Filling the Gaps in a Fragmented Health Care System: Development of the Health and Welfare Information Portal (ZWIP)

Robben, Sarah H M; Huisjes, Mirjam; Achterberg, Theo van; Zuidema, Sytse U.; Rikkert, Marcel Gm Olde; Schers, Henk; Heinen, Maud; Melis, René J.F.

doi:10.2196/resprot.1945

Cited by 27 publications

(51 citation statements)

References 60 publications

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“…Looking in more detail at the items that are scored for this cluster, the main benefits of patient portals appear to be providing understandable and client-centered information, and creating a single entry point for client information. Items for this cluster include: "Next the [interactive preventive health record] IPHR makes personalized recommendations, based on nationally endorsed, evidence-based guidelines and relevant patient characteristics" [24], "an overview of health care and welfare professionals involved in the care of the frail older person and their contact information" [30], and "one of the most important features of a [personal health record] PHR described by the participants was 24/7 access to the system" [36].…”

Section: Cluster 1 Patient-centerednessmentioning

confidence: 99%

“…Two articles [23,30] included items that relate to this cluster, with a total of two mentions. One study [30] states that "as a rule, messages that are communicated within the [Health and Welfare Information Portal] ZWIP are visible for all professionals with access to the ZWIP as well as for the frail older person and informal caregiver."…”

Section: Cluster 8 Commitmentmentioning

confidence: 99%

“…One study [30] states that "as a rule, messages that are communicated within the [Health and Welfare Information Portal] ZWIP are visible for all professionals with access to the ZWIP as well as for the frail older person and informal caregiver." This is a clear way in which a patient portal can stimulate trust among care partners, as stated in element 9 of the cluster.…”

Section: Cluster 8 Commitmentmentioning

confidence: 99%

“…Articles with the most items (ten or more) on the Minkman model [22,23,24,25,27] primarily have outcomes that state that the attitudes of users, both patients and professionals, is a major factor in the functional use of a patient portal. Articles reporting on portals with a medium number of functionalities (five to eight) differentiated between outcomes on design and development of a patient portal [26,28,29,30], positive effects on health-related issues [31,32] or creating awareness and self-management among patients [33,34,35]. Surprisingly, the group of articles with the fewest items (three to four) on the Minkman model are studies that focus primarily on care coordination [36,37,38,39,40,41,42,43].…”

Section: Study Outcomementioning

confidence: 99%

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In pursuit of integrated care: the contribution of patient portals (Preprint)

Zwikker¹,

Scheepers²,

Smit³

et al. 2018

Preprint

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Background: Advocates of patient portals claim that they can strengthen integrated care for patients with complex or chronic health issues. However, it remains unclear how patient portals can achieve this, since indicators of integrated care are absent in most research on the matter. Objective: This study investigates the claim that patient portals can strengthen integrated care by reviewing the current research with Minkman's model of integrated care. Methods: A systematic search of PubMed, PsycInfo and Embase was conducted on research literature about patient portals (and related search terms) that was published between 2006 and 2016. Parts of the selected texts were scored on items which contribute to or hinder clusters of the Minkman model, or were absent from the model. Results:The 22 selected studies we analyzed with the Minkman model implicitly address several clusters of integrated care. Most prevalent were patientcenteredness (55 mentions), delivery system (49 mentions) and performance management (33 mentions); the least prevalent were interprofessional teamwork (3 mentions) and commitment (2 mentions). Five studies showed ways in which portals can hinder integrated care (12 mentions), while four studies showed ways in which they can promote integrated care that is not yet present in Minkman's model. Conclusions: Since the majority of the studies described items that contribute towards clusters of the Minkman model, the claim that patient portals can strengthen integrated care appears to have some merit. Items with negative impact are few and are primarily related to the implementation of portals for users. Based on our findings, we advocate using all the clusters of the Minkman model, since it can help patient portals be designed and implemented more effectively.

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Section: Cluster 1 Patient-centerednessmentioning

confidence: 99%

Section: Cluster 8 Commitmentmentioning

confidence: 99%

Section: Cluster 8 Commitmentmentioning

confidence: 99%

Section: Study Outcomementioning

confidence: 99%

See 2 more Smart Citations

In pursuit of integrated care: the contribution of patient portals (Preprint)

Zwikker¹,

Scheepers²,

Smit³

et al. 2018

Preprint

View full text Add to dashboard Cite

show abstract

“…Given that e-communication between professionals and patient-systems seems to be helpful, a prerequisite is that patient-systems are able and motivated to use the tools 18. The aim of this study was to describe the use and experiences of patients with an e-communication tool (Congredi) that was selected by partners in primary care 27…”

Section: Introductionmentioning

confidence: 99%

The challenge of involving elderly patients in primary care by using an electronic communication tool with their professionals: a mixed methods study

Jong

Ros

Leeuwen

et al. 2017

jhi

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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.

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Het verminderen van fragmentatie in de zorg voor kwetsbare ouderen: de succesvolle ontwikkeling en implementatie van het Zorg en WelzijnsInfoPortaal

Robben¹,

Heinen

Makai

et al. 2013

Tijdschr Gerontol Geriatr

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Our fragmented health care systems are insufficiently equipped to provide frail older people with high quality of care. Therefore, we developed the Health and Welfare Information Portal (ZWIP), an e-health intervention which aims (1) to facilitate self-management by frail older people and informal caregivers and (2) to improve collaboration among professionals. The ZWIP is a personal conference table, accessible through a secure internet connection, for multidisciplinary communication and information exchange for frail older people, their informal caregivers and professionals. After development, the ZWIP was implemented in seven general practices, and this process was evaluated by means of a mixed-methods study. Eventually, 290 frail older people and 169 professionals participated in the ZWIP. Most professionals were positive about its implementation. Facilitators for the implementation were the experienced need for improvement of interprofessional collaboration and the user-friendliness of the ZWIP. Barriers were the low computer-literacy of frail older people, start-up problems, preferring personal contact, and limited use of the ZWIP by other professionals. In sum, this article describes the successful development and implementation of the ZWIP, an e-health intervention which can reduce fragmentation in the care of frail older people.

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Filling the Gaps in a Fragmented Health Care System: Development of the Health and Welfare Information Portal (ZWIP)

Cited by 27 publications

References 60 publications

In pursuit of integrated care: the contribution of patient portals (Preprint)

In pursuit of integrated care: the contribution of patient portals (Preprint)

The challenge of involving elderly patients in primary care by using an electronic communication tool with their professionals: a mixed methods study

Het verminderen van fragmentatie in de zorg voor kwetsbare ouderen: de succesvolle ontwikkeling en implementatie van het Zorg en WelzijnsInfoPortaal

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