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"Patient Portal"

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https://www.readbyqxmd.com/read/29138129/patient-portal-utilization-among-ethnically-diverse-low-income-older-adults-observational-study
#1
Thomas A Arcury, Sara A Quandt, Joanne C Sandberg, David P Miller, Celine Latulipe, Xiaoyan Leng, Jenifer W Talton, Kathryn P Melius, Alden Smith, Alain G Bertoni
BACKGROUND: Patient portals can improve patient communication with providers, provide patients with greater health information access, and help improve patient decision making, if they are used. Because research on factors facilitating and limiting patient portal utilization has not been conceptually based, no leverage points have been indicated for improving utilization. OBJECTIVE: The primary objective for this analysis was to use a conceptual framework to determine potentially modifiable factors affecting patient portal utilization by older adults (aged 55 years and older) who receive care at clinics that serve low income and ethnically diverse communities...
November 14, 2017: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29133283/open-source-electronic-health-record-systems-for-low-resource-settings-systematic-review
#2
REVIEW
Assel Syzdykova, André Malta, Maria Zolfo, Ermias Diro, José Luis Oliveira
BACKGROUND: Despite the great impact of information and communication technologies on clinical practice and on the quality of health services, this trend has been almost exclusive to developed countries, whereas countries with poor resources suffer from many economic and social issues that have hindered the real benefits of electronic health (eHealth) tools. As a component of eHealth systems, electronic health records (EHRs) play a fundamental role in patient management and effective medical care services...
November 13, 2017: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29108608/treatment-of-obstructive-sleep-apnea-choosing-the-best-positive-airway-pressure-device
#3
REVIEW
Neil Freedman
Positive airway pressure (PAP) remains primary therapy for most patients with obstructive sleep apnea (OSA). CPAP, APAP, and BPAP are all reasonable therapies that can be used for patients with uncomplicated OSA across the spectrum of disease severity. BPAP should be considered for patients who are nonadherent to CPAP or APAP therapy because of pressure intolerance. Several additional factors should be considered when choosing the type of PAP device for a given patient, including associated symptoms and comorbid medical problems, cost, access to online data management and patient portals, and the portability for the device for patients who travel frequently...
December 2017: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/29095554/patients-perceptions-of-their-doctors-notes-and-after-visit-summaries-a-mixed-methods-study-of-patients-at-safety-net-clinics
#4
Brittaney M Belyeu, Jared W Klein, Lisa M Reisch, Sue Peacock, Natalia V Oster, Joann G Elmore, Sara L Jackson
BACKGROUND: Patients are increasingly offered electronic access to their doctors' notes, and many consistently receive paper After-Visit Summaries. Specific feedback from patients about notes and summaries are lacking, particularly within safety-net settings. DESIGN: A mixed methods study SETTING AND PARTICIPANTS: Patients with poorly controlled diabetes attending two urban safety-net primary care clinics in Washington State. METHODS: Patients read their own most recent clinic note and After-Visit Summary, then completed a brief survey followed by a focus group discussion (3 groups in a large general medicine teaching clinic and 1 in an HIV/AIDS clinic) about their perceptions of the clinic note and After-Visit Summary...
November 2, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/29091982/do-bedside-visual-tools-improve-patient-and-caregiver-satisfaction-a-systematic-review-of-the-literature
#5
Anupama A Goyal, Komalpreet Tur, Jason Mann, Whitney Townsend, Scott A Flanders, Vineet Chopra
BACKGROUND: Although common, the impact of low-cost bedside visual tools, such as whiteboards, on patient care is unclear. PURPOSE: To systematically review the literature and assess the influence of bedside visual tools on patient satisfaction. DATA SOURCES: Medline, Embase, SCOPUS, Web of Science, CINAHL, and CENTRAL. DATA EXTRACTION: Studies of adult or pediatric hospitalized patients reporting physician identification, understanding of provider roles, patient-provider communication, and satisfaction with care from the use of visual tools were included...
November 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29079552/web-based-tools-for-text-based-patient-provider-communication-in-chronic-conditions-scoping-review
#6
Teja Voruganti, Eva Grunfeld, Tutsirai Makuwaza, Jacqueline L Bender
BACKGROUND: Patients with chronic conditions require ongoing care which not only necessitates support from health care providers outside appointments but also self-management. Web-based tools for text-based patient-provider communication, such as secure messaging, allow for sharing of contextual information and personal narrative in a simple accessible medium, empowering patients and enabling their providers to address emerging care needs. OBJECTIVE: The objectives of this study were to (1) conduct a systematic search of the published literature and the Internet for Web-based tools for text-based communication between patients and providers; (2) map tool characteristics, their intended use, contexts in which they were used, and by whom; (3) describe the nature of their evaluation; and (4) understand the terminology used to describe the tools...
October 27, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29073310/opportunities-and-challenges-for-improving-the-patient-experience-in-the-acute-and-postacute-care-setting-using-patient-portals-the-patient-s-perspective
#7
Anuj K Dalal, David W Bates, Sarah Collins
Efforts to improve the patient experience are increasingly focusing on engaging patients and their "care partners" by using patient portals. The Acute Care Patient Portal Task Force was supported by the Gordon and Betty Moore Foundation to convene a national meeting of an interdisciplinary group of stakeholders, including patient advocates, to consider how the acute and postacute care patient experience can be improved by using patient-facing technologies. We identified key opportunities and challenges for enhancing cognitive support, promoting respect while maintaining boundaries, and facilitating patient and family empowerment through the lens of the patient...
October 18, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29061553/veterans-preferences-for-exchanging-information-using-veterans-affairs-health-information-technologies-focus-group-results-and-modeling-simulations
#8
Jolie N Haun, Margeaux Chavez, Kim Nazi, Nicole Antinori, Christine Melillo, Bridget A Cotner, Wendy Hathaway, Ashley Cook, Nancy Wilck, Abigail Noonan
BACKGROUND: The Department of Veterans Affairs (VA) has multiple health information technology (HIT) resources for veterans to support their health care management. These include a patient portal, VetLink Kiosks, mobile apps, and telehealth services. The veteran patient population has a variety of needs and preferences that can inform current VA HIT redesign efforts to meet consumer needs. OBJECTIVE: This study aimed to describe veterans' experiences using the current VA HIT and identify their vision for the future of an integrated VA HIT system...
October 23, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29060389/using-cognitive-fit-theory-to-evaluate-patient-understanding-of-medical-images
#9
Judy Wawira Gichoya, Mohammad Alarifi, Ria Bhaduri, Bilal Tahir, Saptarshi Purkayastha
Patients are increasingly presented with their health data through patient portals in an attempt to engage patients in their own care. Due to the large amounts of data generated during a patient visit, the medical information when shared with patients can be overwhelming and cause anxiety due to lack of understanding. Health care organizations are attempting to improve transparency by providing patients with access to visit information. In this paper, we present our findings from a research study to evaluate patient understanding of medical images...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29059690/introducing-a-patient-portal-and-electronic-tablets-to-inpatient-care
#10
Timothy R Huerta, Ann Scheck McAlearney, Milisa K Rizer
No abstract text is available yet for this article.
October 24, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29049084/exploration-of-portal-activation-by-patients-in-a-healthcare-system
#11
Patricia J Mook, Amber W Trickey, Kimberly Ellis Krakowski, Season Majors, Mary Anne Theiss, Catherine Fant, Mary Ann Friesen
A study of patient portal utilization was conducted at a not-for-profit healthcare system in Northern Virginia. The healthcare system serves more than 2 million people each year. The encounters with the portal included 461 700 different patients occurring between July 2014 and June 2015. Univariate analysis and multivariable logistic regression indicated associations between patient portal activation and predictive factors. Multiple findings emerged: patient portal activation was greater for English-speaking patients; differences in portal activation were observed by patient age; and patients who had an identified primary care provider were more likely to use the portal...
October 19, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/29042345/the-association-of-patient-factors-digital-access-and-online-behavior-on-sustained-patient-portal-use-a-prospective-cohort-of-enrolled-users
#12
Susan S Woods, Christopher W Forsberg, Erin C Schwartz, Kim M Nazi, Judith H Hibbard, Thomas K Houston, Martha Gerrity
BACKGROUND: As electronic health records and computerized workflows expand, there are unprecedented opportunities to digitally connect with patients using secure portals. To realize the value of patient portals, initial reach across populations will need to be demonstrated, as well as sustained usage over time. OBJECTIVE: The study aim was to identify patient factors associated with short-term and long-term portal usage after patients registered to access all portal functions...
October 17, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29040634/implementation-of-acute-care-patient-portals-recommendations-on-utility-and-use-from-six-early-adopters
#13
Lisa V Grossman, Sung W Choi, Sarah Collins, Patricia C Dykes, Kevin J O'Leary, Milisa Rizer, Philip Strong, Po-Yin Yen, David K Vawdrey
Objective: To provide recommendations on how to most effectively implement advanced features of acute care patient portals, including: (1) patient-provider communication, (2) care plan information, (3) clinical data viewing, (4) patient education, (5) patient safety, (6) caregiver access, and (7) hospital amenities. Recommendations: We summarize the experiences of 6 organizations that have implemented acute care portals, representing a variety of settings and technologies...
September 4, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29038093/patient-portal-use-and-experience-among-older-adults-systematic-review
#14
Dawn K Sakaguchi-Tang, Alyssa L Bosold, Yong K Choi, Anne M Turner
BACKGROUND: The older adult population (65 years or older) in the United States is growing, and it is important for communities to consider ways to support the aging population. Patient portals and electronic personal health records (ePHRs) are technologies that could better serve populations with the highest health care needs, such as older adults. OBJECTIVE: The aim of this study was to assess the existing research landscape related to patient portal and ePHR use and experience among older adults and to understand the benefits and barriers to older adults' use and adoption of patient portals and ePHRs...
October 16, 2017: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29035422/the-use-of-telemedicine-and-mobile-technology-to-promote-population-health-and-population-management-for-psychiatric-disorders
#15
REVIEW
Carolyn Turvey, John Fortney
PURPOSE OF REVIEW: This article discusses recent applications in telemedicine to promote the goals of population health and population management for people suffering psychiatric disorders. RECENT FINDINGS: The use of telemedicine to promote collaborative care, self-monitoring and chronic disease management, and population screening has demonstrated broad applicability and effectiveness. Collaborative care using videoconferencing to facilitate mental health specialty consults has demonstrated effectiveness in the treatment of depression, PTSD, and also ADHD in pediatric populations...
October 16, 2017: Current Psychiatry Reports
https://www.readbyqxmd.com/read/29032705/a-mobile-application-for-monitoring-and-management-of-depressed-mood-in-a-vulnerable-pregnant-population
#16
Liisa Hantsoo, Stephanie Criniti, Annum Khan, Marian Moseley, Naomi Kincler, Laura J Faherty, C Neill Epperson, Ian M Bennett
OBJECTIVE: This study tested whether a mood tracking and alert (MTA) mobile application (app) improved mental health care delivery in a high-risk obstetric population. METHODS: Pregnant women with depressive symptomatology at <32 weeks gestation were followed for eight weeks after randomization to a control patient portal (PP) app alone or with the MTA app. The MTA app monitored activity, assessed mood, and alerted obstetric providers of signs of worsening mood...
October 16, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29025034/an-environmental-scan-of-shared-access-to-patient-portals
#17
Jennifer L Wolff, Victoria S Kim, Suzanne Mintz, Rebecca Stametz, Joan M Griffin
We sought to understand the comprehensiveness of consumer-oriented information describing the availability of shared access to adult patient portals from publicly reported information on institutional websites of 20 large and geographically diverse health systems. All 20 health systems reported that they offer patients the ability to share access to their patient portal account with a family member or friend; however, the comprehensiveness of information regarding registration procedures, features, and terminology varied widely...
August 25, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29019046/effect-of-reminding-patients-to-complete-fecal-immunochemical-testing-a-comparative-effectiveness-study-of-automated-and-live-approaches
#18
Gloria D Coronado, Jennifer S Rivelli, Morgan J Fuoco, William M Vollmer, Amanda F Petrik, Erin Keast, Sara Barker, Emily Topalanchik, Ricardo Jimenez
BACKGROUND: The Community Preventive Services Task Force recommends multi-component interventions, including patient reminders, to improve uptake of colorectal cancer screening. OBJECTIVE: We sought to compare the effectiveness of different forms of reminders for a direct-mail fecal immunochemical test (FIT) program. DESIGN: Patient-randomized controlled trial. PARTICIPANTS: 2772 adults aged 50-75, not up to date with colorectal cancer screening recommendations, with a clinic visit in the previous year at any of four participating health center clinics...
October 10, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29016789/a-technology-based-patient-and-family-engagement-consult-service-for-the-pediatric-hospital-setting
#19
Gretchen P Jackson, Jamie R Robinson, Ebone Ingram, Mary Masterman, Catherine Ivory, Diane Holloway, Shilo Anders, Robert M Cronin
Objective: The Vanderbilt Children's Hospital launched an innovative Technology-Based Patient and Family Engagement Consult Service in 2014. This paper describes our initial experience with this service, characterizes health-related needs of families of hospitalized children, and details the technologies recommended to promote engagement and meet needs. Materials and Methods: We retrospectively reviewed consult service documentation for patient characteristics, health-related needs, and consultation team recommendations...
July 22, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/28990993/rural-patients-and-primary-care-clinic-staffs-perceptions-of-ehr-implementation-an-ethnographic-exploration
#20
Sarah Kooienga
This focused ethnographic research study explores patients' and clinic staffs' experience of electronic health record (EHR) implementation in a small, independent, rural primary care practice. On the basis of participant observation of clinic staff, staff focus group, and patient interviews, results demonstrate that both patients and clinic staff have distrust and disconnect from technology. Yet, patients and clinic staff embrace patient-centered approaches and value team-based care. Understanding patients' and staffs' experience can facilitate the EHR implementation in the rural primary care setting and facilitate online access, patient portals, and other technologically based patient-centered approaches...
October 4, 2017: Journal of Ambulatory Care Management
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