Impact of a patient engagement tool on preventive service uptake
| Autor: | Andrew Sussman, Jennifer M. Polinski, John Barron, William H. Shrank, Linda M. Harris |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Hepatitis A vaccine Patient engagement Pharmacy Preventive service Preventive care 03 medical and health sciences 0302 clinical medicine Diabetes Mellitus Humans Mass Screening Medicine 030212 general & internal medicine Human services Tobacco Use Cessation Internet 030505 public health business.industry Health Policy Vaccination United States Cholesterol Retail clinic Family medicine Female Preventive Medicine Patient Participation 0305 other medical science business Medical Informatics Patient education |
| Zdroj: | Healthcare. 6:162-167 |
| ISSN: | 2213-0764 |
| DOI: | 10.1016/j.hjdsi.2017.12.002 |
| Popis: | Background We studied whether integrating the US Department of Health and Human Services’ myHealthfinder tool, an interactive tool that recommends preventive services, into CVS Health's digital platforms could increase preventive service uptake at its retail clinic, MinuteClinic. Methods We used a quasi-experimental, pre-post, difference-in-differences design. In a web-based campaign, consumers in “exposed” states visiting CVS pharmacy and MinuteClinic websites could view and use the myHealthfinder tool. Consumers in “unexposed” states could not. A September 26, 2015 email campaign to registered MinuteClinic patients in exposed states described and included links to the myhealthfinder tool. We assessed consumer engagement with the myHealthfinder tool via number of website visits, myHealthfinder sessions, and myHealthfinder recommendations delivered. Using the difference-in-differences approach, we assessed mean changes in influenza, pneumococcal, and/or hepatitis A vaccine uptake, as well as other preventive services, per clinic, per month at MinuteClinics. Results In exposed states, 39,225 (1.6%) website visits included myhealthfinder use, and 13,688 personalized recommendations for preventive services were delivered. The web-based campaign was associated with an increase in mean pneumococcal vaccines (1.19 vaccines per clinic per month; 95% CI, 0.11–2.28). The email campaign resulted in a 5% increase in influenza vaccines (74.83 vaccines per clinic per month; 1.65–148.02). The myhealthfinder campaigns did not significantly change preventive service uptake for any of the other services at MinuteClinics. Conclusions Our findings highlight the potential role of personalized patient education tools and public-private partnerships to communicate about preventive care. Getting patients to act on these recommendations was more difficult. |
| Databáze: | OpenAIRE |
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