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the international council on medical & care compunetics

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21
August, 2014
Thursday

portal

Access to Radiologic Reports via a Patient Portal: Clinical Simulations to Investigate Patient Preferences

Johnson AJ et al, Journal of the American College of Radiology, 9(4)

Purpose
The aim of this study was to determine (1) the patient-preferred timing characteristics of a system for online patient access to radiologic reports and (2) patient resource needs and preferences after exposure to reports.
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3 April 2012 | No Comments »
Categories: Bibliography, Journal Article, Patients, RA Research, Record Access | Keyword(s): , , , ,

Satisfying patient-consumer principles for health information exchange: evidence from california case studies

Miller RH. Health Affairs, 31(3)

In June 2010 sixteen organizations representing California patients and consumers adopted nine principles for electronically exchanging health information among and within provider organizations. The principles were formulated with the goal of improving patient and population health care by increasing the availability and use of patient data while protecting patients’ privacy. This study assesses to what extent five health care organizations-all in different stages of increasing their capacity for health information exchange-conformed to the principles in early 2011.
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23 March 2012 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , , ,

A content citizen health management system: a tele-health and tele-care prototype portal for the public

Christopoulou SC, Papoutsis JL. Health and Technology, 2012

The main inspiration for the implementation of the Content Citizen Health Management System (CCHMS) is to provide a daily, convenient and easily accessible collaborative supportive environment, which will concern social and personal health and welfare matters, to computer literate citizens and those who desire to use information technology. It is a fact that Health services involving prevention and wellness are changing significantly towards a more citizen-centered, home care notion why not also mobile services via WEB and WAP technologies. In other words, the CCHMS as a portal is fundamentally an integration of health content and services in a functional and intelligent WEB environment via the development of communication channels among citizens and the public and private organizations. The design and the development of the CCHMS are based on open source software and follow the appropriate HITSP [1] and ISO/TR 22221 [2] standards along with HONcode principles [3].
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27 February 2012 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , , , , ,

Build It, and Will They Come? Unexpected Findings From a Study on a Web-Based Intervention to Improve Colorectal Cancer Screening

Fleisher L et al, Journal of Health Communication, 17(1)

Given the extensive use of the Internet for health information, Web-based health promotion interventions are widely perceived as an effective communication channel. The authors conducted this study to determine use of a Web-based intervention intended to improve colorectal cancer screening in a population of women who are at average risk and noncompliant to current screening recommendations. The study was a randomized controlled trial designed to compare the effectiveness of colorectal cancer screening educational materials delivered using the Internet versus a printed format. In 3 years, 391 women seen for routine obstetrics/gynecology follow-up at 2 academic centers provided relevant survey information. Of these, 130 were randomized to the Web intervention.
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22 January 2012 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , , , ,

Perception, satisfaction and utilization of the VALUE home telehealth service

Finkelstein SM et al, Journal of Telemedicine and Telecare, 17(6)

We conducted a randomized controlled trial to evaluate the perception, satisfaction and utilization of a home telehealth service for frail elderly people living independently in their home communities. Control group subjects continued with their usual care and intervention group subjects were able to supplement their usual care with the use of a web portal. The web portal allowed videoconferencing and electronic messaging between home care nurses and clients, ordering health-related and home care services, access to health-related information and general access to the Internet. A total of 99 eligible people (59 female, 40 male) from one urban and one rural study site agreed to participate in the study. Eighty-four subjects were active participants for nine months.
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3 September 2011 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , , , , , , , , , ,

Use of an Electronic Patient Portal Among Disadvantaged Populations

Ancker JS et al, Journal of General Internal Medicine, 2011

BACKGROUND:
Electronic patient portals give patients access to information from their electronic health record and the ability to message their providers. These tools are becoming more widely used and are expected to promote patient engagement with health care.

OBJECTIVE:
To quantify portal usage and explore potential differences in adoption and use according to patients’ socioeconomic and clinical characteristics in a network of federally qualified health centers serving New York City and neighboring counties.

DESIGN:
Retrospective analysis of data from portal and electronic health records.
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9 June 2011 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , , , , , , ,

Impact of health portal enrollment with email reminders on adherence to clinic appointments: a pilot study

Horvath M et al, J Med Internet Res, 13(2)

BACKGROUND
Internet portal technologies that provide access to portions of electronic health records have the potential to revolutionize patients’ involvement in their care. However, relatively few descriptions of the demographic characteristics of portal enrollees or of the effects of portal technology on quality outcomes exist. This study examined data from patients who attended one of seven Duke Medicine clinics and who were offered the option of enrolling in and using the Duke Medicine HealthView portal (HVP). The HVP allows patients to manage details of their appointment scheduling and provides automated email appointment reminders in addition to the telephone and mail reminders that all patients receive.
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29 May 2011 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , , , , ,

Nursing and information and communication technology (ICT): A discussion of trends and future directions

While A, Dewsbury G. International Journal of Nursing Studies, 2011

This paper traces the development of information and communication (ICT) within health care and the emergence of telehealth as a key component of modern health care delivery as health care moves from the ‘face to face age’ to the ‘information age’. The paper examines the interface of ICT and nursing practice and highlights the limited evidence relating to the nursing contribution within telehealth particularly beyond data input and output analysis for other health care personnel.
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10 April 2011 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , , , , , ,

The Literacy Divide: Health Literacy and the Use of an Internet-Based Patient Portal in an Integrated Health System—Results from the Diabetes Study of Northern California (DISTANCE)

Sarkar U et al, Journal of Health Communication, 15 (Supp 2)

Internet-based patient portals are intended to improve access and quality, and will play an increasingly important role in health care, especially for diabetes and other chronic diseases. Diabetes patients with limited health literacy have worse health outcomes, and limited health literacy may be a barrier to effectively utilizing internet-based health access services. We investigated use of an internet-based patient portal among a well characterized population of adults with diabetes. We estimated health literacy using three validated self-report items. We explored the independent association between health literacy and use of the internet-based patient portal, adjusted for age, gender, race/ethnicity, educational attainment, and income.
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15 November 2010 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , , , ,

A patient portal for chronic disease management

Umejei CN, Wiafe D. International Journal of Medical Engineering and Informatics, 2(4)

The emergence of the internet coupled with its increase in bandwidth and overall accessibility to the populace has redefined the human interactions. However, despite sporadic growth of technology adoption in most facets of everyday living, there appears to be a lag as it pertains to healthcare.
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3 November 2010 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , , , , , , ,

Implementing practice-linked pre-visit electronic journals in primary care: patient and physician use and satisfaction

Wald JS et al, J Am Med Inform Assoc, 17(5)

Electronic health records (EHRs) and EHR-connected patient portals offer patient-provider collaboration tools for visit-based care. During a randomized controlled trial, primary care patients completed pre-visit electronic journals (eJournals) containing EHR-based medication, allergies, and diabetes (study arm 1) or health maintenance, personal history, and family history (study arm 2) topics to share with their provider.
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24 September 2010 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , , , , , , , ,

E-health and the Web 2.0

Karkalis GI, Koutsouris DD. Proceedings of ITAB 2006

As the application of information technology in healthcare is increasing and the volume of available health related information is rapidly growing, the importance of effective health information management is more and more recognized by healthcare professionals and providers. There also seems to be an evolvement towards a patient-centered model of healthcare provision which is reflected on the increasing demand for personalized applications facilitating communication between patients and healthcare professionals and for the establishment of community based health networks.
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29 August 2010 | No Comments »
Categories: Book Article | Keyword(s): , , , , , , , , , , , , , ,

Patient Opportunities in the Estonian Electronic Health Record System

Tiik M, Ross P. Medical and Care Compunetics 6, 2010

Estonia is the first country which has implemented a nationwide electronic health record system and gives full access to its citizens. This provides new opportunities to citizens, healthcare providers and e-health developers.
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20 June 2010 | No Comments »
Categories: Bibliography, Book Article, Patients, RA Research, Record Access | Keyword(s): , , , ,

Issues and questions to consider in implementing secure electronic patient-provider web portal communications systems

Wakefield DS et al, International Journal of Medical Informatics, 2010

Purpose
Patients are increasingly interested in using Internet-based technologies to communicate with their providers, schedule clinic visits, request medication refills, and view their medical records electronically. However, healthcare organizations face significant challenges in providing such highly personal and sensitive communication in an effective and user-friendly manner.
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22 May 2010 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , , , ,

Giving patients their results online might be the answer

Christensen K, Oldenburg J. Archives of Internal Medicine, 169(19)

The recent article in the Archives titled “Frequency of Failure to Inform Patients of Clinically Significant Outpatient Test Results” states that the use of an EMR does not improve physicians’ ability to provide test results in a timely manner compared with paper records.
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1 November 2009 | No Comments »
Categories: Journal Article | Keyword(s): , , , , ,

Usability Testing Finds New Problems for Novice Users of Pediatric Portals

Britto MT et al, J Am Med Inform Assoc, 16(5)

Objective:
Patient portals may improve pediatric chronic disease outcomes, but few have been rigorously evaluated for usability by parents. Using scenario-based testing with think-aloud protocols, we evaluated the usability of portals for parents of children with cystic fibrosis, diabetes or arthritis.
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16 September 2009 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , , , ,

Kaiser’s Long and Winding Road

Anderson, Howard J., Health Data Management, 17(8)

Electronic health records are in the spotlight, thanks to the federal economic stimulus package. Many hospitals and physician groups are scrambling to draft strategies to fully implement EHRs in time to qualify for maximum federal incentive payments. Relatively few have rolled out every component of a truly comprehensive EHR.
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31 July 2009 | No Comments »
Categories: Journal Article | Keyword(s): , , , , , , , ,

Who uses the patient internet portal? The PatientSite experience

Weingart, Saul N. et al, J Am Med Inform Assoc, 13(1)

Objective:
Although the patient Internet portal is a potentially transformative technology, there is little scientific information about the demographic and clinical characteristics of portal enrollees and the features that they access.
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15 July 2009 | No Comments »
Categories: Journal Article | Keyword(s): , , , , , ,

Health 2.0 on the back burner

Conn, Joseph, Modern Healthcare, 2009

David Brailer made information technology interoperability the focal point of his two-year stint from mid-2004 to mid-2006 as the first head of the Office of the National Coordinator for Health Information Technology.
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7 April 2009 | No Comments »
Categories: Journal Article | Keyword(s): , , ,

Health Professionals’ Attitudes Towards Using a Web 2.0 Portal for Child and Adolescent Diabetes Care: Qualitative Study

Nordqvist, Cecilia et al, J Med Internet Res 2009;11(1)

Background:
The Internet, created and maintained in part by third-party apomediation, has become a dynamic resource for living with a chronic disease. Modern management of type 1 diabetes requires continuous support and problem-based learning, but few pediatric clinics offer Web 2.0 resources to patients as part of routine diabetes care.
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6 April 2009 | No Comments »
Categories: Journal Article | Keyword(s): , , , , , , ,

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