Patient Experiences Using an Inpatient Personal Health Record

Janet Woollen; Jennifer Prey; Lauren Wilcox; Alexander Sackeim; Susan Restaino; Syed T. Raza; Suzanne Bakken; Steven Feiner; George Hripcsak; David Vawdrey

doi:10.4338/ACI-2015-10-RA-0130

Applied Clinical Informatics, Inhaltsverzeichnis

Appl Clin Inform 2016; 07(02): 446-460
DOI: 10.4338/ACI-2015-10-RA-0130

Research Article

Schattauer GmbH

Patient Experiences Using an Inpatient Personal Health Record

Janet Woollen

¹Department of Biomedical Informatics, Columbia University, New York, NY

,

Jennifer Prey

¹Department of Biomedical Informatics, Columbia University, New York, NY

,

Lauren Wilcox

²School of Interactive Computing, Georgia Institute of Technology, Atlanta, GA

,

Alexander Sackeim

³University of Pennsylvania Health System, Pennsylvania, PA

,

Susan Restaino

⁴College of Physicians and Surgeons, Columbia University Medical Center, New York, NY

,

Syed T. Raza

⁴College of Physicians and Surgeons, Columbia University Medical Center, New York, NY

,

Suzanne Bakken

¹Department of Biomedical Informatics, Columbia University, New York, NY

⁵School of Nursing, Columbia University, New York, NY

,

Steven Feiner

⁶Department of Computer Science, Columbia University, New York, NY

,

George Hripcsak

¹Department of Biomedical Informatics, Columbia University, New York, NY

,

David Vawdrey

¹Department of Biomedical Informatics, Columbia University, New York, NY

⁷NewYork-Presbyterian Hospital, New York, NY

› Institutsangaben

Abstract

Summary

Objective

To investigate patients’ experience using an inpatient personal health record (PHR) on a tablet computer to increase engagement in their hospital care.

Methods

We performed observations and conducted semi-structured interviews with 14 post-operative cardiac surgical patients and their family members who received an inpatient PHR. Themes were identified using an inductive coding scheme.

Results

All participants responded favorably to having access to view their clinical information. A majority (85.7%) of participants used the application following an initial training session. Patients reported high satisfaction with being able to view their hospital medications and access educational materials related to their medical conditions. Patients reported a desire to view daily progress reports about their hospital stay and have access to educational information about their postacute recovery. In addition, patients expressed a common desire to view their diagnoses, laboratory test results, radiology reports, and procedure notes in language that is patient-friendly.

Conclusion

Patients have unmet information needs in the hospital setting. Our findings suggest that for some inpatients and their family members, providing personalized health information through a tablet computer may improve satisfaction, decrease anxiety, increase understanding of their health conditions, and improve safety and quality of care.

Keywords

Patient engagement - inpatient - technology - personal health records

Volltext

Referenzen

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