Pilot Study of Providing Online Care in a Primary Care Setting

Adamson, Steven C.; Bachman, John W.

doi:10.4065/mcp.2010.0145

Cited by 82 publications

(63 citation statements)

References 24 publications

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“…While a dearth of information exists related to providing patients with information in hospital settings, evidence from outpatient settings suggest that this fear is unfounded. In the outpatient setting, access to information is associated with increased participation in health and illness management and better outcomes [27][28][29]. In the 30-years following Krantz's initial work on patient preference for information [14], evidence supporting negative effects of providing patients with access to information has not been demonstrated.…”

Section: Discussionmentioning

confidence: 97%

Bedside information technology to support patient-centered care

Caligtan

Carroll

Hurley

et al. 2012

International Journal of Medical Informatics

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Section: Discussionmentioning

confidence: 97%

Bedside information technology to support patient-centered care

Caligtan

Carroll

Hurley

et al. 2012

International Journal of Medical Informatics

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“…Numerous large integrated medical systems, physician groups, and private companies, are now providing eVisits. [1][2][3][4][5][6][7][8] Using a new current procedural terminology code (99444) for eVisits, many health plans now also reimburse eVisits. 2 Despite this growing interest, little is known about eVisits.…”

mentioning

confidence: 99%

Characteristics of Patients Who Seek Care via eVisits Instead of Office Visits

Mehrotra

Paone²,

Martich

et al. 2013

Telemedicine and e-Health

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Purpose: There is growing recognition that many physician-patient encounters do not require face-to-face contact. The availability of secure Internet portals creates the opportunity for online eVisits. Increasing numbers of health systems provide eVisits, and many health plans reimburse for eVisits. However, little is known on who chooses to seek care via an eVisit. Materials and Methods: At four primary care practices, we used the electronic medical record to identify all eVisits and office visits for sinusitis and urinary tract infections (UTIs) between January 2010 and May 2011. From the electronic medical record we abstracted the necessary information on patient demographics. The population studied included 5,165 sinusitis visits (9% of which were eVisits) and 2,954 UTI visits (3% eVisits). Results: In multivariate models controlling for other patient factors, the variables most strongly associated with a patient initiating an eVisit versus an office visit were age (18-44 years of age versus 65 years of age and older: sinusitis, odds ratio 1.65 [0.97-2.81]; UTI, 2.97 [1.03-8.62]) and longer travel distance to clinic ( >10 miles from patient home to clinic versus 0-5 miles: sinusitis, odds ratio 6.54 [4.68-9.16]; UTI, odds ratio 3.25 [1.74-6.07]). Higher income was not associated with higher eVisit use. Conclusions: At these four primary care practices, eVisits accounted for almost 7% of visits for sinusitis and UTI. eVisits attract a younger patient population who might use eVisits for convenience reasons.

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“…Dicha inclusión en la agenda de salud pública a nivel ministerial, académi-co, privado y de sistemas de salud permitiría iniciar una positiva discusión en torno a un tema hoy importante en muchos países desarrollados y en vías de desarrollo: qué se debe investigar, quién debe financiarlos y cuánto dinero debe inyectarse a cada etapa T1, T2 y T3 para un desarrollo sustentable y balanceado de la investigación, en favor de la salud de la población (16,(57)(58)(59)(60) . …”

Section: Comentarios Finalesunclassified

La investigación traslacional y su aporte para la toma de decisiones en políticas de salud

Cabieses

Espinoza

2011

Rev Peru Med Exp Salud Publica

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RESUMENEn los últimos años, la investigación traslacional (IT) se ha establecido como una prioridad en salud a nivel mundial. Esta revisión tiene por objetivo: (1) definir la IT y describir su naturaleza compleja; (2) identificar componentes de IT; (3) vincular IT a la toma de decisiones en políticas de salud; (4) reconocer algunos obstáculos y desafíos de IT asociados a la toma de decisiones en políticas de salud. Para ello se realizó una búsqueda sistemática en bases de datos y literatura gris seleccionada, que incluyan como palabras clave IT y políticas de salud, encontrándose 60 documentos. Los resultados indican una evolución del concepto de IT en el tiempo, incorporando recientemente la inherente complejidad que existe en la transferencia del conocimiento científico en salud. La literatura internacional muestra aplicaciones de la IT en diversos escenarios de investigación y práctica clínica. La aplicación de IT a salud pública y toma de decisiones en salud es aún incipiente pero necesaria y podría convertirse en una prioridad para políticas de salud en un país. Palabras clave: Investigación traslacional; Salud pública; Políticas de salud; Toma de decisiones (fuente: DeCS BIREME). TRANSLATIONAL RESEARCH AND ITS CONTRIBUTION TO THE DECI-SION MAKING PROCESS IN HEALTH POLICIES ABSTRACTRecently, the translational research model (TR) has been established as a key feature in health worldwide. The objectives of this review are: (1) to define the TR and describe its complex nature; (2) to identify the components of the TR; (3) to link the TR to the decision-making process in health policies; (4) to recognize frequent obstacles and challenges of the association between the TR and the decision-making process in health policies. A systematic literature review was conducted in scientific databases and selected grey literature was done including TR and health policy as key words. We found 60 papers. Results show that the concept of TR and its theoretical formulation has evolved over time and has only recently incorporated the complexity that exists in the transference of scientific knowledge to health. International literature shows different applications of the TR in both research and clinical practice. The application of the TR to public health and health policy decision making is relatively new but necessary and could become a priority for health policies in the countries. Key words: Translational research; Public health, Health policy; Decision making (source: MeSH NLM). INTRODUCCIÓNDurante la última década, múltiples centros académi-cos, fundaciones, gobiernos, organizaciones y sistemas de salud han definido que la investigación traslacional (IT) es una prioridad en salud (1)(2)(3) . Consecuentemente, la IT ha sido aplicada en escenarios de salud muy diversos a nivel mundial (4)(5)(6)(7)(8)(9) . Más aun, la IT ha sido motivo de publicaciones científicas, documentos de trabajo de instituciones gubernamentales y razón de la generación de nuevas revistas científicas en salud (ej. Translational Research). En la era de ...

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Pilot Study of Providing Online Care in a Primary Care Setting

Cited by 82 publications

References 24 publications

Bedside information technology to support patient-centered care

Bedside information technology to support patient-centered care

Characteristics of Patients Who Seek Care via eVisits Instead of Office Visits

La investigación traslacional y su aporte para la toma de decisiones en políticas de salud

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