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Data-Driven and Patient-Centred Health Systems
Published in Disa Lee Choun, Anca Petre, Digital Health and Patient Data, 2023
Researching the Estonian eHealth system online will lead you to catchy videos of all the online services an e-citizen has at its disposal. For instance, you can access the national health service online through your digital identity, connected to your unique personal identification code.11 On your patient portal, you have access to your complete medical history and those of your relatives that have given you permission: doctor visits, imagery, lab exams, treatments, allergies, etc.12 Health professionals and family/care-givers have access to this data unless you say otherwise and revoke permission. A truly patient-centred EHR data management system.
Bringing Individuals on a Digital Journey: Co-Designing Their Care
Published in Rebekah Davies, Navigating Telehealth for Speech and Language Therapists, 2023
Some organisations may have a patient portal that allows individuals to engage with healthcare providers in their locality to support managing appointments, medications and monitoring conditions. This may include primary care, mental health support, engaged community and acute secondary care services. It is also possible that an electronic form to gather pre- and post-appointment information can be completed through a service user portal/app via a URL and, as with other methods, returned to a central inbox for clinicians to review by PDF and then attach this information to a person's record for reference. This should be in line with local information governance for service user data collection and storage.
Ambulatory Systems
Published in Salvatore Volpe, Health Informatics, 2022
Curtis L. Cole, Adam D. Cheriff, J. Travis Gossey, Sameer Malhotra, Daniel M. Stein
Evidence suggests that engaging with patients to increase health literacy and to conduct shared decision-making can lead to higher patient satisfaction, increased positive behavioral change, and even improved health outcomes.62 Personal health records (PHRs) are seen by many as a key technology to assist with patient engagement. PHRs contain an individual patient’s health information, including medical history, lab test results or imaging studies, medication and problem lists, and so forth. They are accessible via the internet (sometimes referred to as a patient portal) or a smartphone app, and they are controlled and accessed by patients or their proxies. When a PHR is connected to an EHR, it is sometimes referred to as a “tethered” patient portal. The main advantage of a tethered portal is easier communication between patients and providers, whereas non-tethered PHRs offer patients the ability to aggregate data from multiple unaffiliated providers. Adoption of stand-alone (non-tethered) PHRs has not been widespread, though the recent entry of Apple into the market may change that. EHR-connected portals are increasing in use, especially given the critical role they play in the MU incentive programs.63
Barriers and facilitators of electronic patient portal uptake for asthma management
Published in Journal of Asthma, 2023
Ilana Radparvar, Mindy K. Ross
Rapidly evolving technological advancements allow for this partnership through electronic patient portals. Patient portals are web-based interfaces that connect the patient with their electronic health record (EHR) and contain a wide-range of features including personal health information, lab results, appointments, and messaging to communicate with physicians and the medical care team (7). Collection of patient-reported outcomes can be specialized to the needs of individuals with a particular chronic disease and have shown promise with illness control and management, including asthma (8). Portal functionalities for asthma include symptom and goal tracking, feedback between visits, identification of risk factors and triggers, medication side effects and adherence monitoring, as well as educational handouts or videos based on patients’ needs.
Primary language and the electronic health record patient portal: Barriers to use among Spanish-speaking adults with asthma
Published in Journal of Asthma, 2022
Anna M. Localio, Heather Klusaritz, Knashawn H. Morales, Dominique G. Ruggieri, Xiaoyan Han, Andrea J. Apter
The use of information and communication technologies such as the Internet for health and healthcare purposes (eHealth) (1), is increasing and will continue to expand among both public and private institutions (2). In particular, health care institutions in the United States have made significant investments in developing the electronic health record (EHR). The patient portal is an aspect of the EHR that offers patients the ability to access their health information and communicate electronically with their healthcare team (3,4). EHR portals provide patients such functionalities as requesting prescription refills, viewing laboratory results, scheduling appointments with providers, and securely emailing their care team. The American Recovery and Reinvestment Act of 2009 amended the Social Security Act and through the use of incentive payments to health care providers sought to promote use of information technology in healthcare (5). That Act, and especially its Meaningful Use provisions, now known as "promoting interoperability", represent a federal incentive program to expand access to portal web sites. Among the Act’s many goals has been to reduce health disparities (6,7).
Internet-based survey intervention improves adherence to methotrexate among psoriasis patients
Published in Journal of Dermatological Treatment, 2022
Abigail Cline, Emily L. Unrue, Leah A. Cardwell, Hossein Alinia, Rechelle Tull, Steven R. Feldman, William W. Huang
Methods that improve psoriasis patients’ adherence to MTX may provide an immediate, practical means to improve treatment outcomes. In previous studies, psoriasis treatments are used more frequently around the time of office visits and especially around the time psoriasis is diagnosed (3,7,8). While increasing the frequency of office visits would be costly and impractical in most settings, interventions that mimic the effect of office visits is a promising strategy for improving adherence and have been suggested for patients with psoriasis (9–12). One such intervention is the use of digital interactions (3,13). In one study, an app combined with a chip monitor improved adherence to topical calcipotriol/betamethasone cutaneous foam from 38% in the nonintervention group to 65% in the intervention group after 28 days of use (13). Additionally, digital interventions delivered through email or online patient portals serving as medication reminders may substitute for office visits in improving patient adherence. In a study of patient’s adherence to acne medications, digital inquiries asking about medication use improved patient’s adherence as measured by electronic monitoring (14). The median adherence rate of 74% in the digital-intervention group and 32% in the control group suggests that having patients report how they are doing may be an unusually robust intervention for improving adherence (14).