J. Med. Internet Res. - Improving diabetes management with a patient portal: a qualitative study of diabetes self-management portal.

Tópicos

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Resumo

CKGROUND: Effective management and care of diabetes is crucial to reducing associated risks such as heart disease and kidney failure. With increasing access and use of the Internet, online chronic disease management is being explored as a means of providing patients with support and the necessary tools to monitor and manage their disease.OBJECTIVE: The objective of our study was to evaluate the experience of patients and providers using an online diabetes management portal for patients.METHODS: Participants were recruited from a large sample population of 887 for a follow-up questionnaire to be completed after 6 months of using the patient portal. Participants were presented with the option to participate in an additional interview and, if the participant agreed, a time and date was scheduled for the interview. A 5-item, open-ended questionnaire was used to capture providers' opinions of the patient portal. Providers included general practitioners (GPs), nurses, nurse practitioners (NPs), dieticians, diabetes educators (DECs), and other clinical staff.RESULTS: A total of 854 patients were consented for the questionnaire. Seventeen (8 male, 9 female) patients agreed to participate in a telephone interview. Sixty-four health care providers completed the five open-ended questions; however, an average of 48.2 responses were recorded per question. Four major themes were identified and will be discussed in this paper. These themes have been classified as: facilitators of disease management, barriers to portal use, patient-provider communication and relationship, and recommendations for portal improvements.CONCLUSIONS: This qualitative study shows that online chronic disease management portals increase patient access to information and engagement in their health care, but improvements in the portal itself may improve usability and reduce attrition. Furthermore, this study identifies a grey area that exists in the roles that GPs and AHPs should play in the facilitation of online disease management.

Resumo Limpo

ckground effect manag care diabet crucial reduc associ risk heart diseas kidney failur increas access use internet onlin chronic diseas manag explor mean provid patient support necessari tool monitor manag diseaseobject object studi evalu experi patient provid use onlin diabet manag portal patientsmethod particip recruit larg sampl popul followup questionnair complet month use patient portal particip present option particip addit interview particip agre time date schedul interview item openend questionnair use captur provid opinion patient portal provid includ general practition gps nurs nurs practition nps dietician diabet educ dec clinic staffresult total patient consent questionnair seventeen male femal patient agre particip telephon interview sixtyfour health care provid complet five openend question howev averag respons record per question four major theme identifi will discuss paper theme classifi facilit diseas manag barrier portal use patientprovid communic relationship recommend portal improvementsconclus qualit studi show onlin chronic diseas manag portal increas patient access inform engag health care improv portal may improv usabl reduc attrit furthermor studi identifi grey area exist role gps ahp play facilit onlin diseas manag

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