionals. CONCLUSIONS Participants were positive about PWPs and considered them a logical step. Today, most patients tend to be better educated and have internet access, while also being more assertive and better informed about their disease. A PWP could support these patients. Our participants also provided practical suggestions for implementation in current and future PWP developments. The next step will be to develop a portal based on these recommendations and assess whether it meets the needs of patients and health care providers.

show abstract

Health Care Applicability of a Patient-Centric Web Portal for Patients’ Medication Experience

Cited by 4 publications

References 23 publications

Assessing the Needs and Perspectives of Patients With Asthma and Chronic Obstructive Pulmonary Disease on Patient Web Portals: Focus Group Study

Assessing the Needs and Perspectives of Patients With Asthma and Chronic Obstructive Pulmonary Disease on Patient Web Portals: Focus Group Study

The mediatory role of medication adherence in improving patients’ medication experience through patient–physician communication among older hypertensive patients

Assessing the Needs and Perspectives of Patients With Asthma and Chronic Obstructive Pulmonary Disease on Patient Web Portals: Focus Group Study (Preprint)

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Health Care Applicability of a Patient-Centric Web Portal for Patients’ Medication Experience

Cited by 4 publications

References 23 publications

Assessing the Needs and Perspectives of Patients With Asthma and Chronic Obstructive Pulmonary Disease on Patient Web Portals: Focus Group Study

Assessing the Needs and Perspectives of Patients With Asthma and Chronic Obstructive Pulmonary Disease on Patient Web Portals: Focus Group Study

The mediatory role of medication adherence in improving patients&rsquo; medication experience through patient&ndash;physician communication among older hypertensive patients

Assessing the Needs and Perspectives of Patients With Asthma and Chronic Obstructive Pulmonary Disease on Patient Web Portals: Focus Group Study (Preprint)

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The mediatory role of medication adherence in improving patients’ medication experience through patient–physician communication among older hypertensive patients