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Promoting Patient-Centered Preventive Care Using a Wellness Portal: Preliminary Findings Ann F. Chou, Zsolt Nagykaldi, Cheryl B. Aspy, and James W. Mold.

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Presentation on theme: "Promoting Patient-Centered Preventive Care Using a Wellness Portal: Preliminary Findings Ann F. Chou, Zsolt Nagykaldi, Cheryl B. Aspy, and James W. Mold."— Presentation transcript:

1 Promoting Patient-Centered Preventive Care Using a Wellness Portal: Preliminary Findings Ann F. Chou, Zsolt Nagykaldi, Cheryl B. Aspy, and James W. Mold Journal of Primary Care & Community Health

2 Introduction Over the past decade, an increasing number of HIT applications have incorporated Web-based portals that provide patients electronic access to their PHRs.... Over the past decade, an increasing number of HIT applications have incorporated Web-based portals that provide patients electronic access to their PHRs.... Some recent studies have suggested that patient portals have a positive impact on components of patient-centered care … Some recent studies have suggested that patient portals have a positive impact on components of patient-centered care … There is virtually no information on portals that specifically focus on preventive services in the context of patient-centered care. There is virtually no information on portals that specifically focus on preventive services in the context of patient-centered care.

3 This study objectives were This study objectives were A. Develop a wellness portal for patients in primary care settings. B. Conduct a field test of the portal in primary care practices.

4 Method The study was conducted within the Oklahoma Physicians Resource/Research Network (OKPRN), a practice-based research network. The study was conducted within the Oklahoma Physicians Resource/Research Network (OKPRN), a practice-based research network. An advisory committee and tasked it to identify features and structure of a wellness portal that would be the most generalizable. An advisory committee and tasked it to identify features and structure of a wellness portal that would be the most generalizable. The Committee met 3 times to discuss the portal design. The Committee met 3 times to discuss the portal design.

5 A list of elements recommended for portal inclusion was compiled. A list of elements recommended for portal inclusion was compiled. The Delphi technique was applied to achieve consensus on the final portal structure. The Delphi technique was applied to achieve consensus on the final portal structure. Members of the advisory committee ranked a 5-point Likert scale of each element. Members of the advisory committee ranked a 5-point Likert scale of each element.

6 Field test 30 patients were randomly recruited from 2 practices to complete a questionnaire. 30 patients were randomly recruited from 2 practices to complete a questionnaire. Enrolled patients were given access to the portal for 6 months. Enrolled patients were given access to the portal for 6 months. Patients were surveyed via both structured and open-ended questionnaires. Patients were surveyed via both structured and open-ended questionnaires.

7 Results

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10 Discussion This findings showed that patients regarded the Wellness Portal as an easy to use, important, and valuable tool that helped them manage their own health. This findings showed that patients regarded the Wellness Portal as an easy to use, important, and valuable tool that helped them manage their own health. While patients in our study saw value in the portal, clinicians in general have been reluctant to adopt this technology. While patients in our study saw value in the portal, clinicians in general have been reluctant to adopt this technology. This Study limitations: This Study limitations:  small sample size  short duration

11 This study contributes to the current knowledge base by identifying portal elements through a consensus process specifically designed. This study contributes to the current knowledge base by identifying portal elements through a consensus process specifically designed. Optimal delivery of preventive services will increasingly require sophisticated information processing and greater patient involvement. Optimal delivery of preventive services will increasingly require sophisticated information processing and greater patient involvement.


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