Impact of a Wellness Portal on the Delivery of Patient-Centered Prospective Care

健康门户对提供以患者为中心的前瞻性护理的影响

• 批准号: 7659528
• 负责人: JAMES W. MOLD
• 金额: $ 31.77万
• 依托单位: UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-01 至 2010-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7659528
• 关键词: Impact; Wellness; Portal; Delivery; Patient

DESCRIPTION (provided by applicant): As the number of recommended preventive services continues to increase, clinicians struggle to maintain a balance between immediate patient concerns and the time required to address prevention. It is clear that without effective and timely clinical decision support integrated into a comprehensive care delivery approach (e.g. the Chronic Care Model) and without patient-centered tailoring of recommendations, primary care clinicians' performance in this area is likely to go from suboptimal (40-60% rates of delivery of well-accepted preventive services) to unsatisfactory. Optimal delivery of primary, secondary, and tertiary preventive services will increasingly require sophisticated information processing and much greater patient involvement. Despite the importance of patient-centered delivery approaches, however, there is limited information available on the impact of integrated health information technologies (HIT) on the delivery of patient centered, preventive care in primary care settings. Building upon our experience with a very sophisticated preventive services prompt and reminder system, the Preventive Services Reminder System (PSRS), we propose to conduct a systematic three-year study with the following aims: 1) To develop, field test, and refine an Internet-based patient Wellness Portal linked to PSRS to facilitate patient-centered, preventive care in primary care practices; 2) To determine the impact of the Wellness Portal on the process of patient-centered preventive care by examining the behavior and experiences of both patients and providers and the degree to which recommended services are individualized; and 3) To develop model Wellness Portal practices and disseminate the Wellness Portal technology and knowledge derived from findings from Aims 1 and 2. As a result of the Wellness Portal approach, we expect that activated patients and transformed medical practices will be more likely to engage in proactive, patient-centered care, and that this will result in more consistent delivery of appropriate preventive services to the right patients at the right times.

描述（由申请人提供）：随着推荐的预防服务的数量继续增加，临床医生努力在直接患者的关注点与解决预防所需的时间之间保持平衡。显然，如果没有将有效及时的临床决策支持集成到全面的护理交付方法（例如慢性护理模型）中，并且如果没有以患者为中心的建议，则初级保健临床医生在该领域的表现可能会从次优率（40-60％的良好预防服务交付率）到不满意。最佳的初级，次要和三级预防服务将越来越多地需要复杂的信息处理和更大的患者参与。尽管以患者为中心的分娩方法很重要，但是关于综合健康信息技术（HIT）对在初级保健环境中以患者为中心的预防保健的影响的信息有限。在我们以非常复杂的预防服务及时和提醒系统（预防服务提醒系统（PSR））的经验的基础上，我们建议进行系统的三年研究，其目的：1）开发，现场测试并完善与PSR相关的基于Internet的患者健康门户，以促进患者以患者为中心的，预防性护理，预防性护理诊所； 2）通过检查患者和提供者的行为和经验以及推荐服务的个性化程度，确定健康门户对以患者为中心的预防性护理过程的影响； 3）为了开发模型的健康门户实践，并从AIMS 1和2的发现中传播了健康门户的技术和知识。由于健康门户的方法，我们希望激活的患者和改造的医疗实践更有可能积极主动，以患者为中心的护理，这将导致更加一致地提供适当的预防服务，从而使适当的患者提供适当的时间。