Patient and family engagement in communicating with electronic medical records in hospitals: A systematic review

Manias, Elizabeth; Bucknall, Tracey; Wickramasinghe, Nilmini; Gray, Kathleen; Schaffer, Jonathan; Rosenfeld, Ellie

doi:10.1016/j.ijmedinf.2019.104036

Cited by 13 publications

(20 citation statements)

References 55 publications

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“…Factors identified by healthcare workers critical to adoption include: ease of technology use, integration with workflow, evidence of positive impact on patient outcomes, ability to interact with others, data security, and resourcing [3][4][5][6]. Where ICT is used in clinical practice, it has primarily been unilateral in that the health service or clinician initiates communication with patients, or uses technology in health management without patient involvement [7]. With growing demands on health services, and as patients are increasingly encouraged to engage more in self-management of their health [8], understanding patient preferences for initiating communication with health service providers warrants exploration.…”

Section: Introductionmentioning

confidence: 99%

“…Other technologies such as ePROMs assist in systematically and comprehensively monitoring and improving symptoms resulting in reduced data entry burden for clinicians [11][12][13]. Patient portals for EMRs can assist with clinical history documentation, clinician prescribing, and messaging between healthcare staff and patients [7]. A review of studies about patient preferences for discharge communication found that research to date has only evaluated the provision of discharge information at the time of discharge (e.g.…”

Section: Introductionmentioning

confidence: 99%

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Patient preferences for using technology in communication about symptoms post hospital discharge

Alexander

Ogle

Hoberg

et al. 2021

BMC Health Serv Res

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Background Technology is increasingly transforming the way we interact with others and undertake activities in our daily lives. The healthcare setting has, however, not yet realised the potential of technology solutions to facilitate communication between patients and healthcare providers. While the procedural and policy requirements of healthcare systems will ultimately drive such solutions, understanding the preferences and attitudes of patients is essential to ensure that technology implemented in the healthcare setting facilitates communication in safe, acceptable, and appropriate ways. Therefore, the purpose of this study was to examine patient preferences for using technology to communicate with health service providers about symptoms experienced following discharge from the hospital. Methods Primary data were collected from patients admitted to a large metropolitan hospital in Australia during three consecutive months in 2018. Participants were asked about their daily use of technology including use of computers, email, phone, text messaging, mobile applications, social media, online discussion forums, and videoconference. They were then asked about their use of technologies in managing their health, and preferences for use when communicating about symptoms with health service providers following discharge from hospital. Results Five hundred and twenty-five patients with a wide range of differing clinical conditions and demographics participated. Patients indicated they used a range of technologies in their everyday lives and to manage their health. Almost 60% of patients would prefer to return to hospital if they were experiencing symptoms of concern. However, if patients experienced symptoms that were not of concern, over 60% would prefer to communicate with the hospital via telephone or using technology. Admitting condition, income, and age were significantly associated with preferences for communication about symptoms following hospital discharge. Conclusions Patients have varied preferences for communicating with their health service providers post-hospital discharge. Findings suggest that some, but not all patients, would prefer to use technology to traditional methods of communicating with the healthcare team. Health services should offer patients multiple options for communicating about their recovery to ensure individual needs are appropriately met.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patient preferences for using technology in communication about symptoms post hospital discharge

Alexander

Ogle

Hoberg

et al. 2021

BMC Health Serv Res

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“…• profesionales de la salud y el familiar del paciente con cuidados en el hogar (16). • profesionales de la salud y el familiar del paciente en consulta (24).…”

Section: Resultsunclassified

La comunicación hospitalaria entre profesionales de la salud y familiares de pacientes hospitalizados: Una revisión integradora.

Luna

2022

dilemas

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La comunicación hospitalaria es un proceso de gran importancia en la relación profesional-familiar en los entornos del cuidado moderno. El objetivo de esta revisión es explorar el estado actual de la comunicación entre los profesionales de la salud y los familiares de los pacientes hospitalizados en apoyo a la atención médica. La revisión utilizó 6 bases de datos internacionales. El análisis e interpretación se basó en la metodología de Evans y Dixon-Woods. Los resultados de 28 artículos seleccionados se agruparon en cuatro categorías. El 67.85% de los estudios abordan la comunicación de forma diversa y un 32.15% con propuestas de mejora. Expandir la comunicación hospitalaria mediante las TI posibilita una relación y ambiente próspero para la comunicación entre los involucrados.

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“…Indeed, studies of COWS suggest that they may be poorly manoeuvrable, un-ergonomic, and variably fit for purpose (Debono et al 2017 ), create duplicative work (Tang and Carpendale 2008 ), become an additional stressor in an already stressful work environment (Öberg et al 2018 ), and create an unnecessary distraction from patient care (Bertman 2017 ; Dhillon et al 2018 ; Dhillon, Gewertz, and Ley 2019 ). More importantly, they may create barriers to patient care, promote de-skilling of health professionals, lesson contact time with patients, reduce communication with patients and families and entrench conventional role demarcation and status within healthcare teams, thereby reducing the quality of care, reinforcing the hidden curriculum, and eroding the critical learning of all health professionals (Manias et al 2020 ).…”

Section: Changing Patterns Of Hospital Carementioning

confidence: 99%

Accelerating the De-Personalization of Medicine: The Ethical Toxicities of COVID-19

Arnold

Kerridge

2020

Bioethical Inquiry

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The COVID-19 pandemic has, of necessity, demanded the rapid incorporation of virtual technologies which, suddenly, have superseded the physical medical encounter. These imperatives have been implemented in advance of evaluation, with unclear risks to patient care and the nature of medical practice that might be justifiable in the context of a pandemic but cannot be extrapolated as a new standard of care. Models of care fit for purpose in a pandemic should not be generalized to reconfigure medical care as virtual by default, and personal by exception at the conclusion of the emergency.

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Patient and family engagement in communicating with electronic medical records in hospitals: A systematic review

Cited by 13 publications

References 55 publications

Patient preferences for using technology in communication about symptoms post hospital discharge

Patient preferences for using technology in communication about symptoms post hospital discharge

La comunicación hospitalaria entre profesionales de la salud y familiares de pacientes hospitalizados: Una revisión integradora.

Accelerating the De-Personalization of Medicine: The Ethical Toxicities of COVID-19

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