Addressing Hospital Patient Information Needs Using a PHR Portal

使用 PHR 门户满足医院患者信息需求

• 批准号: 8578580
• 负责人: DAVID K. VAWDREY
• 金额: $ 49.98万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-01 至 2017-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8578580
• 关键词: Addressing; Hospital; Patient; Information; Needs

DESCRIPTION (provided by applicant): A focus of the Agency for Healthcare Research and Quality (AHRQ) is promoting patient-centered care and consumer participation in healthcare decision-making. Although evidence indicates that better-informed, more engaged patients enjoy better health outcomes, information needs are often unaddressed. This is especially true in hospital settings, where there are over 36 million patient admissions each year in the United States. While consumer health advocacy groups are admonishing people to be active participants in their healthcare, the lack of information available to hospital patients and their families can make them feel anxious and disenfranchised. At NewYork-Presbyterian Hospital/Columbia University Medical Center, we have developed an inpatient personal health record (PHR) portal that provides medication lists, care team information, and educational content to patients and their caregivers. The application was pilot tested with five cardiothoracic surgery patients using Apple iPads, and the response of both patients and their clinician care providers was very enthusiastic. In the proposed study, we have enhanced the existing inpatient PHR portal to allow patients to electronically document questions and concerns related to their care. These questions and concerns are visible to members of the patients' care team within our commercial inpatient electronic health record (EHR). A randomized controlled trial is proposed to rigorously evaluate the impact of the inpatient PHR portal with patients from medical and surgical cardiac units at Columbia University Medical Center. We will demonstrate the generalizability of the research by deploying the inpatient PHR portal at El Camino Hospital, a community hospital in Mountain View, California. Finally, we will analyze patient-entered questions and comments to characterize information needs of hospital patients and assess the salience of patient-entered information to issues of care quality and safety. The proposed research will demonstrate the potential for consumer health information technology to empower patients and caregivers as active participants in the inpatient care delivery process. It will advance scientific knowledge in the field of patient-clinician communication, demonstrate new technical capabilities for sharing information among patients and their care teams, and improve patient activation, engagement and satisfaction.

描述（由申请人提供）：医疗保健研究和质量局 (AHRQ) 的重点是促进以患者为中心的护理和消费者参与医疗保健决策。尽管有证据表明，信息更丰富、参与度更高的患者可以获得更好的健康结果，但信息需求往往没有得到满足。在医院环境中尤其如此，美国每年有超过 3600 万名患者入院。虽然消费者健康倡导团体劝告人们积极参与医疗保健，但医院患者及其家人缺乏可用的信息可能会让他们感到焦虑和被剥夺权利。在纽约长老会医院/哥伦比亚大学医学中心，我们开发了住院患者个人健康记录 (PHR) 门户，为患者及其护理人员提供药物清单、护理团队信息和教育内容。该应用程序已在五个心胸外科进行了试点测试 手术患者使用 Apple iPad，患者及其临床医生护理人员的反应非常热情。在拟议的研究中，我们增强了现有的住院 PHR 门户，使患者能够以电子方式记录与其护理相关的问题和疑虑。患者护理团队的成员可以在我们的商业住院患者电子健康记录 (EHR) 中看到这些问题和疑虑。提议进行一项随机对照试验，以严格评估住院 PHR 门户对哥伦比亚大学医学中心内科和外科心脏病科患者的影响。我们将通过在加利福尼亚州山景城社区医院 El Camino 医院部署住院 PHR 门户来展示该研究的普遍性。最后，我们将分析患者输入的问题和评论，以描述医院患者的信息需求，并评估患者输入的信息对护理质量和安全问题的重要性。拟议的研究将展示消费者健康信息技术的潜力，使患者和护理人员能够成为住院护理服务过程中的积极参与者。它将推进患者与临床医生沟通领域的科学知识，展示患者及其护理团队之间共享信息的新技术能力，并提高患者的积极性、参与度和满意度。