scholarly journals Characteristics of Innovators Adopting a National Personal Health Record in Portugal: Cross-Sectional Study

2017 ◽  
Vol 5 (4) ◽  
pp. e37 ◽  
Author(s):  
Liliana Laranjo ◽  
Inês Rodolfo ◽  
Ana Marta Pereira ◽  
Armando Brito de Sá
Keyword(s):  
Personal Health Record ◽  
Cross Sectional Study ◽  
Personal Health ◽  
Health Record ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals A Cross-Sectional Study of Barriers to Personal Health Record Use among Patients Attending a Safety-Net Clinic

PLoS ONE ◽  
2012 ◽  
Vol 7 (2) ◽  
pp. e31888 ◽  
Author(s):  
Joan F. Hilton ◽  
Lynsey Barkoff ◽  
Olivia Chang ◽  
Lindsay Halperin ◽  
Neda Ratanawongsa ◽  
...  
Keyword(s):  
Personal Health Record ◽  
Safety Net ◽  
Cross Sectional Study ◽  
Personal Health ◽  
Health Record ◽  
Sectional Study ◽  
Cross Sectional ◽  
Safety Net Clinic

scholarly journals Adoption of a Personal Health Record in the Digital Age: Cross-Sectional Study

10.2196/22913 ◽  
2020 ◽  
Vol 22 (10) ◽  
pp. e22913
Author(s):  
Consuela Cheriece Yousef ◽  
Abin Thomas ◽  
Ahmed O Alenazi ◽  
Sumaya Elgadi ◽  
Laila Carolina Abu Esba ◽  
...  
Keyword(s):  
Health Care ◽  
National Guard ◽  
Personal Health Record ◽  
Patient Centered Care ◽  
Personal Health ◽  
Health Record ◽  
Objective Data ◽  
Patient Centered ◽  
Cross Sectional ◽  
Centered Care

Background As health care organizations strive to improve health care access, quality, and costs, they have implemented patient-facing eHealth technologies such as personal health records to better engage patients in the management of their health. In the Kingdom of Saudi Arabia, eHealth is also growing in accordance with Vision 2030 and its National Transformation Program framework, creating a roadmap for increased quality and efficiency of the health care system and supporting the goal of patient-centered care. Objective The aim of this study was to investigate the adoption of the personal health record of the Ministry of National Guard Health Affairs (MNGHA Care). Methods A cross-sectional survey was conducted in adults visiting outpatient clinics in hospitals at the Ministry of National Guard Health Affairs hospitals in Riyadh, Jeddah, Dammam, Madinah, and Al Ahsa, and primary health care clinics in Riyadh and Qassim. The main outcome measure was self-reported use of MNGHA Care. Results In the sample of 546 adult patients, 383 (70.1%) reported being users of MNGHA Care. MNGHA Care users were more likely to be younger (P<.001), high school or university educated (P<.001), employed (P<.001), have a chronic condition (P=.046), use the internet to search for health-related information (P<.001), and use health apps on their mobile phones (P<.001). Conclusions The results of this study show that there is substantial interest for the use of MNGHA Care personal health record with 70% of participants self-reporting use. To confirm these findings, objective data from the portal usage logs are needed. Maximizing the potential of MNGHA Care supports patient engagement and is aligned with the national eHealth initiative to encourage the use of technology for high-quality, accessible patient-centered care. Future research should include health care provider perspectives, incorporate objective data, employ a mixed-methods approach, and use a theoretical framework.

scholarly journals Fat Mass Index Better Identifies Metabolic Syndrome: Insights from Patients in Early Outpatient Cardiac Rehabilitation

2019 ◽  
Vol 8 (12) ◽  
pp. 2147
Author(s):  
Amanda R. Bonikowske ◽  
Maria Irene Barillas Lara ◽  
Katlyn E. Koepp ◽  
Jose R. Medina Inojosa ◽  
Ray W. Squires ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Cardiac Rehabilitation ◽  
Fat Mass ◽  
Cross Sectional Study ◽  
Dual Energy ◽  
Health Record ◽  
Sectional Study ◽  
Cross Sectional ◽  
Fat Mass Index ◽  
X Ray

Body mass index (BMI) does not differentiate fat and lean mass or the distribution of adipose tissue. The purpose of this study was to examine the prevalence of metabolic syndrome (MetS) among patients entering outpatient cardiac rehabilitation (CR) across fat mass index (FMI) categories compared with BMI. This retrospective cross-sectional study evaluated dual-energy x-ray absorptiometry in 483 CR patients from 1 January 2014, through 31 December 2017. Clinical data were extracted from the electronic health record. Patients were grouped by FMI and BMI categories. Mean (SD) age of patients was 64.3 (14) years. The normal FMI category had 15 patients; excess fat, 74; and obese, 384. In contrast, 93, 174, and 216 were in the normal, overweight, and obese BMI categories, respectively. Prevalence of MetS was 0 (0%) in normal, 5 (1%) in excess fat, and 167 (54%) in obese FMI, with 97% in the obese category. MetS prevalence was 4 patients (0.8%) in normal, 39 (8%) in overweight, and 129 (27%) in obese BMI categories, with 75% of MetS in the obese category. FMI more accurately classified CR patients with metabolically abnormal fat (p < 0.001). FMI is a more sensitive index than BMI for metabolically abnormal fat of outpatient CR patients.

scholarly journals Personal Health Record Reach in the Veterans Health Administration: A Cross-Sectional Analysis

2014 ◽  
Vol 16 (12) ◽  
pp. e272 ◽  
Author(s):  
Stephanie Leah Shimada ◽  
Cynthia A Brandt ◽  
Hua Feng ◽  
D Keith McInnes ◽  
Sowmya R Rao ◽  
...  
Keyword(s):  
Personal Health Record ◽  
Veterans Health Administration ◽  
Personal Health ◽  
Health Record ◽  
Veterans Health ◽  
Health Administration ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Sectional Analysis

scholarly journals Lifetime risk assessment in cholesterol management among hypertensive patients: Observational cross-sectional study based on electronic health record data.

2020 ◽  
Author(s):  
Aapo Tahkola ◽  
Päivi Korhonen ◽  
Hannu Kautiainen ◽  
Teemu Niiranen ◽  
Pekka Mäntyselkä
Keyword(s):  
Primary Care ◽  
Electronic Health Record ◽  
Cross Sectional Study ◽  
Lifetime Risk ◽  
Health Record ◽  
Sectional Study ◽  
Cvd Risk ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Electronic Health

Abstract Background In hypertensive patients, reducing plasma low-density lipoprotein cholesterol level (LDL-C) is one of the main interventions for preventing chronic cardiovascular diseases (CVD). However, LDL-C control remains generally insufficient, also in patients with hypertension. We analyzed Electronic Health Record (EHR) data of 7117 hypertensive patients to find the most potential age and sex subgroups in greatest need for improvement in real life dyslipidemia treatment. Taking into account the current discussion on lifetime CVD risk, we focused on the age dependence in LDL-C control. Methods In this observational cross-sectional study, based on routine electronic health record (EHR) data, we investigated LDL-C control of hypertensive, non-diabetic patients without renal dysfunction or CVD, aged 30 years or more in Finnish primary care setting. Results More than half (54% of women and 53 % of men) of untreated patients did not meet the LDL-C target of <3 mmol/l and one third (35% of women and 33 % of men) of patients did not reach the target even with the lipid-lowering medication (LLM). Furthermore, higher age was strongly associated with better LDL-C control (p<0.001) and lower LDL-C level (p<0.001) in individuals with and without LLM. Higher age was also strongly associated with LLM prescription (p<0.001). In total, about half of the patients were on LLM (53% of women and 51 % of men). Conclusions Our findings indicate that dyslipidemia treatment among Finnish primary care hypertensive patients is generally insufficient, particularly in younger age groups who might benefit the most from CVD risk reduction over time. Clinicians should probably rely more on the lifetime risk of CVD, especially when treating working age hypertensive patients.

scholarly journals Perceived challenges for adopting the Personal Health Record (PHR) at Ministry of National Guard Health Affairs (MNGHA) – Riyadh

2016 ◽  
Vol 8 (3) ◽  
Author(s):  
Aljowhara Alsahan ◽  
Basema Saddik
Keyword(s):  
Focus Groups ◽  
Health Information ◽  
National Guard ◽  
Personal Health Record ◽  
Electronic Record ◽  
Perceived Barriers ◽  
Personal Health ◽  
Health Record ◽  
Cross Sectional ◽  
Adoption Rate

AbstractBackground: The Personal Health Record (PHR) is an electronic record that allows patients to maintain, manage and access their health information in one secure location. However, despite these potential capabilities, the adoption rate of the PHR has been slow due to various challenges.Objectives: This study, being the first of its kind in Saudi Arabia, investigates the perceived barriers and /or challenges for PHR adoption in the Ministry of National Guard Health Affairs (MNGHA). The study explored perceived barriers and /or challenges from two different perspectives; a technical perspective and a social perspective.Methods: The study was conducted using a mixed methods approach. A cross-sectional study design using a questionnaire was used to measure patients’ perceptions of the PHR and a qualitative approach through focus groups was used to capture comments and opinions from technical personnel for perceived technical barriers to PHR adoption.Result: Results from 424 patients revealed a positive perception for PHR adoption with almost all of the participants (96.7%) indicating interest in using the PHR and the majority (73.3%) expressing no confidentiality concerns for the online accessibility of their health information. Patients with higher levels of education indicated higher interest in using the PHR and expressed more concern with confidentiality than patients with lower levels of education. However, the majority of patients (78.3%) expressed their lack of awareness of existing patient e-services on the MNGHA website. The themes that emerged from the focus groups reinforced lack of awareness of e-services as a potential barrier for PHR adoption as well as the role of policy in the regulation and business process for PHR adoption.Conclusion: This study has highlighted the perceived challenges and barriers for adoption of the PHR in MNGHA-Riyadh. In order to ensure an efficient PHR with a strong adoption rate, effective steps need to be undertaken by building PHR awareness as well as setting clear guidelines and regulations from policy makers.

scholarly journals Lifetime risk assessment in cholesterol management among hypertensive patients: Observational cross-sectional study based on electronic health record data.

2019 ◽  
Author(s):  
Aapo Tahkola ◽  
Päivi Korhonen ◽  
Hannu Kautiainen ◽  
Teemu Niiranen ◽  
Pekka Mäntyselkä
Keyword(s):  
Primary Care ◽  
Electronic Health Record ◽  
Cross Sectional Study ◽  
Lifetime Risk ◽  
Health Record ◽  
Sectional Study ◽  
Cvd Risk ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Electronic Health

Abstract Background In hypertensive patients, reducing plasma low-density lipoprotein cholesterol level (LDL-C) is one of the main interventions for preventing chronic cardiovascular diseases (CVD). However, LDL-C control remains generally insufficient, also in patients with hypertension. We analyzed Electronic Health Record (EHR) data of 7117 hypertensive patients to find the most potential subgroups in greatest need for improvement in real life dyslipidemia treatment. Taking into account the current discussion on lifetime CVD risk, we focused on the age dependence in LDL-C control. Methods In this observational cross-sectional study, based on routine electronic health record (EHR) data, we investigated LDL-C control of hypertensive, non-diabetic patients without renal dysfunction or CVD, aged 30 years or more in Finnish primary care setting. Results More than half (54% of women and 53 % of men) of untreated patients did not meet the LDL-C target of <3 mmol/l and one third (35% of women and 33 % of men) of patients did not reach the target even with the lipid-lowering medication (LLM). Furthermore, higher age was strongly associated with better LDL-C control (p<0.001) and lower LDL-C level (p<0.001) in individuals with and without LLM. Higher age was also strongly associated with LLM prescription (p<0.001). In total, about half of the patients were on LLM (53% of women and 51 % of men). Conclusions Our findings indicate that dyslipidemia treatment among Finnish primary care hypertensive patients is generally insufficient, particularly in younger age groups who might benefit the most from CVD risk reduction over time. Clinicians should probably rely more on the lifetime risk of CVD, especially when treating working age hypertensive patients.

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