Technology in healthcare: the NHS app

Nelson, Sara; Allkins, Suzannah

doi:10.12968/bjca.2019.0147

Cited by 4 publications

(3 citation statements)

References 2 publications

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“…Another participant drew on their personal experiences of using the “NHS Patient Access app” (participant 7, postoperative phase), which is freely available for all patients registered with a general practitioner (physician) in the United Kingdom. The app can be used to view primary care health records, order repeat prescriptions, and get health advice on medical conditions and treatments [ 56 ]. This participant suggested that there be inclusion of specialist-bariatric advice within the app, where “the full app [could be linked] to your NHS number so it’s all personalized advice available” (participant 7, postoperative phase).…”

Section: Resultsmentioning

confidence: 99%

Designing Digital Health Technology to Support Patients Before and After Bariatric Surgery: Qualitative Study Exploring Patient Desires, Suggestions, and Reflections to Support Lifestyle Behavior Change

Robinson¹,

Husband²,

Slight³

et al. 2022

JMIR Hum Factors

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Background A patient’s capability, motivation, and opportunity to change their lifestyle are determinants of successful outcomes following bariatric surgery. Lifestyle changes before and after surgery, including improved dietary intake and physical activity levels, have been associated with greater postsurgical weight loss and improved long-term health. Integrating patient-centered digital technologies within the bariatric surgical pathway could form part of an innovative strategy to promote and sustain healthier behaviors, and provide holistic patient support, to improve surgical success. Previous research focused on implementing digital technologies and measuring effectiveness in surgical cohorts. However, there is limited work concerning the desires, suggestions, and reflections of patients undergoing bariatric surgery. This qualitative investigation explores patients’ perspectives on technology features that would support behavior changes during the pre- and postoperative periods, to potentially maintain long-term healthy lifestyles following surgery. Objective This study aims to understand how digital technologies can be used to support patient care during the perioperative journey to improve weight loss outcomes and surgical success, focusing on what patients want from digital technologies, how they want to use them, and when they would be of most benefit during their surgical journey. Methods Patients attending bariatric surgery clinics in one hospital in the North of England were invited to participate. Semistructured interviews were conducted with purposively sampled pre- and postoperative patients to discuss lifestyle changes and the use of digital technologies to complement their care. The interviews were audio recorded and transcribed verbatim. Reflexive thematic analysis enabled the development of themes from the data. Ethical approval was obtained from the National Health Service Health Research Authority. Results A total of 20 patients were interviewed (preoperative phase: 40% (8/20); postoperative phase: 60% (12/20). A total of 4 overarching themes were developed and related to the optimization of technology functionality. These centered on providing tailored content and support; facilitating self-monitoring and goal setting; delivering information in an accessible, trusted, and usable manner; and meeting patient information-seeking and engagement needs during the surgical pathway. Functionalities that delivered personalized feedback and postoperative follow-up were considered beneficial. Individualized goal setting functionality could support a generation of digitally engaged patients with bariatric conditions as working toward achievable targets was deemed an effective strategy for motivating behavior change. The creation of digital package of care checklists between patients and clinicians was a novel finding from this study. Conclusions Perceptions of patients undergoing bariatric surgery validated the integration of digital technologies within the surgical pathway, offering enhanced connectedness and support. Recommendations are made relating to the design, content, and functionality of digital interventions to best address the needs of this cohort. These findings have the potential to influence the co-design and integration of person-centered, perioperative technologies.

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Section: Resultsmentioning

confidence: 99%

Designing Digital Health Technology to Support Patients Before and After Bariatric Surgery: Qualitative Study Exploring Patient Desires, Suggestions, and Reflections to Support Lifestyle Behavior Change

Robinson¹,

Husband²,

Slight³

et al. 2022

JMIR Hum Factors

View full text Add to dashboard Cite

show abstract

“…Patient Access and myGP are patient portals used by surgery, inpatient, or outpatient services in the United Kingdom (UK), which provide patients with features like appointment booking, ordering repeat prescriptions, secure messaging with healthcare professionals, and viewing medical records ( iPLATO Healthcare Ltd, 2021 ; Mohammed et al, 2020 ). The NHS App is a more recent service in the country and has functions similar to the Patient Access portal while supporting additional features like the mandatory COVID-19 vaccination proof and checking symptoms against possible health issues ( Best, 2019 ; Nelson and Allkins, 2020 ). However, implementation, uptake, and use of patient portal services and access to medical records and linked services in the UK are limited, and their widespread incorporation has been a slower process compared to many first-world countries ( Mohammed et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Experiences and Attitudes of Patients Towards Patient Portal–Enabled Access to Their Health Information or Medical Records: A Qualitative Grounded Theory Study

Kuppanda

Jenkins

2023

Qual Health Res

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The demand for patient-centred care and patient engagement in their healthcare has driven patient portal introduction. The widespread adoption and use of patient portals, however, has been a rather slow process in the United Kingdom. Hence, a limited number of studies have explored patient perceptions and experiences of general portal use, which forms a foundation for successful implementation of a portal. This study, therefore, focuses on the experiences and attitudes of patients regarding use of patient portals and access to their health information. It further explores various factors perceived by patients that may influence portal use and uptake. The overall findings from this study highlight positive patient perceptions of portal use. Nevertheless, it demonstrates various areas of improvement essential to ensure future success of portal implementation and acceptance.

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“…Patient Access and myGP are patient portals used by some surgeries in the United Kingdom (UK) which provide patients with features like appointment booking, ordering repeat prescriptions, messaging, and viewing medical records [9, 10]. The NHS app is a more recent service in the country and has functions similar to the Patient Access portal while supporting additional features like the mandatory COVID-19 vaccination proof, setting organ donation preference, and checking symptoms [11, 12]. However, uptake of patient portal services, access to medical records and linked services in the UK is limited and its widespread incorporation has been a slower process compared to many first world countries [9].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of experiences and attitudes of patients towards patient portal enabled access to their health information or medical records – A Qualitative Study

Kuppanda

Jenkins

2022

Preprint

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The demand for patient centred care and patient engagement in their healthcare has driven patient portal introduction. The widespread adoption and use of patient portals, however, has been a rather slow process in the United Kingdom (UK). Hence, a limited number of studies have explored patient perceptions and experiences of general portal use which forms a foundation for successful implementation of a portal. This study, therefore, focuses on the experiences and attitudes of patients regarding use of patient portals and access to their health information. It further explores various factors perceived by patients that may influence portal use and uptake. These patient experiences were gathered through semi-structured interviews of 13 participants and the data collected was subjected to analysis using the grounded theory approach. The overall findings from this study highlights positive patient perceptions of portal use. Nevertheless, it demonstrates various areas of improvement essential to ensure successful implementation and acceptance of patient portals in the future.

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Technology in healthcare: the NHS app

Cited by 4 publications

References 2 publications

Designing Digital Health Technology to Support Patients Before and After Bariatric Surgery: Qualitative Study Exploring Patient Desires, Suggestions, and Reflections to Support Lifestyle Behavior Change

Designing Digital Health Technology to Support Patients Before and After Bariatric Surgery: Qualitative Study Exploring Patient Desires, Suggestions, and Reflections to Support Lifestyle Behavior Change

Evaluation of Experiences and Attitudes of Patients Towards Patient Portal–Enabled Access to Their Health Information or Medical Records: A Qualitative Grounded Theory Study

Evaluation of experiences and attitudes of patients towards patient portal enabled access to their health information or medical records – A Qualitative Study

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