Providing a Web-based Online Medical Record with Electronic Communication Capabilities to Patients With Congestive Heart Failure: Randomized Trial
By S. Ross, Laurie A. Moore, M. Earnest, L. Wittevrongel, Chen-Tan Lin. Journal of Medical Internet Research, 2004
313 citations recorded by the source corpus.
Background It is possible to provide patients with secure access to their medical records using the Internet. Such access may assist patients in the self-management of chronic diseases such as heart failure. Objective To assess how a patient-accessible online medical record affects patient care and clinic operations. The SPPARO (System Providing Access to Records Online) software consisted of a web-based electronic medical record, an educational guide, and a messaging system enabling electronic communication between the patient and staff. Methods A randomized controlled trial was conducted in a specialty practice for patients with heart failure. Surveys assessing doctor-patient communication, adherence, and health status were conducted at baseline, 6 months, and 1 year. Use of the system, message volume, utilization of clinical services, and mortality were monitored. Results One hundred and seven patients were enrolled (54 intervention and 53 controls). At 12 months, the intervention group was not found to be superior in self-efficacy (KCCQ self-efficacy score 91 vs. 85, p=0.08), but was superior in general adherence (MOS compliance score 85 vs. 78, p=0.01). A trend was observed for better satisfaction with doctor-patient communication. The intervention group had more emergency department visits (20 vs. 8, p=0.03), but these visits were not temporally related to use of the online medical record. There were no adverse effects from use of the system. Conclusions Providing patients with congestive heart failure access to an online medical record was feasible and improved adherence. An effect on health status could not be demonstrated in this pilot study.
Subfields: Cardiology and Cardiovascular Medicine, General Health Professions, Health Information Management
View Paper: https://www.semanticscholar.org/paper/276ae4fdba6ca878ad2e74ead7be4e15e5e16d4a
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Citations in the corpus
- Potential of electronic personal health records (2007, background): “13 In view of individuals’ differing requirements from an electronic personal health record and the associated security issues, HealthSpace’s cautious approach to access and interactivity is appropriate.”
- Why Are Health Care Interventions Delivered Over the Internet? A Systematic Review of the Published Literature (2006, methodology): “Reducing Cost and Increasing Convenience for Users Reducing cost and increasing convenience for the user was given as a reason for delivery over the Internet in 20 of the interventions studied [20-23,29,32,39,43-48,50,52,53,56-58, 60-63 ,65,66,75].”
- Electronic Patient Portals: Evidence on Health Outcomes, Satisfaction, Efficiency, and Attitudes (2013, methodology): “The University of Colorado study of a portal for patients with congenital heart failure (described previously) found a significant increase in overall emergency department visits in the intervention group compared with the control group (20 vs. 8 visits) but no differences in hospitalizations (11).”
- Inviting Patients to Read Their Doctors’ Notes: A Quasi-experimental Study and a Look Ahead (2011, background): “We were excited to see that more than half of patients who received medications reported improved adherence, consistent with findings about general adherence from another open-records study (12).”