Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA.
Department of Internal Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
J Am Med Inform Assoc. 2018 Nov 1;25(11):1470-1480. doi: 10.1093/jamia/ocy111.
Over the past decade, public interest in managing health-related information for personal understanding and self-improvement has rapidly expanded. This study explored aspects of how patient-provided health information could be obtained through an electronic portal and presented to inform and engage patients while also providing information for healthcare providers.
We invited participants using ResearchMatch from 2 cohorts: (1) self-reported healthy volunteers (no medical conditions) and (2) individuals with a self-reported diagnosis of anxiety and/or depression. Participants used a secure web application (dashboard) to complete the PROMIS® domain survey(s) and then complete a feedback survey. A community engagement studio with 5 healthcare providers assessed perspectives on the feasibility and features of a portal to collect and display patient provided health information. We used bivariate analyses and regression analyses to determine differences between cohorts.
A total of 480 participants completed the study (239 healthy, 241 anxiety and/or depression). While participants from the tw2o cohorts had significantly different PROMIS scores (p < .05), both cohorts welcomed the concept of a patient-centric dashboard, saw value in sharing results with their healthcare provider, and wanted to view results over time. However, factors needing consideration before widespread use included personalization for the patient and their health issues, integration with existing information (eg electronic health records), and integration into clinician workflow.
Our findings demonstrated a strong desire among healthy people, patients with chronic diseases, and healthcare providers for a self-assessment portal that can collect patient-reported outcome metrics and deliver personalized feedback.
在过去的十年中,公众对管理与个人理解和自我提升相关的健康信息的兴趣迅速扩大。本研究探讨了如何通过电子门户获取患者提供的健康信息,并将其呈现出来,以便为患者提供信息并吸引他们参与,同时也为医疗保健提供者提供信息。
我们使用 ResearchMatch 邀请了两个队列的参与者:(1)自我报告健康的志愿者(无医疗条件)和(2)自我报告患有焦虑和/或抑郁的个体。参与者使用安全的网络应用程序(仪表板)完成 PROMIS®域调查,然后完成反馈调查。一个由 5 名医疗保健提供者组成的社区参与工作室评估了收集和展示患者提供的健康信息的门户的可行性和功能。我们使用双变量分析和回归分析来确定两个队列之间的差异。
共有 480 名参与者完成了研究(239 名健康,241 名焦虑和/或抑郁)。虽然两个队列的参与者的 PROMIS 评分有显著差异(p<0.05),但两个队列都欢迎以患者为中心的仪表板的概念,认为与医疗保健提供者共享结果有价值,并希望随着时间的推移查看结果。然而,在广泛使用之前需要考虑的因素包括针对患者及其健康问题的个性化、与现有信息(如电子健康记录)的集成以及与临床医生工作流程的集成。
我们的研究结果表明,健康人群、慢性病患者和医疗保健提供者都强烈希望有一个自我评估门户,可以收集患者报告的结果衡量指标并提供个性化反馈。