Implementing practice-linked pre-visit electronic journals in primary care: patient and physician use and satisfaction
Open Access
- 1 September 2010
- journal article
- Published by Oxford University Press (OUP) in Journal of the American Medical Informatics Association
- Vol. 17 (5), 502-506
- https://doi.org/10.1136/jamia.2009.001362
Abstract
Electronic health records (EHRs) and EHR-connected patient portals offer patient–provider collaboration tools for visit-based care. During a randomized controlled trial, primary care patients completed pre-visit electronic journals (eJournals) containing EHR-based medication, allergies, and diabetes (study arm 1) or health maintenance, personal history, and family history (study arm 2) topics to share with their provider. Assessment with surveys and usage data showed that among 2027 patients invited to complete an eJournal, 70.3% submitted one and 71.1% of submitters had one opened by their provider. Surveyed patients reported they felt more prepared for the visit (55.9%) and their provider had more accurate information about them (58.0%). More arm 1 versus arm 2 providers reported that eJournals were visit-time neutral (100% vs 53%; p<0.013), helpful to patients in visit preparation (66% vs 20%; p=0.082), and would recommend them to colleagues (78% vs 22%; p=0.0143). eJournal integration into practice warrants further study.This publication has 25 references indexed in Scilit:
- Practice-Linked Online Personal Health Records for Type 2 Diabetes MellitusJAMA Internal Medicine, 2008
- Interventions before consultations to help patients address their information needs by encouraging question asking: systematic reviewBMJ, 2008
- Design and implementation of a web-based patient portal linked to an electronic health record designed to improve medication safety: the Patient Gateway medications moduleJournal of Innovation in Health Informatics, 2008
- The Teamlet Model of Primary CareAnnals of Family Medicine, 2007
- Sharing electronic laboratory results in a patient portal--a feasibility pilot.2007
- Design and Implementation of a Web-Based Patient Portal Linked to an Ambulatory Care Electronic Health Record: Patient Gateway for Diabetes Collaborative CareDiabetes Technology & Therapeutics, 2006
- Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Costs of Medical CareAnnals of Internal Medicine, 2006
- The Influence of Information Technology on Patient-Physician RelationshipsJournal of General Internal Medicine, 2006
- Is There Time for Management of Patients With Chronic Diseases in Primary Care?Annals of Family Medicine, 2005
- Quality of Diabetes Care in U.S. Academic Medical CentersDiabetes Care, 2005