Applying Multiple Methods to Comprehensively Evaluate a Patient Portal’s Effectiveness to Convey Information to Patients
Autor: | Alpert, Jordan M, Krist, Alex H, Aycock, Rebecca A, Kreps, Gary L |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male Knowledge management Adolescent 020205 medical informatics qualitative study Health Informatics 02 engineering and technology Personalization Access to Information case study Young Adult 03 medical and health sciences 0302 clinical medicine Interactivity Patient Portals 0202 electrical engineering electronic engineering information engineering eHealth Electronic Health Records Humans Medicine 030212 general & internal medicine patient portal Health communication Aged Original Paper Medical education business.industry Patient Protection and Affordable Care Act Patient portal Focus Groups Middle Aged Focus group 3. Good health Health Communication Female Thematic analysis business Qualitative research |
Zdroj: | Journal of Medical Internet Research |
ISSN: | 1438-8871 |
Popis: | Background: Patient portals have yet to achieve their full potential for enhancing health communication and improving health outcomes. Although the Patient Protection and Affordable Care Act in the United States mandates the utilization of patient portals, and usage continues to rise, their impact has not been as profound as anticipated. Objective: The objective of our case study was to evaluate how well portals convey information to patients. To demonstrate how multiple methodologies could be used to evaluate and improve the design of patient-centered portals, we conducted an in-depth evaluation of an exemplar patient-centered portal designed to promote preventive care to consumers. Methods: We used 31 critical incident patient interviews, 2 clinician focus groups, and a thematic content analysis to understand patients’ and clinicians’ perspectives, as well as theoretical understandings of the portal’s use. Results: We gathered over 140 critical incidents, 71.8% (102/142) negative and 28.2% (40/142) positive. Positive incident categories were (1) instant medical information access, (2) clear health information, and (3) patient vigilance. Negative incident categories were (1) standardized content, (2) desire for direct communication, (3) website functionality, and (4) difficulty interpreting laboratory data. Thematic analysis of the portal’s immediacy resulted in high scores in the attributes enhances understanding (18/23, 78%), personalization (18/24, 75%), and motivates behavior (17/24, 71%), but low levels of interactivity (7/24, 29%) and engagement (2/24, 8%). Two overarching themes emerged to guide portal refinements: (1) communication can be improved with directness and interactivity and (2) perceived personalization must be greater to engage patients. Conclusions: Results suggest that simple modifications, such as increased interactivity and personalized messages, can make portals customized, robust, easily accessible, and trusted information sources. [J Med Internet Res 2016;18(5):e112] |
Databáze: | OpenAIRE |
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