scholarly journals Applying User Engagement Models from Direct-to-Patient Online Services to Improve Patient Portal Design

10.9776/16177 ◽  
2016 ◽  
Author(s):  
Jordan Eschler
Keyword(s):  
User Engagement ◽  
Patient Portal ◽  
Online Services ◽  
Improve Patient

scholarly journals Viewpoint: Health literacy and patient portals

2015 ◽  
Vol 7 (2) ◽  
pp. 172 ◽  
Author(s):  
Yulong Gu ◽  
Martin Orr ◽  
Jim Warren
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Health Information ◽  
Health Care Providers ◽  
Easy Access ◽  
Patient Portal ◽  
Care Providers ◽  
Patient Portals ◽  
Health Consumer ◽  
Improve Patient

Health literacy has been described as the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions. Improving health literacy may serve to promote concordance with therapy, engage patients in their own health care, and improve health outcomes. Patient portal technology aims at enabling patients and families to have easy access to key information in their own medical records and to communicate with their health care providers electronically. However, there is a gap in our understanding of how portals will improve patient outcome. The authors believe patient portal technology presents an opportunity to improve patient concordance with prescribed therapy, if adequate support is provided to equip patients (and family/carers) with the knowledge needed to utilise the health information available via the portals. Research is needed to understand what a health consumer will use patient portals for and how to support a user to realise the technology?s potential.

Implementing an oncology-specific health care IT portal to enhance patient-provider communication.

2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 31-31
Author(s):  
Debra A. Patt ◽  
Jennifer Trageser ◽  
Jeffrey A. Howard ◽  
Max Rush ◽  
Cara Heiman ◽  
...  
Keyword(s):  
Clinical Information ◽  
Patient Portal ◽  
Large Network ◽  
Health It ◽  
Patient Provider Communication ◽  
Extraneous Data ◽  
Key Participants ◽  
Workflow Planning ◽  
Improve Patient ◽  
Specific Health

31 Background: Our large network of oncology practices (PRs) launched a health IT (HIT) patient portal (PP) to improve patient (PT) access to clinical information (CI) and serve as a platform to enhance PR-to-PT communication (C). Methods: A team of HIT specialists and oncologists engaged in development of the PP to develop a platform to facilitate PR-to-PT C, satisfy meaningful use (MU) requirements, and have brand identification (ID) for PRs. Workflow planning for implementation was conducted including ID and education of key participants at PRs. Educational signage was posted at PRs during initiation partnered with information at check-in at clinic visits to inform PTs about PP benefits and registration steps. After consent was obtained, pts were invited by email to the PP and could access their PP and view and download their secure CI. A review of support calls from both PR personnel and pts highlighted opportunities for enhanced PP engagement. Enrollment (E) was captured monthly. Results: From April 2012 to June 2013 more than 34,000 pts have enrolled in the PP across over 47 PRs (Table). In addition, inclusion of the PR brand and removing extraneous data capture during E are critical to success. Comparing E data from April 2012 to April 2013 after increased PR brand ID and reduction of pt validation changes were implemented, there was an increase of 13% of opened Is and 22% increase in Es. Conclusions: By engaging a development team, and strategically planning content dissemination and education around initiation, implementation of the PP was widely utilized throughout the PRs. By monitoring adoption rates and capturing the PT feedback, incremental enhancements can positively affect PT engagement with PRs. This functional mechanism can now serve as a platform to facilitate C between PRs and PTs, fulfill MU requirements, and plan future dissemination of educational content. [Table: see text]

scholarly journals Patient Portal Use in Diabetes Management: Literature Review (Preprint)

2018 ◽  
Author(s):  
Ran Sun ◽  
Mary T Korytkowski ◽  
Susan M Sereika ◽  
Melissa I Saul ◽  
Dan Li ◽  
...  
Keyword(s):  
Literature Review ◽  
English Language ◽  
Diabetes Management ◽  
Personal Health Record ◽  
Patient Portal ◽  
Patient Portals ◽  
Personal Traits ◽  
Patient Provider Communication ◽  
Barriers To Use ◽  
Improve Patient

BACKGROUND Health information technology tools (eg, patient portals) have the potential to promote engagement, improve patient-provider communication, and enhance clinical outcomes in the management of chronic disorders such as diabetes mellitus (DM). OBJECTIVES The aim of this study was to report the findings of a literature review of studies reporting patient portal use by individuals with type 1 or type 2 DM. We examined the association of the patient portal use with DM-related outcomes and identified opportunities for further improvement in DM management. METHODS Electronic literature search was conducted through PubMed and PsycINFO databases. The keywords used were “patient portal*,” “web portal,” “personal health record,” and “diabetes.” Inclusion criteria included (1) published in the past 10 years, (2) used English language, (3) restricted to age ≥18 years, and (4) available in full text. RESULTS This review included 6 randomized controlled trials, 16 observational, 4 qualitative, and 4 mixed-methods studies. The results of these studies revealed that 29% to 46% of patients with DM have registered for a portal account, with 27% to 76% of these patients actually using the portal at least once during the study period. Portal use was associated with the following factors: personal traits (eg, sociodemographics, clinical characteristics, health literacy), technology (eg, functionality, usability), and provider engagement. Inconsistent findings were observed regarding the association of patient portal use with DM-related clinical and psychological outcomes. CONCLUSIONS Barriers to use of the patient portal were identified among patients and providers. Future investigations into strategies that engage both physicians and patients in use of a patient portal to improve patient outcomes are needed.

The Future of Oncology Care with Personal Health Records

2012 ◽  
pp. e66-e69 ◽  
Author(s):  
Henry Feldman ◽  
Elizabeth S. Rodriguez
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Medical Records ◽  
Clinical Information ◽  
Personal Health Records ◽  
Personal Health ◽  
Patient Portal ◽  
Care Providers ◽  
Health Records ◽  
Improve Patient

Overview: Personal health records (PHRs) and patients' access to their own clinical information through a patient portal are changing the patient-physician relationship. Historically, health care providers have been gatekeepers of patients' medical records. Now, these portals provide patients access to clinical information, electronic messaging with the clinical team, and appointment and billing information. This type of access supports patient empowerment by engaging patients in their own care. Patients desire online access to information. The health care industry, like any other, must respond to the needs of its consumers. Oncology practices face unique challenges to meeting this need because of the complex nature of medical records of patients with cancer. Health care providers worry about the consequences of patients receiving “bad news” online, thereby increasing patient anxiety. This anxiety may, in turn, increase providers' workload by creating additional calls or visits to the office. These valid concerns require careful consideration when implementing a PHR or patient portal into a practice. Providers will benefit from a clear understanding of actual compared with potential risks and benefits. Much of the concerns about the negative effect on providers' workload and the potential increase in patients' anxiety have not been borne out. On the other hand, the implementation strategy, governance structure, and end-user education are crucial components to ensuring success. Successful implementation of a PHR or patient portal affords the opportunity to improve patient satisfaction and increase efficiency in provider workflow. The possibility exists to improve patient outcomes by engaging the patient in decision making and follow through.

scholarly journals Identifying the effect of emotions in government-citizen online (G2C) tourism based on the HEART metrics

2021 ◽  
Vol 5 (4) ◽  
pp. 641-648
Author(s):  
Tri Lathif Mardi Suryanto ◽  
Akhmad Fauzi ◽  
Djoko Budiyanto Setyohadi
Keyword(s):  
Technology Development ◽  
Service Providers ◽  
Simple Random Sampling ◽  
User Engagement ◽  
Online Services ◽  
Emotional Factors ◽  
Use Of Technology ◽  
Information Technology Development ◽  
Tourism Service ◽  
Service Reuse

Emotional factors in the use of technology have the potential to be studied, since the important role of user engagement in the information technology development cycle, emotional plays a role in influencing the relationship between consumers and service providers. Previous research has examined various emotional factors of a person in operating digital services through online sites, but it is necessary to find an empirical correlation between emotional variables and one's intention to reuse (IR) online services. This study aims to determine whether users' emotions affect their decision to reuse Government to Citizen (G2C) online tourism services in Indonesia through the HEART Metrics approach. Furthermore, this quantitative study distributed questionnaires using simple random sampling to respondents who had used online tourism. Then analyse 260 research data using the SEM-PLS method by running Warp-PLS 5.0. The findings of this study are among the 5 HEART Metrics factors, 3 of which affect IR, namely Engagement, Retention, and Task Success, while Happiness and Adoption empirically have no significant effect on IR. Our results show that to gain consumer engagement with online services, service providers must consider the emotional elements of the users so that service reuse goals can be achieved. Furthermore, this research can be considered as an alternative recommendation for online tourism service providers, as well as the findings of a new model proposed to contribute to similar research in the future.

scholarly journals The Big Promise of Recommender Systems

AI Magazine ◽  
2011 ◽  
Vol 32 (3) ◽  
pp. 19-27 ◽  
Author(s):  
Francisco J. Martin ◽  
Justin Donaldson ◽  
Adam Ashenfelter ◽  
Marc Torrens ◽  
Rick Hangartner
Keyword(s):  
Recommender Systems ◽  
User Interfaces ◽  
Information Overload ◽  
Point Of View ◽  
User Engagement ◽  
Third Wave ◽  
Online Services ◽  
Computing Services ◽  
Cloud Computing Services

Recommender systems have been part of the Internet for almost two decades. Dozens of vendors have built recommendation technologies and taken them to market in two waves, roughly aligning with the web 1.0 and 2.0 revolutions. Today recommender systems are found in a multitude of online services. They have been developed using a variety of techniques and user interfaces. They have been nurtured with millions of users’ explicit and implicit preferences (most often with their permission). Frequently they provide relevant recommendations that increase the revenue or user engagement of the online services that operate them. However, when we evaluate the current generation of recommender systems from the point of view of the “recommendee,” we find that most recommender systems serve the goals of the business instead of their users’ interests. Thus we believe that the big promise of recommender systems has yet to be fulfilled. We foresee a third wave of recommender systems that act directly on behalf of their users across a range of domains instead of acting as a sales assistant. We also predict that such new recommender systems will better deal with information overload, take advantage of contextual clues from mobile devices, and utilize the vast information and computation stores available through cloud-computing services to maximize users’ long-term goals

Implementing a web-based patient reported outcomes (PRO) assessment: Uptake, usability, and lessons learned.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e23062-e23062
Author(s):  
Linda A. Jacobs ◽  
Abigail N. Blauch ◽  
Donna A. Pucci ◽  
Angela DeMichele ◽  
Steven C Palmer
Keyword(s):  
Lessons Learned ◽  
Patient Portal ◽  
Web Based ◽  
End Of Treatment ◽  
Patient Reported ◽  
Patient Provider Communication ◽  
Hormonal Therapies ◽  
The Cost ◽  
Improve Patient ◽  
Made In

e23062 Background: PRO assessment has the potential to improve patient-provider communication, yet has been difficult to implement in practice. We developed and pilot-tested a web-based PRO assessment (Assessing Concerns at End of Treatment, ACE) within an existing cancer survivorship clinic to ascertain practicality, usability, and uptake by both patients and providers. Methods: ACE is a brief PRO assessment that interfaces with the patient-portal and delivers results into the electronic medical record (EMR). Prior to visit eligible patients were asked to complete a series of measures including a 19-item instrument assessing severity of physical and emotional difficulties and desire for assistance. These results were then made available to providers during the visit through the EMR. Patients were provided up to 3 reminder calls/emails to prompt completion. Eligibility included a breast cancer (BC) diagnosis up to 5 years prior to a scheduled survivorship visit, no current cancer treatment aside from hormonal therapies, and access to the internet. Results: Over 27-months 779 eligible BC survivors were approached and asked to participate, and 566 (73%) agreed. The ACE survey was completed by 332 (59%) of these patients prior to their visit. The most common difficulties reported were Fatigue (86.6%), Worry (75.4%), Difficulty Sleeping (74.8%), and Pain (72.2%). Patients most commonly requested assistance for Aching Joints (31.2%), Fatigue (29%), Difficulty Sleeping (28.6%), and Weight Gain (25.7%). Providers reported being burdened by the information provided and few referrals were made in response to ACE. Technical difficulties were encountered frequently and required more maintenance than initially anticipated. Conclusions: Most eligible patients agreed to complete ACE, however a minority actually did so despite repeated contacts. Lack of buy-in from providers was an obstacle, as were technical difficulties. Difficulties with physical and emotional issues were common, but desire for assistance was less so, and resulted in few referrals. Although practicable, questions remain about the cost vs. benefit of a web-based PRO assessment with survivors.

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