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Published in: BMC Medical Informatics and Decision Making 1/2016

Open Access 01-12-2016 | Research article

Patients’ and healthcare providers’ perceptions of a mobile portal application for hospitalized patients

Authors: Kevin J. O’Leary, Rashmi K. Sharma, Audrey Killarney, Lyndsey S. O’Hara, Mary E. Lohman, Eckford Culver, David M. Liebovitz, Kenzie A. Cameron

Published in: BMC Medical Informatics and Decision Making | Issue 1/2016

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Abstract

Background

Hospital-based patient portals have the potential to better inform and engage patients in their care. We sought to assess patients’ and healthcare providers’ perceptions of a hospital-based portal and identify opportunities for design enhancements.

Methods

We developed a mobile patient portal application including information about the care team, scheduled tests and procedures, and a list of active medications. Patients were offered use of tablet computers, with the portal application, during their hospitalization. We conducted semi-structured interviews of patients and provider focus groups. Text from transcribed interviews and focus groups was independently coded by two investigators using a constant comparative approach. Codes were reviewed by a third investigator and discrepancies resolved via consensus.

Results

Overall, 18 patients completed semi-structured interviews and 21 providers participated in three focus groups. Patients found information provided by the portal to be useful, especially regarding team members and medications. Many patients described frequent use of games and non-clinical applications and felt the tablet helped them cope with their acute illness. Patients expressed a desire for additional detail about medications, test results, and the ability to record questions. Providers felt the portal improved patient engagement, but worried that additional features might result in a volume and complexity of information that could be overwhelming for patients. Providers also expressed concern over an enhanced portal’s impact on patient-provider communication and workflow.

Conclusions

Optimizing a hospital-based patient portal will require attention to type, timing and format of information provided, as well as the impact on patient-provider communication and workflow.
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Literature
1.
go back to reference Kuo YF, Sharma G, Freeman JL, Goodwin JS. Growth in the care of older patients by hospitalists in the United States. N Engl J Med. 2009;360(11):1102–12.CrossRefPubMedPubMedCentral Kuo YF, Sharma G, Freeman JL, Goodwin JS. Growth in the care of older patients by hospitalists in the United States. N Engl J Med. 2009;360(11):1102–12.CrossRefPubMedPubMedCentral
2.
go back to reference Arora V, Gangireddy S, Mehrotra A, Ginde R, Tormey M, Meltzer D. Ability of hospitalized patients to identify their in-hospital physicians. Arch Intern Med. 2009;169(2):199–201.CrossRefPubMed Arora V, Gangireddy S, Mehrotra A, Ginde R, Tormey M, Meltzer D. Ability of hospitalized patients to identify their in-hospital physicians. Arch Intern Med. 2009;169(2):199–201.CrossRefPubMed
3.
go back to reference Makaryus AN, Friedman EA. Does your patient know your name? An approach to enhancing patients' awareness of their caretaker's name. J Healthc Qual. 2005;27(4):53–6.CrossRefPubMed Makaryus AN, Friedman EA. Does your patient know your name? An approach to enhancing patients' awareness of their caretaker's name. J Healthc Qual. 2005;27(4):53–6.CrossRefPubMed
4.
go back to reference Chu ES, Hakkarinen D, Evig C, et al. Underutilized time for health education of hospitalized patients. J Hosp Med. 2008;3(3):238–46.CrossRefPubMed Chu ES, Hakkarinen D, Evig C, et al. Underutilized time for health education of hospitalized patients. J Hosp Med. 2008;3(3):238–46.CrossRefPubMed
5.
go back to reference Cumbler E, Wald H, Kutner J. Lack of patient knowledge regarding hospital medications. J Hosp Med. 2010;5(2):83–6.PubMed Cumbler E, Wald H, Kutner J. Lack of patient knowledge regarding hospital medications. J Hosp Med. 2010;5(2):83–6.PubMed
6.
go back to reference Makaryus AN, Friedman EA. Patients' understanding of their treatment plans and diagnosis at discharge. Mayo Clin Proc. 2005;80(8):991–4.CrossRefPubMed Makaryus AN, Friedman EA. Patients' understanding of their treatment plans and diagnosis at discharge. Mayo Clin Proc. 2005;80(8):991–4.CrossRefPubMed
8.
go back to reference Olson DP, Windish DM. Communication discrepancies between physicians and hospitalized patients. Arch Intern Med. 2010;170(15):1302–7.CrossRefPubMed Olson DP, Windish DM. Communication discrepancies between physicians and hospitalized patients. Arch Intern Med. 2010;170(15):1302–7.CrossRefPubMed
9.
10.
go back to reference Kruse CS, Bolton K, Freriks G. The effect of patient portals on quality outcomes and its implications to meaningful use: a systematic review. J Med Internet Res. 2015;17(2), e44.CrossRefPubMedPubMedCentral Kruse CS, Bolton K, Freriks G. The effect of patient portals on quality outcomes and its implications to meaningful use: a systematic review. J Med Internet Res. 2015;17(2), e44.CrossRefPubMedPubMedCentral
11.
go back to reference Greysen SR, Khanna RR, Jacolbia R, Lee HM, Auerbach AD. Tablet computers for hospitalized patients: a pilot study to improve inpatient engagement. J Hosp Med. 2014;9(6):396–9.CrossRefPubMedPubMedCentral Greysen SR, Khanna RR, Jacolbia R, Lee HM, Auerbach AD. Tablet computers for hospitalized patients: a pilot study to improve inpatient engagement. J Hosp Med. 2014;9(6):396–9.CrossRefPubMedPubMedCentral
12.
go back to reference Pell JM, Mancuso M, Limon S, Oman K, Lin CT. Patient access to electronic health records during hospitalization. JAMA Intern Med. 2015;175(5):856–8.CrossRefPubMed Pell JM, Mancuso M, Limon S, Oman K, Lin CT. Patient access to electronic health records during hospitalization. JAMA Intern Med. 2015;175(5):856–8.CrossRefPubMed
13.
go back to reference Vawdrey DK, Wilcox LG, Collins SA, et al. A tablet computer application for patients to participate in their hospital care. AMIA Annu Symp Proc. 2011;2011:1428–35.PubMedPubMedCentral Vawdrey DK, Wilcox LG, Collins SA, et al. A tablet computer application for patients to participate in their hospital care. AMIA Annu Symp Proc. 2011;2011:1428–35.PubMedPubMedCentral
14.
go back to reference Dalal AK, Dykes PC, Collins S, et al. A web-based, patient-centered toolkit to engage patients and caregivers in the acute care setting: a preliminary evaluation. J Am Med Inform Assoc: JAMIA. 2016;23(1):80-87. Dalal AK, Dykes PC, Collins S, et al. A web-based, patient-centered toolkit to engage patients and caregivers in the acute care setting: a preliminary evaluation. J Am Med Inform Assoc: JAMIA. 2016;23(1):80-87.
15.
go back to reference O'Leary KJ, Lohman ME, Culver E, Killarney A, Randy Smith G, Jr., Liebovitz DM. The effect of tablet computers with a mobile patient portal application on hospitalized patients' knowledge and activation. J Am Med Inform Assoc: JAMIA. 2016;23(1):159-65. O'Leary KJ, Lohman ME, Culver E, Killarney A, Randy Smith G, Jr., Liebovitz DM. The effect of tablet computers with a mobile patient portal application on hospitalized patients' knowledge and activation. J Am Med Inform Assoc: JAMIA. 2016;23(1):159-65.
16.
go back to reference Strauss A, Corbin J. Basics of Qualitative Research: Grounded Theory and Techniques. 2nd ed. Newbury Park: SAGE Publications, Inc.; 1990. Strauss A, Corbin J. Basics of Qualitative Research: Grounded Theory and Techniques. 2nd ed. Newbury Park: SAGE Publications, Inc.; 1990.
17.
go back to reference Dykes PC, Stade D, Chang F, et al. Participatory design and development of a patient-centered toolkit to engage hospitalized patients and care partners in their plan of care. AMIA Annu Symp Proc. 2014;2014:486–95.PubMedPubMedCentral Dykes PC, Stade D, Chang F, et al. Participatory design and development of a patient-centered toolkit to engage hospitalized patients and care partners in their plan of care. AMIA Annu Symp Proc. 2014;2014:486–95.PubMedPubMedCentral
18.
go back to reference Delbanco T, Walker J, Bell SK, et al. Inviting patients to read their doctors' notes: a quasi-experimental study and a look ahead. Ann Intern Med. 2012;157(7):461–70.CrossRefPubMedPubMedCentral Delbanco T, Walker J, Bell SK, et al. Inviting patients to read their doctors' notes: a quasi-experimental study and a look ahead. Ann Intern Med. 2012;157(7):461–70.CrossRefPubMedPubMedCentral
19.
go back to reference Earnest MA, Ross SE, Wittevrongel L, Moore LA, Lin CT. Use of a patient-accessible electronic medical record in a practice for congestive heart failure: patient and physician experiences. J Am Med Inform Assoc. 2004;11(5):410–7.CrossRefPubMedPubMedCentral Earnest MA, Ross SE, Wittevrongel L, Moore LA, Lin CT. Use of a patient-accessible electronic medical record in a practice for congestive heart failure: patient and physician experiences. J Am Med Inform Assoc. 2004;11(5):410–7.CrossRefPubMedPubMedCentral
20.
go back to reference Hassol A, Walker JM, Kidder D, et al. Patient experiences and attitudes about access to a patient electronic health care record and linked web messaging. J Am Med Inform Assoc. 2004;11(6):505–13.CrossRefPubMedPubMedCentral Hassol A, Walker JM, Kidder D, et al. Patient experiences and attitudes about access to a patient electronic health care record and linked web messaging. J Am Med Inform Assoc. 2004;11(6):505–13.CrossRefPubMedPubMedCentral
21.
go back to reference Prey JE, Restaino S, Vawdrey DK. Providing hospital patients with access to their medical records. AMIA Annu Symp Proc. 2014;2014:1884–93.PubMedPubMedCentral Prey JE, Restaino S, Vawdrey DK. Providing hospital patients with access to their medical records. AMIA Annu Symp Proc. 2014;2014:1884–93.PubMedPubMedCentral
22.
go back to reference Haun JN, Lind JD, Shimada SL, et al. Evaluating user experiences of the secure messaging tool on the Veterans Affairs' patient portal system. J Med Internet Res. 2014;16(3), e75.CrossRefPubMedPubMedCentral Haun JN, Lind JD, Shimada SL, et al. Evaluating user experiences of the secure messaging tool on the Veterans Affairs' patient portal system. J Med Internet Res. 2014;16(3), e75.CrossRefPubMedPubMedCentral
23.
go back to reference Wade-Vuturo AE, Mayberry LS, Osborn CY. Secure messaging and diabetes management: experiences and perspectives of patient portal users. J Am Med Inform Assoc. 2013;20(3):519–25.CrossRefPubMed Wade-Vuturo AE, Mayberry LS, Osborn CY. Secure messaging and diabetes management: experiences and perspectives of patient portal users. J Am Med Inform Assoc. 2013;20(3):519–25.CrossRefPubMed
24.
go back to reference Torke AM, Sachs GA, Helft PR, et al. Scope and outcomes of surrogate decision making among hospitalized older adults. JAMA Intern Med. 2014;174(3):370–7.CrossRefPubMedPubMedCentral Torke AM, Sachs GA, Helft PR, et al. Scope and outcomes of surrogate decision making among hospitalized older adults. JAMA Intern Med. 2014;174(3):370–7.CrossRefPubMedPubMedCentral
25.
26.
go back to reference Jameson E, Trevena J, Swain N. Electronic gaming as pain distraction. Pain research & management: the journal of the Canadian Pain Society = journal de la societe canadienne pour le traitement de la douleur. 2011;16(1):27–32.CrossRef Jameson E, Trevena J, Swain N. Electronic gaming as pain distraction. Pain research & management: the journal of the Canadian Pain Society = journal de la societe canadienne pour le traitement de la douleur. 2011;16(1):27–32.CrossRef
27.
go back to reference Primack BA, Carroll MV, McNamara M, et al. Role of video games in improving health-related outcomes: a systematic review. Am J Prev Med. 2012;42(6):630–8.CrossRefPubMedPubMedCentral Primack BA, Carroll MV, McNamara M, et al. Role of video games in improving health-related outcomes: a systematic review. Am J Prev Med. 2012;42(6):630–8.CrossRefPubMedPubMedCentral
28.
go back to reference Goel MS, Brown TL, Williams A, Cooper AJ, Hasnain-Wynia R, Baker DW. Patient reported barriers to enrolling in a patient portal. J Am Med Inform Assoc. 2011;18 Suppl 1:i8–12.CrossRefPubMedPubMedCentral Goel MS, Brown TL, Williams A, Cooper AJ, Hasnain-Wynia R, Baker DW. Patient reported barriers to enrolling in a patient portal. J Am Med Inform Assoc. 2011;18 Suppl 1:i8–12.CrossRefPubMedPubMedCentral
29.
go back to reference Charlier N, Zupancic N, Fieuws S, Denhaerynck K, Zaman B, Moons P. Serious games for improving knowledge and self-management in young people with chronic conditions: a systematic review and metaanalysis. J Am Med Inform Assoc: JAMIA. 2016;23(1):230-39. Charlier N, Zupancic N, Fieuws S, Denhaerynck K, Zaman B, Moons P. Serious games for improving knowledge and self-management in young people with chronic conditions: a systematic review and metaanalysis. J Am Med Inform Assoc: JAMIA. 2016;23(1):230-39.
30.
go back to reference Otte-Trojel T, de Bont A, Rundall TG, van de Klundert J. What do we know about developing patient portals? a systematic literature review. J Am Med Inform Assoc. 2016;23(e1):e162–8.CrossRefPubMed Otte-Trojel T, de Bont A, Rundall TG, van de Klundert J. What do we know about developing patient portals? a systematic literature review. J Am Med Inform Assoc. 2016;23(e1):e162–8.CrossRefPubMed
31.
go back to reference Guest G, Bunce A, Johnson L. How many interviews are enough?: an experiment with data saturation and variability. Field Methods. 2006;18(1):59–82.CrossRef Guest G, Bunce A, Johnson L. How many interviews are enough?: an experiment with data saturation and variability. Field Methods. 2006;18(1):59–82.CrossRef
Metadata
Title
Patients’ and healthcare providers’ perceptions of a mobile portal application for hospitalized patients
Authors
Kevin J. O’Leary
Rashmi K. Sharma
Audrey Killarney
Lyndsey S. O’Hara
Mary E. Lohman
Eckford Culver
David M. Liebovitz
Kenzie A. Cameron
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Medical Informatics and Decision Making / Issue 1/2016
Electronic ISSN: 1472-6947
DOI
https://doi.org/10.1186/s12911-016-0363-7

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