Using an Internet Comanagement Module to Improve the Quality of Chronic Disease Care

Goldberg, Harold I.; Ralston, James D.; Hirsch, Irl B.; Hoath, James; Ahmed, Kazi I.

doi:10.1016/s1549-3741(03)29053-5

Cited by 57 publications

(77 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[4][5][6] Information and communication technology (eHealth) will play an important role in disease management, for example, in providing online support for self-management, in improving information exchange among professionals and with patients, and in monitoring the performance of the disease management program. 7,8 The electronic personal health record (PHR) is a promising technology for improving the quality of chronic disease management. 9,10 The Markle Foundation defined a PHR as "an electronic application through which individuals can access, manage, and share their health information and that of others for whom they are authorized, in a private, secure and confidential environment."…”

Section: Symposiummentioning

confidence: 99%

“…When users finished an education module, a message was sent to the users' health care provider (in most cases, this was the users' primary care nurse), giving health care providers the opportunity to use the information as a topic of conversation during face-to-face appointments in the general practice. Users received system messages when new education or personal messages with feedback from the coach were available (8). The interaction was unidirectional and users were not able to send their own messages to their health care provider and coach (and vice versa).…”

Section: Interactionmentioning

confidence: 99%

See 1 more Smart Citation

The Added Value of Log File Analyses of the Use of a Personal Health Record for Patients With Type 2 Diabetes Mellitus

Sieverink

Kelders

Braakman-Jansen

et al. 2014

J Diabetes Sci Technol

View full text Add to dashboard Cite

The electronic personal health record (PHR) is a promising technology for improving the quality of chronic disease management. Until now, evaluations of such systems have provided only little insight into why a particular outcome occurred. The aim of this study is to gain insight into the navigation process (what functionalities are used, and in what sequence) of e-Vita, a PHR for patients with type 2 diabetes mellitus (T2DM), to increase the efficiency of the system and improve the long-term adherence. Log data of the first visits in the first 6 weeks after the release of a renewed version of e-Vita were analyzed to identify the usage patterns that emerge when users explore a new application. After receiving the invitation, 28% of all registered users visited e-Vita. In total, 70 unique usage patterns could be identified. When users visited the education service first, 93% of all users ended their session. Most users visited either 1 or 5 or more services during their first session, but the distribution of the routes was diffuse. In conclusion, log file analyses can provide valuable prompts for improving the system design of a PHR. In this way, the match between the system and its users and the long-term adherence has the potential to increase.

show abstract

Section: Symposiummentioning

confidence: 99%

Section: Interactionmentioning

confidence: 99%

The Added Value of Log File Analyses of the Use of a Personal Health Record for Patients With Type 2 Diabetes Mellitus

Sieverink

Kelders

Braakman-Jansen

et al. 2014

J Diabetes Sci Technol

View full text Add to dashboard Cite

show abstract

“…19,[21][22][23] Self-management strategies were a major component of studies targeting patients. 12,21,[24][25][26][27][28][29] Web based programs were used to provide diabetes education, and access to online coaches and peer support groups 26,30 in addition to providing web links to internet sites of support agencies. 16 IT has also been used to provide physical activity programs tailored to the patient's specific needs.…”

Section: Uses Of It To Support Diabetes Carementioning

confidence: 99%

The use of information technology to enhance diabetes management in primary care: a literature review

Adaji¹,

Schattner²,

Jones³

2008

Journal of Innovation in Health Informatics

View full text Add to dashboard Cite

“…A Rand Corporation analysis predicted that wider use of information technology would result in improved healthcare outcomes and efficiency, and lower costs [90]. Goldberg et al [91] demonstrated the feasibility of a Web-based disease management module that lets patients with diabetes upload their blood glucose readings, view portions of their medical record, and e-mail their provider. This study will test the effectiveness of training and encouraging patients to use the secure patient website to improve their hypertension control.…”

Section: Discussionmentioning

confidence: 99%

Electronic Communications and Home Blood Pressure Monitoring (e-BP) study: Design, delivery, and evaluation framework

Green¹,

Ralston²,

Fishman³

et al. 2008

Contemporary Clinical Trials

Self Cite

View full text Add to dashboard Cite

Background-Randomized controlled trials have provided unequivocal evidence that treatment of hypertension decreases mortality and major disability from cardiovascular disease; however, blood pressure remains inadequately treated in most affected individuals. This large gap continues despite the facts that more than 90% of adults with hypertension have health insurance, and hypertension is the leading cause of visits to the doctor. New approaches are needed to improve hypertension care. Objectives-The Electronic Communications and Home Blood PressureMonitoring (e-BP) study is a three-arm randomized controlled trial designed to determine whether care based on the Chronic Care Model and delivered over the Internet improves hypertension care. The primary study outcomes are systolic, diastolic, and blood pressure control; secondary outcomes are medication adherence, patient self-efficacy, satisfaction and quality of life, and healthcare utilization and costs.Methods-Hypertensive patients receiving care at Group Health medical centers are eligible if they have uncontrolled blood pressure on two screening visits and access to the Web and an e-mail address. Study participants are randomly assigned to three intervention groups: (a) usual care; (b) home blood pressure monitoring receipt and proficiency training on its use and the Group Health secure patient website (with secure e-mail access to their healthcare provider, access to a shared medical record, prescription refill and other services); or (c) this plus pharmacist care management (collaborative care management between the patient, the pharmacist, and the patient's physician via a secure patient website and the electronic medical record).Conclusion-We will determine whether a new model of patient-centered care that leverages Web communications, self-monitoring, and collaborative care management improves hypertension control. If this model proves successful and cost-effective, similar interventions could be used to improve the care of large numbers of patients with uncontrolled hypertension.

show abstract

Using an Internet Comanagement Module to Improve the Quality of Chronic Disease Care

Cited by 57 publications

References 12 publications

The Added Value of Log File Analyses of the Use of a Personal Health Record for Patients With Type 2 Diabetes Mellitus

The Added Value of Log File Analyses of the Use of a Personal Health Record for Patients With Type 2 Diabetes Mellitus

The use of information technology to enhance diabetes management in primary care: a literature review

Electronic Communications and Home Blood Pressure Monitoring (e-BP) study: Design, delivery, and evaluation framework

Contact Info

Product

Resources

About