Patients’ Attitudes Toward an Online Patient Portal for Communicating Laboratory Test Results: Real-World Study Using the eHealth Impact Questionnaire

Talboom-Kamp, Esther; Tossaint-Schoenmakers, Rosian; Goedhart, Annelijn; Versluis, Anke; Kasteleyn, Marise J.

doi:10.2196/17060

Cited by 26 publications

(50 citation statements)

References 38 publications

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“…In line with these trends, innovations such as eHealth are required to maintain high quality of care [4][5][6]. eHealth includes a wide range of web-based interventions, for example e-consults, telemonitoring, and web-based viewing of medical records [1,7,8]. However, eHealth is more than a technology; it is another way of working and thinking and requires a change in attitude, which goes beyond the boundaries of a local health care organization [9,10].…”

Section: Introductionmentioning

confidence: 99%

“…Organizations are increasingly working with eHealth; however, implementing eHealth into the regular health care system requires organizations to change the way they work [9][10][11]. eHealth enables patients to have a more active role in managing their health [7,12,13], which affects interactions between the patient and health care professional [14][15][16][17]. Furthermore, working with eHealth technology requires workflow adjustments for health care professionals [18,19].…”

Section: Introductionmentioning

confidence: 99%

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The Challenge of Integrating eHealth Into Health Care: Systematic Literature Review of the Donabedian Model of Structure, Process, and Outcome

Tossaint-Schoenmakers¹,

Versluis²,

Chavannes³

et al. 2021

J Med Internet Res

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Background Health care organizations are increasingly working with eHealth. However, the integration of eHealth into regular health care is challenging. It requires organizations to change the way they work and their structure and care processes to be adapted to ensure that eHealth supports the attainment of the desired outcomes. Objective The aims of this study are to investigate whether there are identifiable indicators in the structure, process, and outcome categories that are related to the successful integration of eHealth in regular health care, as well as to investigate which indicators of structure and process are related to outcome indicators. Methods A systematic literature review was conducted using the Donabedian Structure-Process-Outcome (SPO) framework to identify indicators that are related to the integration of eHealth into health care organizations. Data extraction sheets were designed to provide an overview of the study characteristics, eHealth characteristics, and indicators. The extracted indicators were organized into themes and subthemes of the structure, process, and outcome categories. Results Eleven studies were included, covering a variety of study designs, diseases, and eHealth tools. All studies identified structure, process, and outcome indicators that were potentially related to the integration of eHealth. The number of indicators found in the structure, process, and outcome categories was 175, 84, and 88, respectively. The themes with the most-noted indicators and their mutual interaction were inner setting (51 indicators, 16 interactions), care receiver (40 indicators, 11 interactions), and technology (38 indicators, 12 interactions)—all within the structure category; health care actions (38 indicators, 15 interactions) within the process category; and efficiency (30 indicators, 15 interactions) within the outcome category. In-depth examination identified four most-reported indicators, namely “deployment of human resources” (n=11), in the inner setting theme within the structure category; “ease of use” (n=16) and “technical issue” (n=10), both in the technology theme within the structure category; and “health logistics” (n=26), in the efficiency theme within the outcome category. Conclusions Three principles are important for the successful integration of eHealth into health care. First, the role of the care receiver needs to be incorporated into the organizational structure and daily care process. Second, the technology must be well attuned to the organizational structure and daily care process. Third, the deployment of human resources to the daily care processes needs to be aligned with the desired end results. Not adhering to these points could negatively affect the organization, daily process, or the end results.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Challenge of Integrating eHealth Into Health Care: Systematic Literature Review of the Donabedian Model of Structure, Process, and Outcome

Tossaint-Schoenmakers¹,

Versluis²,

Chavannes³

et al. 2021

J Med Internet Res

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“…Most of the included studies had a quantitative descriptive design (n=28) [ 12 , 13 , 15 , 25 - 50 ]. In the remaining studies, a (quantitative) nonrandomized design was reported 6 times [ 32 , 51 - 55 ], a randomized controlled design was reported 5 times [ 56 - 60 ], a mixed methods design was reported 3 times [ 14 , 61 , 62 ], and a qualitative design was reported 3 times [ 63 - 65 ].…”

Section: Resultsmentioning

confidence: 99%

Direct Access for Patients to Diagnostic Testing and Results Using eHealth: Systematic Review on eHealth and Diagnostics

Versluis¹,

Schnoor²,

Chavannes³

et al. 2022

J Med Internet Res

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Background The number of people with chronic diseases and the subsequent pressure on health care is increasing. eHealth technology for diagnostic testing can contribute to more efficient health care and lower workload. Objective This systematic review examines the available methods for direct web-based access for patients to diagnostic testing and results in the absence of a health care professional in primary care. Methods We searched the PubMed, Embase, Web of Sciences, Cochrane Library, Emcare, and Academic Search Premier databases in August 2019 and updated in July 2021. The included studies focused on direct patient access to web-based triage leading to diagnostic testing, self-sampling or testing, or web-based communication of test results. A total of 45 studies were included. The quality was assessed using the Mixed Methods Appraisal Tool. Results Most studies had a quantitative descriptive design and discussed a combination of services. Diagnostic test services mainly focused on sexually transmitted infections. Overall, the use was high for web-based triage (3046/5000, >50%, who used a triage booked a test), for self-sampling or self-testing kits (83%), and the result service (85%). The acceptability of the test services was high, with 81% preferring home-based testing over clinic-based testing. There was a high rate of follow-up testing or treatment after a positive test (93%). Conclusions The results show that direct access to testing and result services had high use rates, was positively evaluated, and led to high rates of follow-up treatment. More research on cost-effectiveness is needed to determine the potential for other diseases. Direct access to diagnostic testing can lower the threshold for testing in users, potentially increase efficiency, and lower the workload in primary care.

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“…The results of the thematic analyses provided insight into potential reasons why the Confidence and Identification and Understanding and Motivation subscale scores were below the recommended value [ 20 , 21 ]. Lack of personalized information, protocols based on the average patient, no interaction with clinicians, and missing reference data of peers were potential reported explanations.…”

Section: Discussionmentioning

confidence: 99%

“…We transformed the total scores for each subscale to a scale of 0 to 100. A score of 65 or higher was considered as a positive attitude with higher scores representing a more positive attitude toward the app [ 20 , 21 ]. All subscales have good internal consistency, test-retest reliability, and construct validity (Cronbach α=.88-.90) [ 19 , 20 ].…”

Section: Methodsmentioning

confidence: 99%

A Clinical Journey Mobile Health App for Perioperative Patients: Cross-sectional Study

Willems¹,

Coppieters²,

Pronk³

et al. 2021

JMIR Hum Factors

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Background Mobile eHealth apps are important tools in personal health care management. The Patient Journey app was developed to inform patients with musculoskeletal disorders during their perioperative period. The app contains timely information, video exercises, and functional tasks. Although the Patient Journey app and other health apps are widely used, little research is available on how patients appreciate these apps. Objective The primary aim of this study was to evaluate the user-friendliness of the Patient Journey app in terms of its usability and the attitudes of users toward the app. The secondary aim was to evaluate positive and negative user experiences. Methods A web-based questionnaire was sent to 2114 patients scheduled for surgery for a musculoskeletal disorder. Primary outcomes were usability (measured with the System Usability Scale) and user attitudes regarding the Patient Journey app (assessed with the second part of the eHealth Impact Questionnaire). The secondary outcomes were evaluated with multiple choice questions and open-ended questions, which were analyzed via inductive thematic content analyses. Results Of the 940 patients who responded, 526 used the Patient Journey app. The usability of the app was high (System Usability Scale: median 85.0, IQR 72.5-92.5), and users had a positive attitude toward the Information and Presentation provided via the app (eHealth Impact Questionnaire: median 78.0, IQR 68.8-84.4). The app did not adequately improve the users’ confidence in discussing health with others (eHealth Impact Questionnaire: median 63.9, IQR 50.0-75.0) or motivation to manage health (eHealth Impact Questionnaire: median 61.1, IQR 55.6-72.2). Three core themes emerged regarding positive and negative user experiences: (1) content and information, (2) expectations and experiences, and (3) technical performance. Users experienced timely information and instructions positively and found that the app prepared and guided them optimally through the perioperative period. Negative user experiences were overly optimistic information, scarcely presented information about pain (medication), lack of reference data, insufficient information regarding clinical course deviations and complications, and lack of interaction with clinicians. Conclusions The Patient Journey app is a usable, informative, and presentable tool to inform patients with musculoskeletal disorders during their perioperative period. The qualitative analyses identified aspects that can further improve the user experiences of the app.

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Patients’ Attitudes Toward an Online Patient Portal for Communicating Laboratory Test Results: Real-World Study Using the eHealth Impact Questionnaire

Cited by 26 publications

References 38 publications

The Challenge of Integrating eHealth Into Health Care: Systematic Literature Review of the Donabedian Model of Structure, Process, and Outcome

The Challenge of Integrating eHealth Into Health Care: Systematic Literature Review of the Donabedian Model of Structure, Process, and Outcome

Direct Access for Patients to Diagnostic Testing and Results Using eHealth: Systematic Review on eHealth and Diagnostics

A Clinical Journey Mobile Health App for Perioperative Patients: Cross-sectional Study

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