Interactive systems for patient-centered care to enhance patient engagement

Tang, Choon Yik; Lorenzi, Nancy M.; Harle, Christopher A.; Zhou, Xiaomu; Chen, Yunan

doi:10.1093/jamia/ocv198

Cited by 38 publications

(34 citation statements)

References 8 publications

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“…New technologies are usually outdated by the time implementation has occurred. Nurses must learn how to incorporate new technologies into their clinical practice to optimize patient engagement [28]. Comprehensive in-service training might be considered by some as cost prohibitive, but without the proper preparation the nurses would not be exposed to the full capabilities of the iPET system.…”

Section: Discussionmentioning

confidence: 99%

Using Interactive Patient Engagement Technology in Clinical Practice: A Qualitative Assessment of Nurses’ Perceptions

et al. 2016

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BackgroundResearch has shown patients who are more engaged in their care are likely to have better health outcomes and reduced health care costs. Health care organizations are now focusing their efforts in finding ways to improve patient engagement. At the forefront of this movement are patient engagement technology systems. In this paper, these emerging systems are described as interactive patient engagement technologies (iPET).ObjectiveThe objective of this descriptive study was to gain an understanding of the perceptions of nurses who are integrating these iPET systems into their daily clinical practice.MethodsThe research team interviewed 38 nurses from 2 California-based hospitals using a focused rapid ethnographic evaluation methodology to gather data.ResultsThe study participants reported that using iPET systems may enhance clinical nursing practice. The 4 key findings of iPET were that it (1) is effective for distraction therapy, (2) has functionality that affects both patients and nurses, (3) has implications for clinical practice, and (4) may require additional training to improve usage.ConclusionsWith sufficient training on the iPET system, nurses believed they could use these technologies as an enhancement to their clinical practice. Additionally, nurses perceived these systems served as distraction therapy for patients. Initial findings suggest that iPET is beneficial, but more research is required to examine the usefulness of iPET systems in the inpatient settings.

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Section: Discussionmentioning

confidence: 99%

Using Interactive Patient Engagement Technology in Clinical Practice: A Qualitative Assessment of Nurses’ Perceptions

et al. 2016

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“…On the website, information will be tailored to the patient, which offers the opportunity to enhance patient involvement (Figure 1) [13]. This is possible because some data are already prefilled when patients receive their website account (eg, surgical procedure, sex, hospital).…”

Section: Methodsmentioning

confidence: 99%

“…This means that patients can be easily reached using this medium. Second, there is an increasing demand for self-management in society; eHealth has the potential to motivate people and turn them into more active and effective managers of their own health [12,13]. Finally, eHealth is a useful tool to provide the patients with tailored information, by providing only advice based on the patient’s profile.…”

Section: Introductionmentioning

confidence: 99%

Substitution of Usual Perioperative Care by eHealth to Enhance Postoperative Recovery in Patients Undergoing General Surgical or Gynecological Procedures: Study Protocol of a Randomized Controlled Trial

Meij¹,

Huirne²,

Bouwsma³

et al. 2016

JMIR Res Protoc

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BackgroundDue to the strong reduction in the length of hospital stays in the last decade, the period of in-hospital postoperative care is limited. After discharge from the hospital, guidance and monitoring on recovery and resumption of (work) activities are usually not provided. As a consequence, return to normal activities and work after surgery is hampered, leading to a lower quality of life and higher costs due to productivity loss and increased health care consumption.ObjectiveWith this study we aim to evaluate whether an eHealth care program can improve perioperative health care in patients undergoing commonly applied abdominal surgical procedures, leading to accelerated recovery and to a reduction in costs in comparison to usual care.MethodsThis is a multicenter randomized, single-blinded, controlled trial. At least 308 patients between 18 and 75 years old who are on the waiting list for a laparoscopic cholecystectomy, inguinal hernia surgery, or laparoscopic adnexal surgery for a benign indication will be included. Patients will be randomized to an intervention or control group. The intervention group will have access to an innovative, perioperative eHealth care program. This intervention program consists of a website, mobile phone app, and activity tracker. It aims to improve patient self-management and empowerment by providing guidance to patients in the weeks before and after surgery. The control group will receive usual care and will have access to a nonintervention (standard) website consisting of the digital information brochure about the surgical procedure being performed. Patients are asked to complete questionnaires at 5 moments during the first 6 months after surgery. The primary outcome measure is time to return to normal activities based on a patient-specific set of 8 activities selected from the Patient-Reported Outcomes Measurement Information System (PROMIS) physical functioning item bank version 1.2. Secondary outcomes include social participation, self-rated health, duration of return to work, physical activity, length of recovery, pain intensity, and patient satisfaction. In addition, an economic evaluation alongside this randomized controlled trial will be performed from the societal and health care perspective. All statistical analyses will be conducted according to the intention-to-treat principle.ResultsThe enrollment of patients started in September 2015. The follow-up period will be completed in February 2017. Data cleaning and analyses have not begun as of the time this article was submitted.ConclusionsWe hypothesize that patients receiving the intervention program will resume their normal activities sooner than patients in the control group and costs will be lower.ClinicalTrialNetherlands Trial Registry NTC4699; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4699 (Archived by WebCite at http://www.webcitation.org/6mcCBZmwy)

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“…For this reason, much effort has been put to improve interactions between and within producers and consumers of healthcare services in order to co-create social innovations 1 [4] [5]. Strategies have been developed around the world to meet the challenges that the transition to a more patient-centered system demands [6] [7].…”

Section: Introductionmentioning

confidence: 99%

Brokers as Catalysts for the E-Health Market

Vimarlund¹,

Nøhr²,

Nykänen³

et al. 2017

IIM

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In this study we use the experiences from the service industry and explore pre-requisites of the e-health market which will need to achieve to stimulate both sides of the market (vendors, healthcare organizations, government, institutions, corporations and services organizations) to interact with each other and develop demand driven services and social innovations. The results presented in this paper may be of interest for decision makers, industries (e.g. software or technology designers), small and medium enterprises (SME) and entrepreneurs with an interest in becoming a part of the e-health market, and for consumers (e.g. healthcare personnel and patients) that are willing to influence the market through their choices. The outcomes of the study shown that the role of virtual brokers is essential to the further development of a sustainable e-health market globally because its role as catalyst for interaction between the two-sides of the markets, its effects on the reduction of competitive constrains, its effects on the accessibility to broader network of actors and its effects on the support of public-private exchanges of knowledge and experience.

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Interactive systems for patient-centered care to enhance patient engagement

Cited by 38 publications

References 8 publications

Using Interactive Patient Engagement Technology in Clinical Practice: A Qualitative Assessment of Nurses’ Perceptions

Using Interactive Patient Engagement Technology in Clinical Practice: A Qualitative Assessment of Nurses’ Perceptions

Substitution of Usual Perioperative Care by eHealth to Enhance Postoperative Recovery in Patients Undergoing General Surgical or Gynecological Procedures: Study Protocol of a Randomized Controlled Trial

Brokers as Catalysts for the E-Health Market

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