domingo, 22 de mayo de 2011

Patient Web Portals to Improve Diabetes Outcomes: A Systematic Review

Patient Web Portals to Improve Diabetes Outcomes: A Systematic Review






Curr Diab Rep. 2010 Dec;10(6):422-35.
Patient web portals to improve diabetes outcomes: a systematic review.
Osborn CY, Mayberry LS, Mulvaney SA, Hess R.

Source
Division of General Internal Medicine & Public Health, Center for Health Services Research, Vanderbilt University Medical Center, Nashville, TN 37232-8300, USA
. chandra.osborn@vanderbilt.edu

Abstract
Patient web portals (PWPs), defined as the integration of electronic medical records and patient health records, have been related to enhanced patient outcomes. A literature review was conducted to characterize the design and evaluation of PWPs to improve health care processes and outcomes in diabetes. A summary of 26 articles revealed the positive impact PWPs have on patient outcomes, patient-provider communication, disease management, and access to and patient satisfaction with health care. Innovative and useful approaches included the evaluation of specific components of the PWPs, assessing the impact of PWPs on mediators of health behaviors, such as patient distress, identification of barriers to use, and patient willingness to pay for access. Future research should focus on relevant processes that mediate patient and provider use, impact on health care utilization, and a patient-centered approach to the design and integration of educational opportunities afforded through PWPs.

PMID:20890688[PubMed - indexed for MEDLINE] PMCID: PMC3086814
Free PMC Article
Patient web portals to improve diabetes outcomes: ... [Curr Diab Rep. 2010] - PubMed result







Patient web portals (PWPs), defined as the integration of electronic medical records and patient health records, have been related to enhanced patient outcomes. A literature review was conducted to characterize the design and evaluation of PWPs to improve health care processes and outcomes in diabetes. A summary of 26 articles revealed the positive impact PWPs have on patient outcomes, patient-provider communication, disease management, and access to and patient satisfaction with health care. Innovative and useful approaches included the evaluation of specific components of the PWPs, assessing the impact of PWPs on mediators of health behaviors, such as patient distress, identification of barriers to use, and patient willingness to pay for access. Future research should focus on relevant processes that mediate patient and provider use, impact on health care utilization, and a patient-centered approach to the design and integration of educational opportunities afforded through PWPs.Keywords: Patient web portal, Systematic review, Diabetes, Evaluation, Usability, Electronic health record, Personal health record, Glycemic control, Satisfaction, Type 1, Type 2, Providers, Caregivers, Self-care, Behaviors, Quality of life, Diabetes distress, Management, Communication

full-text (open here):
Patient Web Portals to Improve Diabetes Outcomes: A Systematic Review

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