دورية أكاديمية
Early Adopters of Patient-Generated Health Data Upload in an Electronic Patient Portal.
| العنوان: | Early Adopters of Patient-Generated Health Data Upload in an Electronic Patient Portal. |
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| المؤلفون: | Ancker JS; Department of Healthcare Policy and Research, Weill Cornell Medicine, New York, New York, United States., Mauer E; Department of Healthcare Policy and Research, Weill Cornell Medicine, New York, New York, United States., Kalish RB; Department of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York, United States., Vest JR; Department of Health Policy and Management, Indiana University Richard M. Fairbanks School of Health, Indianapolis, Indiana, United States., Gossey JT; Department of Healthcare Policy and Research, Weill Cornell Medicine, New York, New York, United States.; Department of Medicine, Weill Cornell Medicine, New York, New York, United States.; Weill Cornell Physician Organization Information Services, Weill Cornell Medicine, New York, New York, United States. |
| المصدر: | Applied clinical informatics [Appl Clin Inform] 2019 Mar; Vol. 10 (2), pp. 254-260. Date of Electronic Publication: 2019 Apr 10. |
| نوع المنشور: | Journal Article; Research Support, U.S. Gov't, P.H.S. |
| اللغة: | English |
| بيانات الدورية: | Publisher: Thieme Country of Publication: Germany NLM ID: 101537732 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1869-0327 (Electronic) Linking ISSN: 18690327 NLM ISO Abbreviation: Appl Clin Inform Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : Stuttgart, Germany : Thieme Original Publication: Hölderlinstr, Germany : Schattauer |
| مواضيع طبية MeSH: | Electronic Health Records* , Patient Generated Health Data* , Patient Portals*, Adult ; Chronic Disease ; Female ; Glycated Hemoglobin/analysis ; Humans ; Middle Aged ; Pregnancy |
| مستخلص: | Background and Objective: Patient-generated health data (PGHD) may help providers monitor patient status between clinical visits. Our objective was to describe our medical center's early experience with an electronic flowsheet allowing patients to upload self-monitored blood glucose to their provider's electronic health record (EHR). Methods: An academic multispecialty practice enabled the portal-linked PGHD tool in 2012. We conducted a retrospective observational study of adult ambulatory patients using this tool between 2012 and 2016, comparing clinical and demographic characteristics of data uploaders with those of a group of patients with diabetes diagnoses and patient portal accounts seen by the same health care providers. Results: Over four years, 16 providers chose to use the tool, and 53 adult patients used it to upload three or more blood glucose values within any 9-month period. Of these patients, 23 were pregnant women and 30 were nonpregnant adults with diabetes. Uploaders had more encounters and portal log-ins than comparison patients but did not differ in socioeconomic status. Among the chronic disease patients, uploaders' mean hemoglobin A1c and body mass index (BMI) both dropped significantly in the months after upload. Conclusion: Despite the potential value of PGHD in health care, the rate of adoption of a tool allowing patients to upload PGHD to their provider's EHR has been slow. Among chronic disease patients, PGHD upload was associated with improvements in blood glucose control and BMI, but it is possible that the changes were because of increased motivation or intensive changes in medical management. Competing Interests: None declared. (Georg Thieme Verlag KG Stuttgart · New York.) |
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| معلومات مُعتمدة: | K01 HS021531 United States HS AHRQ HHS |
| المشرفين على المادة: | 0 (Glycated Hemoglobin A) |
| تواريخ الأحداث: | Date Created: 20190411 Date Completed: 20200401 Latest Revision: 20221207 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC6458021 |
| DOI: | 10.1055/s-0039-1683987 |
| PMID: | 30970383 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1869-0327 |
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| DOI: | 10.1055/s-0039-1683987 |