An efficacy trial of an electronic health record-based strategy to inform patients on safe medication use: The role of written and spoken communication

Autor: Stacy Cooper Bailey, Aimee Fata, Rebecca J. Mullen, Allison L. Russell, Gregory Makoul, Laura M. Curtis, Michael S. Wolf
Rok vydání: 2016
Předmět:
Adult
Male
medicine.medical_specialty
Health Knowledge
Attitudes
Practice
Prescription Drugs
health care facilities
manpower
and services
Writing
Directive Counseling
Article
03 medical and health sciences
0302 clinical medicine
Patient Education as Topic
Electronic health record
Medication information
Intervention (counseling)
health services administration
Medicine
Electronic Health Records
Humans
030212 general & internal medicine
Medical prescription
health care economics and organizations
Aged
Medication use
Electronic Data Processing
Modalities
Primary Health Care
business.industry
030503 health policy & services
Communication
General Medicine
Middle Aged
Outcome and Process Assessment
Health Care
Prescriptions
Family medicine
Feasibility Studies
Female
0305 other medical science
business
Patient education
Follow-Up Studies
Zdroj: Patient education and counseling. 99(9)
ISSN: 1873-5134
Popis: Objective We tested the feasibility and efficacy of an electronic health record (EHR) strategy that automated the delivery of print medication information at the time of prescribing. Methods Patients (N=141) receiving a new prescription at one internal medicine clinic were recruited into a 2-arm physician-randomized study. We leveraged an EHR platform to automatically deliver 1-page educational 'MedSheets' to patients after medical encounters. We also assessed if physicians counseled patients via patient self-report immediately following visits. Patients' understanding was objectively measured via phone interview. Results 122 patients completed the trial. Most intervention patients (70%) reported receiving MedSheets. Patients reported physicians frequently counseled on indication and directions for use, but less often for risks. In multivariable analysis, written information (OR 2.78, 95% CI 1.10-7.04) and physician counseling (OR 2.95, 95% CI 1.26-6.91) were independently associated with patient understanding of risk information. Receiving both was most beneficial; 87% of those receiving counseling and MedSheets correctly recalled medication risks compared to 40% receiving neither. Conclusion An EHR can be a reliable means to deliver tangible, print medication education to patients, but cannot replace the salience of physician-patient communication. Practice implications Offering both written and spoken modalities produced a synergistic effect for informing patients.
Databáze: OpenAIRE
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