Abstract:BackgroundPatient portals (ie, electronic personal health records tethered to institutional electronic health records) are recognized as a promising mechanism to support greater patient engagement, yet questions remain about how health care leaders, policy makers, and designers can encourage adoption of patient portals and what factors might contribute to sustained utilization.ObjectiveThe purposes of this state of the science review are to (1) present the definition, background, and how current literature add… Show more
“…32 Additionally, patient race/ethnicity and literacy appear to be barriers to their uptake. 33,34 Social media, including social networking sites (e.g. Facebook) and microblogs (e.g.…”
BACKGROUND: As primary care moves toward a system of population health management, providers will need to engage patients outside traditional office-based interactions. OBJECTIVE: We assessed patient attitudes regarding technology use to communicate with their primary care team or to engage with other patients outside typical office settings. Design/Participants/Main Measures We c o n d u c t e d a n a t i o n a l s u r v e y u s i n g G f K KnowledgePanel ® to examine attitudes on the use of digital technology (email, text messaging, and social media such as Facebook and Twitter) to communicate with primary care teams about health behavior goals and test results. We also assessed attitudes toward the use of digital technologies to engage with other patients in activities such as peer coaching. KEY RESULTS: Of the 5119 panel members invited to participate, 3336 completed the survey (response rate, 65.2 %). Among respondents, more than half (58 %) reported using Facebook, and nearly two-thirds (64.1 %) used text messaging. Overall, few participants were willing to communicate about health goals via social media (3.1 %) or text messaging (13.3 %), compared to email (48.8 %) or phone (75.5 %) (results were similar for communication about test results). Among those that used text messaging, race/ethnicity was the only factor independently associated with greater support for text messaging [African American (OR 1.44; 95 % CI, 1.01-2.06) and Hispanic (OR 1.8; 95 % CI, 1.25-2.59)] in multivariate models. Participants interested in engaging in peer coaching through Facebook (11.7 %) were more likely to be younger (p<0.0001), female (p<0.001), and a racial/ ethnic minority (African American, non-Hispanic or Hispanic, p<0.0004). CONCLUSIONS: Despite regular use of new digital technology such as text messaging and social media, few participants supported using these tools for communicating with their physicians' practice. Participants were most supportive of using email for communication. Contrary to previous studies, among users of technology, low socioeconomic status and racial/ethnic minorities were equally or more likely to support use.
“…32 Additionally, patient race/ethnicity and literacy appear to be barriers to their uptake. 33,34 Social media, including social networking sites (e.g. Facebook) and microblogs (e.g.…”
BACKGROUND: As primary care moves toward a system of population health management, providers will need to engage patients outside traditional office-based interactions. OBJECTIVE: We assessed patient attitudes regarding technology use to communicate with their primary care team or to engage with other patients outside typical office settings. Design/Participants/Main Measures We c o n d u c t e d a n a t i o n a l s u r v e y u s i n g G f K KnowledgePanel ® to examine attitudes on the use of digital technology (email, text messaging, and social media such as Facebook and Twitter) to communicate with primary care teams about health behavior goals and test results. We also assessed attitudes toward the use of digital technologies to engage with other patients in activities such as peer coaching. KEY RESULTS: Of the 5119 panel members invited to participate, 3336 completed the survey (response rate, 65.2 %). Among respondents, more than half (58 %) reported using Facebook, and nearly two-thirds (64.1 %) used text messaging. Overall, few participants were willing to communicate about health goals via social media (3.1 %) or text messaging (13.3 %), compared to email (48.8 %) or phone (75.5 %) (results were similar for communication about test results). Among those that used text messaging, race/ethnicity was the only factor independently associated with greater support for text messaging [African American (OR 1.44; 95 % CI, 1.01-2.06) and Hispanic (OR 1.8; 95 % CI, 1.25-2.59)] in multivariate models. Participants interested in engaging in peer coaching through Facebook (11.7 %) were more likely to be younger (p<0.0001), female (p<0.001), and a racial/ ethnic minority (African American, non-Hispanic or Hispanic, p<0.0004). CONCLUSIONS: Despite regular use of new digital technology such as text messaging and social media, few participants supported using these tools for communicating with their physicians' practice. Participants were most supportive of using email for communication. Contrary to previous studies, among users of technology, low socioeconomic status and racial/ethnic minorities were equally or more likely to support use.
“…After removing duplicates and initial screening of titles and abstracts, 42 papers were retrieved for detailed evaluation. [24,25,26] which were part of another main study [6,27,28], leading to a total of 20 unique reviews [3,6,[27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44]. The overall process of review selection was …”
“…Patient portal communication has driven innovation in chronic disease management such as diabetes 18 and pre-visit planning. 19,20 In recent healthcare initiatives such as National Committee for Quality Assurance (NCQA's) certification, pre-visit planning has been a 'must-pass' element to achieve full accreditation as a Patient Centered Medical Home (PCMH).…”
Framework for Early End-of-Life Discussions", and aimed to validate a novel Electronic Health Record (EHR)-tethered framework and its effects on Advance Care Planning delivery in a primary care setting. We feel these findings will be helpful to clinical and non-clinical investigators who are pursuing relevant translational research that can help further the way ACP is delivered in order to improve patient outcomes in end of life care. We hope that our manuscript will help start discussions at practice and health system levels on ACP best practices and how to use
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