Preferences of older adults and their families for Meaningful Use clinical summaries

Colorafi, Karen; Greenes, Robert A.; Kates, Marc A.

doi:10.21037/mhealth.2018.03.04

Cited by 10 publications

(7 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, even in large integrated delivery systems with established track records of portal use, there is very little research on the role that caregivers can play in terms of digital communication via the EHR. Our study echoes some of the prior literature recognizing the clear need for better functionality of portals for caregivers (specific content for them and better ways for patients to designate what types of information or access to share) [ 22 - 24 ]. We also shed light on some specific needs in this population, such as the needed support for caregivers with communication or language barriers (which is of high importance in safety-net settings).…”

Section: Discussionsupporting

confidence: 77%

An Untapped Potential in Primary Care: Semi-Structured Interviews with Clinicians on How Patient Portals Will Work for Caregivers in the Safety Net

Casillas¹,

Cemballi²,

Abhat³

et al. 2020

J Med Internet Res

View full text Add to dashboard Cite

Background Patients within safety-net settings are less likely to access health information on patient portals, despite expressed interest. Family and friends are important resources to assist these patients (ie, Medicaid recipients, older patients, patients with limited English proficiency) in navigating health systems, and provider support of the use of patient portals among these groups may also facilitate caregivers’ use of their patients’ portal. Objective Because safety net providers work closely with caregivers to care for their patients, we used qualitative methods to explore safety net providers’ perspectives on portal use among caregivers for their patients, especially as there is limited literature about caregivers’ use of portals in the safety net. Methods We conducted 45- to 60-min semistructured telephone interviews with providers from three large California safety-net health systems. The interviews focused on providers’ experiences with caregivers, caregiver roles, and how the portal could be leveraged as a tool to support caregivers in their responsibilities. A total of three coders analyzed the interview transcripts using both deductive and inductive approaches and established a consensus regarding major themes. Results Of the 16 participants interviewed, 4 specialized in geriatrics, and all held a leadership or administrative role. We described themes highlighting providers’ recognition of potential benefits associated with caregiver portal use and specific challenges to caregiver engagement. Conclusions Providers recognized the potential for portals to improve information delivery and communication by helping caregivers assist socially and medically complex patients in the safety net. Providers in safety net sites also discussed a clear need for better ways to keep in touch with patients and connect with caregivers, yet security and privacy are perhaps of higher importance in these settings and may pose challenges to portal adoption. They noted that caregivers of patients in the safety net likely face similar communication barriers as patients, especially with respect to digital literacy, health literacy, and English proficiency. Further research is needed to assess and support caregivers’ interest and ability to access portals across barriers in health and digital literacy, and English proficiency. Portal platforms and health systems must also address specific strategies to uphold patient preferences while maintaining privacy and security.

show abstract

Section: Discussionsupporting

confidence: 77%

An Untapped Potential in Primary Care: Semi-Structured Interviews with Clinicians on How Patient Portals Will Work for Caregivers in the Safety Net

Casillas¹,

Cemballi²,

Abhat³

et al. 2020

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…[59] Furthermore, despite the known high digital literacy, health literacy, numeracy, and language demands of many digital health tools, there were few studies examining use by these characteristics. [60][61][62][63] It is imperative that these characteristics be included in evaluation studies of digital health tools in order to inform the real-world usefulness and likely uptake of such tools.…”

Section: Association Of Patient Characteristics With Use Of Digital Health Toolsmentioning

confidence: 99%

Patient characteristics associated with objective measures of digital health tool use in the United States: A literature review

Nouri

Adler‐Milstein

Thao

et al. 2020

Journal of the American Medical Informatics Association

View full text Add to dashboard Cite

Objective The study sought to determine which patient characteristics are associated with the use of patient-facing digital health tools in the United States. Materials and Methods We conducted a literature review of studies of patient-facing digital health tools that objectively evaluated use (eg, system/platform data representing frequency of use) by patient characteristics (eg, age, race or ethnicity, income, digital literacy). We included any type of patient-facing digital health tool except patient portals. We reran results using the subset of studies identified as having robust methodology to detect differences in patient characteristics. Results We included 29 studies; 13 had robust methodology. Most studies examined smartphone apps and text messaging programs for chronic disease management and evaluated only 1-3 patient characteristics, primarily age and gender. Overall, the majority of studies found no association between patient characteristics and use. Among the subset with robust methodology, white race and poor health status appeared to be associated with higher use. Discussion Given the substantial investment in digital health tools, it is surprising how little is known about the types of patients who use them. Strategies that engage diverse populations in digital health tool use appear to be needed. Conclusion Few studies evaluate objective measures of digital health tool use by patient characteristics, and those that do include a narrow range of characteristics. Evidence suggests that resources and need drive use.

show abstract

“…First, the majority of participants (76%, n = 30) maintained their personal health records on paper and reported that they would not go online to view or download the information, citing privacy concerns and a lack of computer skills (Colorafi et al, 2018). Paper copies of records were commonly stored in binders or files at home and occasionally in a file on the computer, but rarely accessed online via a practice portal.…”

Section: Findings and Discussionmentioning

confidence: 99%

“…The participants in this study blatantly shunned the use of HIT to engage with the plan of care. Billions of American taxpayer dollars are spent on the engagement of patients through HIT as a federal quality improvement strategy, yet it remains unclear whether this cohort of Americans, who are growing exponentially in number and living with an epidemic of chronic disease, see the need for HIT-enhanced engagement strategies, possess basic skills needed to access them, or express a basic willingness to use them (Colorafi et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Engagement With the Plan of Care Among Older Adults With Multiple Cardiac Diagnoses

2021

Self Cite

View full text Add to dashboard Cite

Aging adults depend on complex treatment plans to manage chronic conditions, yet little is known about their ability to perform the sophisticated behaviors required of technologically engaged patients. This qualitative descriptive study describes engagement with the plan of care. Forty chronically ill adults participated in this study, which involved an observation of the clinical encounter and an interview. Data were collected and analyzed simultaneously in keeping with principles of qualitative research. Multiple techniques were used to test conclusions and findings were constructed as thematic sentences, including the following: I act in ways that support my health, I manage my health-related information, I make visits with my doctor part of my routine, I participate in treatment planning. Older adults work to achieve self-management to the best of their ability, shunning the use of health information technology (HIT) and demonstrating a preference for provider-created treatment plans.

show abstract

Preferences of older adults and their families for Meaningful Use clinical summaries

Cited by 10 publications

References 16 publications

An Untapped Potential in Primary Care: Semi-Structured Interviews with Clinicians on How Patient Portals Will Work for Caregivers in the Safety Net

An Untapped Potential in Primary Care: Semi-Structured Interviews with Clinicians on How Patient Portals Will Work for Caregivers in the Safety Net

Patient characteristics associated with objective measures of digital health tool use in the United States: A literature review

Engagement With the Plan of Care Among Older Adults With Multiple Cardiac Diagnoses

Contact Info

Product

Resources

About