The challenge of involving elderly patients in primary care using an electronic communication tool with their professionals : A mixed methods study
| Autor: | Mia van Leeuwen, Guus Schrijvers, Wynand J. G. Ros, Catharina Carolina de Jong |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
020205 medical informatics Health Personnel education Health Informatics 02 engineering and technology Primary care Nursing Healthcare delivery USable lcsh:Computer applications to medicine. Medical informatics Health informatics 03 medical and health sciences Multidisciplinary communication 0302 clinical medicine Consistency (negotiation) Health Information Management 0202 electrical engineering electronic engineering information engineering eHealth Medicine Humans Electronic communication 030212 general & internal medicine Patient participation Actual use Aged Aged 80 and over EHealth Primary Health Care business.industry Telemedicine humanities Computer Science Applications Patient care management lcsh:R858-859.7 Female Interdisciplinary Communication Independent Living business Delivery of Health Care |
| Zdroj: | Journal of Innovation in Health Informatics, 24(3), 275. BCS, The Chartered Institute for IT Journal of Innovation in Health Informatics, Vol 24, Iss 3 (2017) |
| ISSN: | 2058-4555 |
| Popis: | Background: Elderly patients in primary care often have multiple health problems,with different healthcare professionals involved. For consistency in care, it is required that communication amongst professionals and patient-systems (patient and informal-carers) be well tuned. Electronic-communication can make it easier for patient-system to be active in care.Objective: To examine whether an e-communication tool (Congredi) designed for professionals, including a care plan and secure e-mail, is usable for patient-systems and what their experiences are.Methods: In a multi-method study, home-dwelling elderly patients with two or more professionals were invited to use Congredi; data were gathered from the system after 42 weeks. Also semi-structured interviews were undertaken with patient-systems with topics retrieved from literature. Analysis took place by two researchers independently; the themes were extracted together by consensus.Results: Data about actual use of the tool were gathered from 22 patients. Four profiles of Congredi-users were distinguished, varying in intensity of use. Data from interviews with members of patient-systems (n = 7) showed that they were motivated and able to use Congredi. Barriers in daily use were limited participation of professionals, unanswered e-mail and not being alerted about actions. Despite limitations, patient-systems retained their motivation.Conclusion: Congredi was usable for patient-systems. The barriers found seem not to be tool-related but primarily user-related. An important barrier for daily use was limited active participation of involved professionals in a complete feedback loop. Potential for future implementation was found, as patient-systems were intrinsically motivated for better feedback with the professionals, even though in this study it only partly met their expectations. |
| Databáze: | OpenAIRE |
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