Missing links: Challenges in engaging the underserved with health information and communication technology
| Autor: | Bradley N. Doebbeling, Kislaya Kunjan, Mindy E. Flanagan, Maria D. Wright, Tammy Toscos |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Knowledge management
020205 medical informatics business.industry Health information technology media_common.quotation_subject education Patient portal 02 engineering and technology Underinsured 03 medical and health sciences 0302 clinical medicine Promotion (rank) Nursing Information and Communications Technology Patient experience Community health 0202 electrical engineering electronic engineering information engineering The Internet 030212 general & internal medicine business Psychology media_common |
| Zdroj: | PervasiveHealth |
| DOI: | 10.4108/eai.16-5-2016.2263330 |
| Popis: | We sought to understand underserved patients' preferences for health information technology (HIT) and examine the current use of personal health records (PHRs) in Community Health Centers (CHCs) serving low-income, uninsured, and underinsured patients. Forty-three patients and 49 clinic staff, administrators, and providers from these CHC systems were interviewed using open-ended questions assessing patient experience, perceptions of the CHC, access barriers, strategies used to overcome access barriers, technology access and use, and clinic operations and workflow. All seven CHC systems were at some stage of implementing PHRs, with two clinics having already completed implementation. Indiana CHCs have experienced barriers to implementing and using PHRs in a way that provides value for patients or providers/staff There was a general lack of awareness among patients regarding the existence of PHRs, their benefits and a lack of effective promotion to patients. Most patients have access to the internet, primarily through mobile phones, and desire greater functionality in order to communicate with CHCs and manage their health conditions. Despite decades of research, there remain barriers to the adoption and use of PHRs. Novel approaches must be developed to achieve the desired impact of PHRs on patient engagement, communication and satisfaction. Our findings provide a roadmap to greater engagement of patients via PHRs by expanding functionality, training both patients and clinic providers/staff, and incorporating adult learning strategies. |
| Databáze: | OpenAIRE |
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