Improving Uptake and Use of Personal Health Records

提高个人健康记录的吸收和使用

• 批准号: 8044872
• 负责人: DAVID W., MD,Msc BATES
• 金额: $ 30.03万
• 依托单位: BRIGHAM AND WOMEN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-04-01 至 2013-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8044872
• 关键词: Improving; Uptake; Use; Personal; Health

DESCRIPTION (Provided by the Applicant): The proposed project will demonstrate and evaluate an intervention to improve the uptake and use of personal health records (PHRs) in an ambulatory setting. Adoption rates have generally been low, even among patients with chronic conditions such as diabetes although patients with chronic diseases may stand to benefit the most from using a PHR. Critical gaps exist in the literature on the adoption and use of PHRs around the factors that influence patients to adopt or reject a PHR at the time of adoption. Although studies are now emerging on the use of PHRs by patients, we need to better understand the role of PHRs in providing patient-centered care and its impacts for quality and coordination of care. Yet another gap is the lack of knowledge about organizational-level processes and factors influencing PHR adoption and implementation. The specific aims of the proposed project are as follows: (1) Introduce an intervention deploying multiple strategies to improve the uptake and use of PHR in an ambulatory setting; (2) Evaluate the intervention with respect to individual- and organizational-level facilitators and barriers associated with PHR implementation; (3) Assess the impact of the intervention on adoption and use rates; and (4) Analyze the role of the PHR in providing patient-centered care and its impacts on quality and coordination of care. PUBLIC HEALTH RELEVANCE: Personal health records (PHRs) are tools that make it easier for patients to manage their health and to communicate with their doctors and doctor's offices via the Internet. Patients can manage their conditions, by tracking how they are doing, and PHRs also allow them to check their lab results, order prescription refills, and ask questions online. This could result in potential savings in time, effort, and cost for the patient as well as improve their quality of care. Despite this, to date PHR adoption rates among patients have been low, especially among patients with chronic conditions who might benefit most. This project seeks to improve these adoption rates by introducing an intervention with multiple strategies aimed at both patients and the staff at doctor's offices. In addition to the intervention, the project will evaluate why patients adopt or do not adopt a PHR, how patients use a PHR, and the impact of PHR use on quality of care.

描述（由申请人提供）：拟议项目将展示和评估一项干预措施，以改善流动环境中个人健康记录 (PHR) 的吸收和使用。采用率普遍较低，即使在糖尿病等慢性病患者中也是如此，尽管慢性病患者可能会从使用 PHR 中受益最多。关于 PHR 的采用和使用的文献中，关于影响患者在采用 PHR 时采用或拒绝 PHR 的因素存在着关键的空白。尽管目前关于患者使用 PHR 的研究不断涌现，但我们需要更好地了解 PHR 在提供以患者为中心的护理方面的作用及其对护理质量和协调的影响。另一个差距是缺乏对组织层面的流程以及影响 PHR 采用和实施的因素的了解。 拟议项目的具体目标如下： (1) 引入一项干预措施，部署多种策略，以提高流动环境中 PHR 的吸收和使用； (2) 评估与 PHR 实施相关的个人和组织层面的促进因素和障碍的干预措施； (3) 评估干预措施对采用和使用率的影响； (4) 分析 PHR 在提供以患者为中心的护理方面的作用及其对护理质量和协调的影响。 公共健康相关性：个人健康记录 (PHR) 是让患者更轻松地管理自己的健康并通过互联网与医生和医生办公室沟通的工具。患者可以通过跟踪自己的情况来管理自己的病情，PHR 还允许他们检查实验室结果、订购处方补充品以及在线提问。这可能会节省患者的时间、精力和成本，并提高他们的护理质量。尽管如此，迄今为止，患者中 PHR 的采用率仍然很低，尤其是可能受益最多的慢性病患者。该项目旨在通过针对患者和医生办公室工作人员引入多种策略的干预措施来提高这些采用率。除了干预措施之外，该项目还将评估患者采用或不采用 PHR 的原因、患者如何使用 PHR 以及 PHR 使用对护理质量的影响。