Personal health records and hypertension control: a randomized trial

Abstract

http://ClinicalTrials.gov Identifier: NCT01317537.

Disparities in Electronic Health Record Patient Portal Use in Nephrology Clinics

“…Yet, the difference in BP between groups was not significant (59). Another small randomized controlled trial examining EHR portals in primary care patients with HTN found no change in BPs; however, only 50% of individuals in the intervention group used the portal at least once (62). Because portal use may itself serve as a marker of patient engagement, additional studies are needed to confirm our findings and to explore other potential health benefits in a nephrology setting.…”

“…Unfortunately, our study design precluded an assessment of potential barriers and facilitators to portal use. However, determinants of portal adoption are likely to include patient comfort and proficiency with use of the Internet, experiences with Internet applications, available features, anticipated benefits, provider enthusiasm, patient engagement/activation, health literacy, communication preferences, and trust in the provider and health system (18,28,(33)(34)(35)55,58,62,65,66). By anticipating digital deficiencies in older adults and underserved populations, healthcare organizations can develop onsite and remote training activities to enhance uptake of these new technologies (18,21,(67)(68)(69).…”

“…Covariates for adjustment were chosen according to clinical significance and possible effect on portal adoption (1,(3)(4)(5)(6)(7)(8)10,11,(13)(14)(15)29,31,33,34,36,(54)(55)(56)(57)(58)(59)(60)(61)(62)(63). Sociodemographic variables were age, sex, race, marital status, insurance status, neighborhood median household income, tobacco use, and follow-up duration.…”

Do Primary Care Patient Experiences Vary by Teaching versus Nonteaching Facility?

“…24 Another study with a relatively less ethnically diverse and older patient population found moderately higher scores for access and communication; however, clerk/receptionist courtesy scores were similar to those reported in this study. 27 In a more positive light, patient-reported experiences of chronic care management were significantly better among patients at teaching sites. Compared with previous studies of patients with chronic disease in the United States and abroad, the overall adjusted PACIC scores were better for both teaching and nonteaching sites in this study.…”

A pilot study to evaluate the magnitude of association of patient activation in HIV-infected veterans who use electronic personal health records

“…Patients with asthma 25 or with hypertension 26,27 were found to benefit from the use of ePHR with improved control of their illnesses. Patients undergoing in vitro fertilization 28 or with multiple sclerosis 29 did not have any improvement in self-efficacy for self care from the use of ePHR.…”