دورية أكاديمية

Association of patient recall, satisfaction, and adherence to content of an electronic health record (EHR)-generated after visit summary: a randomized clinical trial.

التفاصيل البيبلوغرافية
العنوان: Association of patient recall, satisfaction, and adherence to content of an electronic health record (EHR)-generated after visit summary: a randomized clinical trial.
المؤلفون: Pavlik V; the Department of Family and Community Medicine, Baylor College of Medicine, Houston, TX; and the Department of Internal Medicine, Weill Cornell Medical College, New York, NY., Brown AE, Nash S, Gossey JT
المصدر: Journal of the American Board of Family Medicine : JABFM [J Am Board Fam Med] 2014 Mar-Apr; Vol. 27 (2), pp. 209-18.
نوع المنشور: Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S.
اللغة: English
بيانات الدورية: Publisher: American Board of Family Medicine Country of Publication: United States NLM ID: 101256526 Publication Model: Print Cited Medium: Internet ISSN: 1558-7118 (Electronic) Linking ISSN: 15572625 NLM ISO Abbreviation: J Am Board Fam Med Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Lexington, KY : American Board of Family Medicine, c2006-
مواضيع طبية MeSH: Electronic Health Records* , Mental Recall*, Patient Compliance/*statistics & numerical data , Patient Education as Topic/*methods , Patient Satisfaction/*statistics & numerical data , Primary Health Care/*methods, Adult ; Chronic Disease ; Female ; Health Literacy ; Humans ; Male ; Middle Aged ; Physician-Patient Relations ; Qualitative Research ; Self Report ; Texas
مستخلص: Objective: Most electronic health record (EHR) systems have the capability of generating a printed after-visit summary (AVS), but there has been little research on optimal content. We conducted a qualitative study and a randomized trial to understand the effect of AVS content on patient recall and satisfaction.
Methods: Adult primary care patients (n = 272) with at least 1 chronic condition were randomly assigned to 4 AVS content conditions: minimum, intermediate, maximum, or standard AVS. Demographics and health literacy were measured at an index clinic visit. Recall and satisfaction were measured by telephone 2 days and 2 to 3 weeks after the clinic visit.
Results: Average age was 52 years; 75% of patients were female, 61% were Hispanic, and 21% were African American, and 64% had adequate health literacy. Average medication recall accuracy was 53% at 2 days and 52% at 3 weeks, with no significant difference among groups at either time. Satisfaction with AVS content was high and did not differ among groups. Recall of specific content categories was low and unrelated to group assignment. Health literacy was unrelated to recall and satisfaction.
Conclusion: Primary care patients like to receive an AVS, but the amount of information included does not affect content recall or satisfaction with the information.
فهرسة مساهمة: Keywords: Electronic Health Records; Meaningful Use; Patient Satisfaction; Randomized Clinical Trials; Summary Report
تواريخ الأحداث: Date Created: 20140311 Date Completed: 20141105 Latest Revision: 20140310
رمز التحديث: 20231215
DOI: 10.3122/jabfm.2014.02.130137
PMID: 24610183
قاعدة البيانات: MEDLINE
الوصف
تدمد:1558-7118
DOI:10.3122/jabfm.2014.02.130137