Base de dados : MEDLINE
Pesquisa : E05.318.308.940.968.249.750 [Categoria DeCS]
Referências encontradas : 83 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 9 ir para página                      

  1 / 83 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28460130
[Au] Autor:Ochoa A; Kitayama K; Uijtdehaage S; Vermillion M; Eaton M; Carpio F; Serota M; Hochman ME
[Ad] Endereço:UCLA PRIME, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
[Ti] Título:Patient and provider perspectives on the potential value and use of a bilingual online patient portal in a Spanish-speaking safety-net population.
[So] Source:J Am Med Inform Assoc;24(6):1160-1164, 2017 Nov 01.
[Is] ISSN:1527-974X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Objective: To assess patient and provider perspectives on the potential value and use of a bilingual patient portal in a large safety-net health system serving predominantly Spanish-speaking patients. Materials and Methods: We captured patient and provider perspectives through the administration of surveys to assess Internet access, barriers, and facilitators to patient portal adoption, along with portal preferences. We report on these survey results using descriptive and comparative statistics. Results: Four hundred patients (82% response rate) and 59 providers (80% response rate) participated in the study. Although 73% of providers believed that the patient portal would increase patient satisfaction, just 39% planned to recommend portal use to patients, citing concerns related to time and reimbursement. In contrast, 72% of patients believed the patient portal would strengthen the patient-provider relationship and 77% believed it would improve the quality of care. Latino patients in particular believed the patient portal would strengthen the patient-provider relationship. Seventy-five percent of patients reported interest in a mobile version of the portal. Discussion: Patients from a safety-net health system, most of whom were Spanish-speaking, reported a high level of interest in the patient portal. Providers at the same health system expressed reluctance about the portal due to concerns related to time and reimbursement. Conclusion: Bilingual patient portal implementation has considerable potential to promote health care engagement within Spanish-speaking safety-net populations; however, lack of provider engagement in the process could undermine the effort.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Atitude Frente à Saúde
Portais do Paciente
Satisfação do Paciente
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
California
Centros Comunitários de Saúde
Registros Eletrônicos de Saúde
Feminino
Seres Humanos
Internet
Masculino
Multilinguismo
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1093/jamia/ocx040


  2 / 83 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28460042
[Au] Autor:Walker DM; Sieck CJ; Menser T; Huerta TR; Scheck McAlearney A
[Ad] Endereço:Department of Family Medicine, College of Medicine, Ohio State University, Columbus, OH, USA.
[Ti] Título:Information technology to support patient engagement: where do we stand and where can we go?
[So] Source:J Am Med Inform Assoc;24(6):1088-1094, 2017 Nov 01.
[Is] ISSN:1527-974X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Objective: Given the strong push to empower patients and make them partners in their health care, we evaluated the current capability of hospitals to offer health information technology that facilitates patient engagement (PE). Materials and Methods: Using an ontology mapping approach, items from the American Hospital Association Information Technology Supplement were mapped to defined levels and categories within the PE Framework. Points were assigned for each health information technology function based upon the level of engagement it encompassed to create a PE-information technology (PE-IT) score. Scores were divided into tertiles, and hospital characteristics were compared across tertiles. An ordered logit model was used to estimate the effect of characteristics on the adjusted odds of being in the highest tertile of PE-IT scores. Results: Thirty-six functions were mapped to specific levels and categories of the PE Framework, and adoption of each item ranged from 23.5 to 96.7%. Hospital characteristics associated with being in the highest tertile of PE-IT scores included medium and large bed size (relative to small), nonprofit (relative to government nonfederal), teaching hospital, system member, Midwest and South regions, and urban location. Discussion: Hospital adoption of PE-oriented technology remains varied, suggesting that hospitals are considering how technology can create partnerships with patients. However, PE functionalities that facilitate higher levels of engagement are lacking, suggesting room for improvement. Conclusion: While hospitals have reached modest levels of adoption of PE technologies, consistent monitoring of this capacity can identify opportunities to use technology to facilitate engagement.
[Mh] Termos MeSH primário: Hospitais
Informática Médica
Participação do Paciente
[Mh] Termos MeSH secundário: Estudos Transversais
Registros Eletrônicos de Saúde
Gestão da Informação em Saúde
Hospitais/estatística & dados numéricos
Seres Humanos
Uso Significativo
Educação de Pacientes como Assunto
Portais do Paciente
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1093/jamia/ocx043


  3 / 83 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29425012
[Au] Autor:Payne TH; Beahan S; Fellner J; Martin D; Elmore JG
[Ti] Título:Health Records All Access Pass. Patient Portals That Allow Viewing of Clinical Notes and Hospital Discharge Summaries: The University of Washington Opennotes Implementation Experience.
[So] Source:J AHIMA;87(8):36-9, 2016 08.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Acesso dos Pacientes aos Registros
Sumários de Alta do Paciente Hospitalar
Portais do Paciente
[Mh] Termos MeSH secundário: Seres Humanos
Modelos Organizacionais
Estudos de Casos Organizacionais
Washington
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE


  4 / 83 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29412543
[Ti] Título:Improved Patient Engagement for LGBT Populations: Addressing Factors related to Sexual Orientation/Gender Identity for Effective Health Information Management.
[So] Source:J AHIMA;88(3):34-9, 2017 03.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Gestão da Informação em Saúde
Registros de Saúde Pessoal
Participação do Paciente
Minorias Sexuais e de Gênero
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Portais do Paciente
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180208
[St] Status:MEDLINE


  5 / 83 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28817324
[Au] Autor:Lyles CR; Fruchterman J; Youdelman M; Schillinger D
[Ad] Endereço:Courtney R. Lyles and Dean Schillinger are with the Center for Vulnerable Populations and the Division of General Internal Medicine, Zuckerberg San Francisco General Hospital, University of California, San Francisco. Jim Fruchterman is with Benetech, Palo Alto, CA. Mara Youdelman is with the Nationa
[Ti] Título:Legal, Practical, and Ethical Considerations for Making Online Patient Portals Accessible for All.
[So] Source:Am J Public Health;107(10):1608-1611, 2017 Oct.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Largely driven by the financial incentives of the HITECH Act's Meaningful Use program as part of federal US health care reform, access to portal Web sites has rapidly expanded, allowing many patients to view their medical record information online. Despite this expansion, there is little attention paid to the accessibility of portals for more vulnerable patient populations-especially patients with limited health literacy or limited English proficiency, and individuals with disabilities. We argue that there are potential legal mandates for improving portal accessibility (e.g., the Civil Rights and the Rehabilitation Acts), as well as ethical considerations to prevent the exacerbation of existing health and health care disparities. To address these legal, practical, and ethical considerations, we present standards and broad recommendations that could greatly improve the reach and impact of portal Web sites.
[Mh] Termos MeSH primário: Portais do Paciente/ética
Portais do Paciente/legislação & jurisprudência
[Mh] Termos MeSH secundário: Capacitação de Usuário de Computador
Pessoas com Deficiência
Alfabetização em Saúde
Disparidades em Assistência à Saúde
Seres Humanos
Internet
Acesso dos Pacientes aos Registros/ética
Acesso dos Pacientes aos Registros/legislação & jurisprudência
Portais do Paciente/normas
Interface Usuário-Computador
Populações Vulneráveis
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170818
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.303933


  6 / 83 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28726503
[Au] Autor:Gefen R; Bruno MA; Abujudeh HH
[Ad] Endereço:1 Department of Radiology, Cooper University Hospital of Rowan University, One Cooper Plaza, Camden, NJ 08103.
[Ti] Título:Online Portals: Gateway to Patient-Centered Radiology.
[So] Source:AJR Am J Roentgenol;209(5):987-991, 2017 Nov.
[Is] ISSN:1546-3141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Online portals typically allow access to radiology reports, causing a shift in the communication. This article evaluates the studies available in the literature about patient portals and the use of patient portals in radiology. Patient and physician preferences and the impact on radiology reporting are presented. CONCLUSION: Patient portals provide an opportunity for radiologists to engage with their patients via a new method of communication. Radiologist collaboration with referring physicians is important in providing care in accordance with patient preferences.
[Mh] Termos MeSH primário: Comunicação
Portais do Paciente
Assistência Centrada no Paciente
Sistemas de Informação em Radiologia
Radiologia
[Mh] Termos MeSH secundário: Seres Humanos
Encaminhamento e Consulta
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170721
[St] Status:MEDLINE
[do] DOI:10.2214/AJR.17.18291


  7 / 83 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28624066
[Au] Autor:Robinson JR; Valentine A; Carney C; Fabbri D; Jackson GP
[Ad] Endereço:Department of Pediatric Surgery, Vanderbilt Children's Medical Center, Nashville, Tennessee; Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee. Electronic address: jamie345@gmail.com.
[Ti] Título:Complexity of medical decision-making in care provided by surgeons through patient portals.
[So] Source:J Surg Res;214:93-101, 2017 Jun 15.
[Is] ISSN:1095-8673
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Patient portals are online applications that allow patients to interact with healthcare organizations and view information. Portal messages exchanged between patients and providers contain diverse types of communications, including delivery of medical care. The types of communications and complexity of medical decision-making in portal messages sent to surgeons have not been studied. MATERIALS AND METHODS: We obtained all message threads initiated by patients and exchanged with surgical providers through the Vanderbilt University Medical Center patient portal from June 1 to December 31, 2014. Five hundred randomly selected messages were manually analyzed by two research team members to determine the types of communication (i.e., informational, medical, logistical, or social), whether medical care was delivered, and complexity of medical decision-making as defined for outpatient billing in each message thread. RESULTS: A total of 9408 message threads were sent to 401 surgical providers during the study period. In the 500 threads selected for detailed analysis, 1293 distinct issues were communicated, with an average of 2.6 issues per thread. Medical needs were communicated in 453 message threads (90.6%). Further, 339 message threads (67.8%) contained medical decision-making. Overall complexity of medical decision-making was straightforward in 210 messages (62%), low in 102 messages (30%), and moderate in 27 messages (8%). No highly complex decisions were made over portal messaging. CONCLUSIONS: Through patient portal messages, surgeons deliver substantial medical care with varied levels of medical complexity. Models for compensation of online care must be developed as consumer and surgeon adoption of these technologies increases.
[Mh] Termos MeSH primário: Tomada de Decisão Clínica
Portais do Paciente
Relações Médico-Paciente
Cirurgiões
Telemedicina/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Criança
Pré-Escolar
Assistência à Saúde/métodos
Assistência à Saúde/estatística & dados numéricos
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Meia-Idade
Portais do Paciente/estatística & dados numéricos
Telemedicina/estatística & dados numéricos
Tennessee
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170619
[St] Status:MEDLINE


  8 / 83 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:28423804
[Au] Autor:Wildenbos GA; Peute L; Jaspers M
[Ad] Endereço:Center for Human Factors Engineering of Health Information Technology, Department of Medical Informatics, The Netherlands.
[Ti] Título:Facilitators and Barriers of Electronic Health Record Patient Portal Adoption by Older Adults: A Literature Study.
[So] Source:Stud Health Technol Inform;235:308-312, 2017.
[Is] ISSN:0926-9630
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Patient portal usage by older adults, patients aged 50 years old and above, is intended to improve their access and quality of care. Acceptance of patient portals by this target group is low. This paper discusses the results of a literature review to determine the facilitators and barriers that drive or inhibit older patients to adopt patient portals. Articles were included when they described an acceptance, adoption or usability evaluation study of a patient portal. From a total of 245 potentially relevant articles, 8 articles were finally included. We used the Unified Theory of Acceptance and Use of Technology (UTAUT) as a classification model to analyze factors influencing older adults' acceptance of patient portals. Main facilitators for acceptance were 'performance expectancy' and 'voluntariness of use' related to a higher level of education and experienced health. Main barriers were limited health literacy and motivation related to involuntariness to use a patient portal. Poor facilitation conditions (limited technology access and no prior knowledge on existence of a patient portal) hampered access to a portal. More thorough insight into the latter is needed to improve the reach and effectiveness of patient portals among older patients.
[Mh] Termos MeSH primário: Registros Eletrônicos de Saúde
Registros de Saúde Pessoal
Acesso dos Pacientes aos Registros/psicologia
Portais do Paciente/utilização
[Mh] Termos MeSH secundário: Idoso
Feminino
Alfabetização em Saúde
Seres Humanos
Masculino
Meia-Idade
Motivação
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171020
[Lr] Data última revisão:
171020
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:170421
[St] Status:MEDLINE


  9 / 83 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28385680
[Au] Autor:King G; Maxwell J; Karmali A; Hagens S; Pinto M; Williams L; Adamson K
[Ad] Endereço:Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
[Ti] Título:Connecting Families to Their Health Record and Care Team: The Use, Utility, and Impact of a Client/Family Health Portal at a Children's Rehabilitation Hospital.
[So] Source:J Med Internet Res;19(4):e97, 2017 Apr 06.
[Is] ISSN:1438-8871
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Health care portals have the potential to provide consumers with timely, transparent access to health care information and engage them in the care process. OBJECTIVE: The objective was to examine the use, utility, and impact on engagement in care and caregiver-provider communication of a client/family portal providing access to electronic health records (EHRs) and secure, 2-way e-messaging with care providers. METHODS: We conducted a prospective, mixed-methods study involving collection of caregivers' portal usage information over a 14-month period (from portal introduction in January 2015 to the end of the study period in March 2016), a Web-based survey for caregivers administered after a minimum of 2 months' exposure to the portal and repeated 2 months later, and focus groups or individual interviews held with caregivers and service providers at the same points in time. The survey assessed caregivers' perceptions of the utility of and satisfaction with the EHR and e-messaging, and the portal's impact on client engagement and perceptions of caregiver-provider communication. A total of 18 caregivers (parents) completed surveys and 6 also took part in focus groups or interviews. In addition, 5 service providers from different disciplines took part in focus groups or interviews. RESULTS: Although usage patterns varied, the typical pattern was a steady level of use (2.5 times a month over an average of 9 months), which is higher than typically reported use. The portal pages most frequently accessed were the home page, health record main page, appointment main page, and reports main page. The Web-based survey captured caregivers' perceptions of usefulness of and satisfaction with the EHR and portal messaging, as well as the portal's impact on their engagement in care and perceptions of caregiver-provider communication. The surveys indicated a moderate degree of utility of and satisfaction with the portal features, and a low but emerging impact on engagement in care and caregiver-provider communication (survey scales measuring these outcomes displayed excellent internal consistency, with Cronbach alpha ranging from .89 to .95). Qualitative themes from focus groups and interviews supported and extended the survey findings. Caregivers and service providers saw appreciable information benefits and provided recommendations to increase portal use and utility. Caregivers focused on the scope of organizational adoption of the portal system and indicated their hopes for the future of the portal, whereas service providers were concerned about how to best manage their investment of time and effort in preparing client-friendly reports and messaging clients via the portal. CONCLUSIONS: Overall, the findings show the promise of the portal and the need for ongoing evaluation to show the portal's ultimate potential in enhancing engagement in care and communication with care providers.
[Mh] Termos MeSH primário: Registros Eletrônicos de Saúde
Saúde da Família/educação
Portais do Paciente
[Mh] Termos MeSH secundário: Adulto
Cuidadores
Comunicação
Feminino
Grupos Focais
Seres Humanos
Masculino
Meia-Idade
Pais
Estudos Prospectivos
Centros de Reabilitação
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170912
[Lr] Data última revisão:
170912
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170408
[St] Status:MEDLINE
[do] DOI:10.2196/jmir.6811


  10 / 83 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28385681
[Au] Autor:Wolcott V; Agarwal R; Nelson DA
[Ad] Endereço:Army-Baylor University Graduate Program in Health and Business Administration, JBSA Ft Sam Houston, TX, United States.
[Ti] Título:Is Provider Secure Messaging Associated With Patient Messaging Behavior? Evidence From the US Army.
[So] Source:J Med Internet Res;19(4):e103, 2017 Apr 06.
[Is] ISSN:1438-8871
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Secure messaging with health care providers offers the promise of improved patient-provider relationships, potentially facilitating outcome improvements. But, will patients use messaging technology in the manner envisioned by policy-makers if their providers do not actively use it? OBJECTIVE: We hypothesized that the level and type of secure messaging usage by providers might be associated with messaging initiation by their patients. METHODS: The study employed a dataset of health care and secure messaging records of more than 81,000 US Army soldiers and nearly 3000 clinicians with access to a patient portal system. We used a negative binomial regression model on over 25 million observations to determine the adjusted association between provider-initiated and provider-response messaging and subsequent messaging by their patients in this population over a 4-year period. RESULTS: Prior provider-initiated and response messaging levels were associated with new patient messaging when controlling for the patient's health care utilization and diagnoses, with the strongest association for high provider-response messaging level. Patients whose providers were highly responsive to the messages of other patients initiated 334% more secure messages (P<.001) than patients with providers who did not personally respond to other patients' messages. CONCLUSIONS: Our results indicate that provider messaging usage levels and types thereof predict their patients' subsequent communication behavior. The findings suggest the need for more study into the factors associated with provider messaging to fully understand the mechanisms of this relationship.
[Mh] Termos MeSH primário: Comunicação
Correio Eletrônico
Pessoal de Saúde
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Militares
Aceitação pelo Paciente de Cuidados de Saúde
Portais do Paciente
Relações Médico-Paciente
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170912
[Lr] Data última revisão:
170912
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170408
[St] Status:MEDLINE
[do] DOI:10.2196/jmir.6804



página 1 de 9 ir para página                      
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde