Increase in Cancer Center Staff Effort Related to Electronic Patient Portal Use
| Autor: | Beibei Chen, Simon J. Craddock Lee, Yang Xie, Samantha Gates, Andrew L. Laccetti, Jennifer Cai, David E. Gerber |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
020205 medical informatics Original Contributions Health Personnel MEDLINE 02 engineering and technology Cancer Care Facilities 03 medical and health sciences 0302 clinical medicine Patient Portals 0202 electrical engineering electronic engineering information engineering Humans Medicine Center (algebra and category theory) Personal health Health Workforce 030212 general & internal medicine Oncology (nursing) business.industry Health Policy Patient portal Cancer medicine.disease National Cancer Institute (U.S.) United States Oncology Family medicine business |
| Zdroj: | Journal of Oncology Practice. 12:e981-e990 |
| ISSN: | 1935-469X 1554-7477 |
| DOI: | 10.1200/jop.2016.011817 |
| Popis: | Purpose: Electronic portals provide patients with real-time access to personal health records. Use of this technology by individuals with cancer is particularly intensive. We therefore examined patterns of use of electronic portals by clinic staff at a National Cancer Institute–designated comprehensive cancer center. Methods: We identified and characterized cancer center providers and clinic staff who performed electronic activities related to MyChart, the institution’s personal health records portal, from 2009 to 2014. Total MyChart actions and messages received were quantified and characterized according to type, timing, and staff category. Results: Two hundred eighty-nine employees were included in our analysis: 85 nurses (29%), 79 ancillary staff (27%), 49 clerical/managerial staff (17%), 47 physicians (16%), and 29 advanced practice providers (10%). These individuals performed 740,613 MyChart actions and received 117,799 messages. Seventy-seven percent of actions were performed by nurses, 11% by ancillary staff, 6% by advanced practice providers, 5% by physicians, and 1% by clerical/managerial staff. From 2011 to 2014, staff MyChart activity increased approximately 10-fold. On average, 6.3 staff MyChart actions were performed per patient-initiated message. In 2014, nurses performed an average of 3,838 MyChart actions and received an average of 589 messages, compared with 591 actions and 87 messages in 2011 ( P < .001). Sixteen percent of all actions occurred outside clinic hours. Conclusion: Cancer center employee effort related to an electronic patient portal has increased markedly over time, particularly among nursing staff. Because further uptake of this technology is expected, it is critical to consider potential effects on clinical resources, employee and patient satisfaction, and patient safety. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|