1. Måling af forbedringen
Measurement of improvement
The first sub-study was blind for doctors while they were unaware about the study. There was registered patient time to complete the application, the PGJ content was analyzed and compared against conventional patient-admittance chart. Complaints were analyzed quantitatively and qualitatively.
The second sub-study was conducted in accordance to the real life consequence – patients completed application, and consequently got doctors the PGJ content prior to patient examination. Focus was put on qualitative assessment, as narratives.
Måling af forbedringen

2. Måling af forbedringen
Measurement of improvement
The first sub-study was blind for doctors while they were unaware about the study. There was registered patient time to complete the application, the PGJ content was analyzed and compared against conventional patient-admittance chart. Complaints were analyzed quantitatively and qualitatively.
The second sub-study was conducted in accordance to the real life consequence – patients completed application, and consequently got doctors the PGJ content prior to patient examination. Focus was put on qualitative assessment, as narratives.
Måling af forbedringen

3. Måling af forbedringen
Measurement of improvement
The first sub-study was blind for doctors while they were unaware about the study. There was registered patient time to complete the application, the PGJ content was analyzed and compared against conventional patient-admittance chart. Complaints were analyzed quantitatively and qualitatively.
The second sub-study was conducted in accordance to the real life consequence – patients completed application, and consequently got doctors the PGJ content prior to patient examination. Focus was put on qualitative assessment, as narratives.
Måling af forbedringen

5. Forandringseffekter Effects of changes 33,4 min M K
The first sub-study revealed that patients (age 23-78) can complete the PGJ. It required min (mean 33,4), depending on age and technology-readiness. All patients (100%) responded to all questions, accepted PGJ as matching to symptoms. Average symptoms number in the PGJ was approximately 3-fold higher compared to those documented in conventional admittance charts (21.4 against 6.9). No symptom mentioned in chart was missing in the PGJ.
Interviews demonstrated no difficulties in completing the PGJ. Every patient enrolled in study confirms that PGJ makes sense and is positive to run “through their body” and get better prepared for patient-doctor contact.
The second sub-study confirmed patients’ readiness and acceptance of the PGJ (99%), unless there was severe pain, confusion or low functionality. PGJ is being accepted by doctors as an assisting tool. It reveals patient’s problems and highlights main, and examination can be more efficient.
Tid, min
33,4 min
Alder, år M K

6. Registreret symptomer, %
Forandringseffekter
Effects of changes
The first sub-study revealed that patients (age 23-78) can complete the PGJ. It required min (mean 33,4), depending on age and technology-readiness. All patients (100%) responded to all questions, accepted PGJ as matching to symptoms. Average symptoms number in the PGJ was approximately 3-fold higher compared to those documented in conventional admittance charts (21.4 against 6.9). No symptom mentioned in chart was missing in the PGJ.
Interviews demonstrated no difficulties in completing the PGJ. Every patient enrolled in study confirms that PGJ makes sense and is positive to run “through their body” and get better prepared for patient-doctor contact.
The second sub-study confirmed patients’ readiness and acceptance of the PGJ (99%), unless there was severe pain, confusion or low functionality. PGJ is being accepted by doctors as an assisting tool. It reveals patient’s problems and highlights main, and examination can be more efficient.
Registreret symptomer, % N 22 12 15 57 9 21 14 28 24
100%
54%
33%
67%
25%
19%
36%
18%
21%
50% 12 4 10 14 6 5
Alder, år M K

7. Forandringseffekter Effects of changes
The first sub-study revealed that patients (age 23-78) can complete the PGJ. It required min (mean 33,4), depending on age and technology-readiness. All patients (100%) responded to all questions, accepted PGJ as matching to symptoms. Average symptoms number in the PGJ was approximately 3-fold higher compared to those documented in conventional admittance charts (21.4 against 6.9). No symptom mentioned in chart was missing in the PGJ.
Interviews demonstrated no difficulties in completing the PGJ. Every patient enrolled in study confirms that PGJ makes sense and is positive to run “through their body” and get better prepared for patient-doctor contact.
The second sub-study confirmed patients’ readiness and acceptance of the PGJ (99%), unless there was severe pain, confusion or low functionality. PGJ is being accepted by doctors as an assisting tool. It reveals patient’s problems and highlights main, and examination can be more efficient.
Forandringseffekter

8. 6.9 21.4 Forandringseffekter 32.2% 100%
Effects of changes
The first sub-study revealed that patients (age 23-78) can complete the PGJ. It required min (mean 33,4), depending on age and technology-readiness. All patients (100%) responded to all questions, accepted PGJ as matching to symptoms. Average symptoms number in the PGJ was approximately 3-fold higher compared to those documented in conventional admittance charts (21.4 against 6.9). No symptom mentioned in chart was missing in the PGJ.
Interviews demonstrated no difficulties in completing the PGJ. Every patient enrolled in study confirms that PGJ makes sense and is positive to run “through their body” and get better prepared for patient-doctor contact.
The second sub-study confirmed patients’ readiness and acceptance of the PGJ (99%), unless there was severe pain, confusion or low functionality. PGJ is being accepted by doctors as an assisting tool. It reveals patient’s problems and highlights main, and examination can be more efficient.
32.2%
100%
6.9
21.4
I alle tilfælde er der flere symptomer, som patienter nævner i Patient-genereret Journal,
men ikke til lægen (eller ikke registreret?)
Der er ikke fundet noget symptom i lægelige journaler, som ikke har været registreret i PGJ

9. Forandringseffekter Effects of changes
The first sub-study revealed that patients (age 23-78) can complete the PGJ. It required min (mean 33,4), depending on age and technology-readiness. All patients (100%) responded to all questions, accepted PGJ as matching to symptoms. Average symptoms number in the PGJ was approximately 3-fold higher compared to those documented in conventional admittance charts (21.4 against 6.9). No symptom mentioned in chart was missing in the PGJ.
Interviews demonstrated no difficulties in completing the PGJ. Every patient enrolled in study confirms that PGJ makes sense and is positive to run “through their body” and get better prepared for patient-doctor contact.
The second sub-study confirmed patients’ readiness and acceptance of the PGJ (99%), unless there was severe pain, confusion or low functionality. PGJ is being accepted by doctors as an assisting tool. It reveals patient’s problems and highlights main, and examination can be more efficient.
Forandringseffekter

10. Forbedringer og Resultater:
Forandringseffekter
Effects of changes
The first sub-study revealed that patients (age 23-78) can complete the PGJ. It required min (mean 33,4), depending on age and technology-readiness. All patients (100%) responded to all questions, accepted PGJ as matching to symptoms. Average symptoms number in the PGJ was approximately 3-fold higher compared to those documented in conventional admittance charts (21.4 against 6.9). No symptom mentioned in chart was missing in the PGJ.
Interviews demonstrated no difficulties in completing the PGJ. Every patient enrolled in study confirms that PGJ makes sense and is positive to run “through their body” and get better prepared for patient-doctor contact.
The second sub-study confirmed patients’ readiness and acceptance of the PGJ (99%), unless there was severe pain, confusion or low functionality. PGJ is being accepted by doctors as an assisting tool. It reveals patient’s problems and highlights main, and examination can be more efficient.
Forbedringer og Resultater:
Patientsikkerhed
Patienten bliver altid spurgt grundigt og ensartet om sine symptomer, uafhængigt af lægens erfaring eller tidspunkt
Undersøgelse (N=10) viser at i alle tilfælde (100%) dokumenteres færre symptomer i EPJ (32,2%) end patienten selv registrerer
Patientens føler sig hørt og inddraget i behandlingsforløb
Mundtlig eller skriftlig feedback fra patienterne:
Ingen af patienterne (0%) har været negativ om metoden (N=87)
Patienternes generel vurdering: Det giver mening
Alle patienter (N=10)

11. Forbedringer og Resultater:
Forandringseffekter
Effects of changes
The first sub-study revealed that patients (age 23-78) can complete the PGJ. It required min (mean 33,4), depending on age and technology-readiness. All patients (100%) responded to all questions, accepted PGJ as matching to symptoms. Average symptoms number in the PGJ was approximately 3-fold higher compared to those documented in conventional admittance charts (21.4 against 6.9). No symptom mentioned in chart was missing in the PGJ.
Interviews demonstrated no difficulties in completing the PGJ. Every patient enrolled in study confirms that PGJ makes sense and is positive to run “through their body” and get better prepared for patient-doctor contact.
The second sub-study confirmed patients’ readiness and acceptance of the PGJ (99%), unless there was severe pain, confusion or low functionality. PGJ is being accepted by doctors as an assisting tool. It reveals patient’s problems and highlights main, and examination can be more efficient.
Forbedringer og Resultater:
Patientsikkerhed
Patientens symptomer bliver dokumenteret af patienten selv (”habil” patient), direkte
Alle patienter (N=100) svarer at det giver mening
Patientens ventetid fyldes og bliver brugt meningsfuld
Alle patienter udfylder PGJ i eget tempo. Tiden for at få uafbrudt udfyldelse af PGJ ligger mellem min (N=20)
Lægernes generel vurdering: Det giver mening
Ønskes integrering med EPJ

13. Hvad vi har lært Lessons learned
The study allowed continuously to get patients comments and feedback, gather critical remarks from doctors and focus on better PGJ functionality.
Hvad vi har lært

14. Jeg har ingen hovedpine Jeg har hovedpine
Hvad vi har lært
Lessons learned
The study allowed continuously to get patients comments and feedback, gather critical remarks from doctors and focus on better PGJ functionality.
Jeg har ingen hovedpine
Jeg har hovedpine
Jeg har ingen smerter
Jeg har smerter
Enig
Uenig Ja
Nej

16. Messages for others Messages for others
The method provides unified quality of comprehensive symptoms screening, chief-complaints selection, facilitates documentation process involving patients and presenting their health problems in professionally appropriate way. The PGJ appears to be an efficient tool which assist to get documented around a half of admittance journal content. There is need to integrate the PGJ with existing electronic health record systems.
To realize integration into real life there is need for further research. As international experience suggests, “it is important to move towards achievement that science, healthcare policy, health economy, technology and clinical practice work synergistically together”.
Patientens største klager:
vejrtrækningsproblemer, over 1 år
hjertebanken, over 1 år
træthed, over 1 år
Test Testesen
48-årig mand modtages via Testlæge pga åndenød.
Ingen
2000 Depression
2013 Lleddegigt
2013 aug. Auto immun hepatitis
Paroxetin 40 mg x 1 / døgn (som Depression, over 1 år)
Nihil
Bor ikke alene. Har pårørende. Arbejder (Fysisk).
Andre aktuelle symptomer:
nakkestivhed
lysskyhed
benødem
Patient Genereret Journal (PGJ)
Systematisk adspurgt og nævne følgende symptomer:
svedeture
svimmelhed
kvalme

17. Messages for others Messages for others
The method provides unified quality of comprehensive symptoms screening, chief-complaints selection, facilitates documentation process involving patients and presenting their health problems in professionally appropriate way. The PGJ appears to be an efficient tool which assist to get documented around a half of admittance journal content. There is need to integrate the PGJ with existing electronic health record systems.
To realize integration into real life there is need for further research. As international experience suggests, “it is important to move towards achievement that science, healthcare policy, health economy, technology and clinical practice work synergistically together”.
Messages for others

18. Messages for others Messages for others
The method provides unified quality of comprehensive symptoms screening, chief-complaints selection, facilitates documentation process involving patients and presenting their health problems in professionally appropriate way. The PGJ appears to be an efficient tool which assist to get documented around a half of admittance journal content. There is need to integrate the PGJ with existing electronic health record systems.
To realize integration into real life there is need for further research. As international experience suggests, “it is important to move towards achievement that science, healthcare policy, health economy, technology and clinical practice work synergistically together”.
Messages for others

20. Patientinvolvering Involvement of patients
This is the first attempt in the Danish Hospital System to involve patients into treatment by providing mobile tool for their Subjective Journal, which conforms to the clinical standard. From patients’ perspective, the PGJ helps to focus more critically on own symptoms, get better prepared for patient-doctor contact, allows to use waiting time more efficiently.
Patientinvolvering

22. Conflict of interest: Author has contributed to the functionality of the software and has equity in the solution.
Ethics Approval: Not required for the study purpose.

23. Ethics Approval: Not required for the study purpose.
Conflict of interest: Author has contributed to the functionality of the software and has equity in the solution.
Ethics Approval: Not required for the study purpose.

24. TAK!