DOCSLIB.ORG

Ehealth to Support Cancer Survivors Support to Ehealth Ehealth to Support Cancer Survivors

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Ehealth to Support Cancer Survivors Support to Ehealth Ehealth to Support Cancer Survivors eHealth to support survivors cancer eHealth to support cancer survivors Development, implementation and evaluation of an interactive portal The end Wilma Kui jpers Wilma Kui jpers eHEALTH TO SUPPORT CANCER SURVIVORS DEVELOPMENT, IMPLEMENTATION AND EVALUATION OF AN INTERACTIVE PORTAL Wilma Kui jpers Address of correspondence Wilma Kuijpers Zamenhof 20 1961 GL Heemskerk, the Netherlands [email protected] +31 (0)6 22 15 77 82 © Copyright 2015: Wilma Kuijpers, the Netherlands All rights reserved. No part of this thesis may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording or any information storage or retrieval system, without permission in writing from the author, or, when appropriate, from the publishers of the publications. ISBN: 978-90-365-4031-5 Department Health Technology and Services Research, University of Twente, HSS 16-011, ISSN 1878-4968 Cover design and layout: Rachel van Esschoten, DivingDuck Design (www.divingduckdesign.nl) Printing: Gildeprint Drukkerijen, Enschede The studies in this thesis were financially supported by a grant from Alpe d’Huzes (KWF 2010- 4584) The printing of this thesis was supported by The Netherlands Cancer Institute and ChipSoft. eHEALTH TO SUPPORT CANCER SURVIVORS DEVELOPMENT, IMPLEMENTATION AND EVALUATION OF AN INTERACTIVE PORTAL PROEFSCHRIFT ter verkrijging van de graad van doctor aan de Universiteit Twente, op gezag van de rector magnificus, prof. dr. H. Brinksma, volgens besluit van het College voor Promoties in het openbaar te verdedigen op vrijdag 4 maart 2016 om 12.45 uur door Wilma Kuijpers geboren op 7 december 1984 te Beverwijk Dit proefschrift is goedgekeurd door de promotoren: Prof. dr. Wim H van Harten Prof. dr. Neil K Aaronson en de copromotor: Dr. Wim G Groen Samenstelling promotiecommissie: Voorzitter en secretaris Prof. dr. Th.A.J. Toonen Universiteit Twente Promotoren Prof. dr. WH van Harten Universiteit Twente Prof. dr. NK Aaronson Antoni van Leeuwenhoek Co-promotor Dr. WG Groen Antoni van Leeuwenhoek Beoordelingscommissie Prof. dr. JWEC van Gemert – Pijnen Universiteit Twente Dr. RPMG Hermens IQ Healthcare Nijmegen Prof. dr. JAM Kremer Radboud UMC Nijmegen Prof. dr. LV van de Poll – Franse Universiteit van Tilburg Prof. dr. MMR Vollenbroek – Hutten Universiteit Twente Prof. dr. LP de Witte Universiteit Maastricht CONTENTS Chapter 1 General introduction . 9 Chapter 2 Empowerment of cancer survivors through information technology: An integrative review . 21 Chapter 3 A systematic review of web-based interventions for patient empowerment and physical activity in chronic diseases: Relevance for cancer survivors . .55 Chapter 4 An interactive portal to empower cancer survivors: A qualitative study on user expectations . 85 Chapter 5 Development of MijnAVL, an interactive portal to empower breast and lung cancer survivors: An iterative, multi-stakeholder approach . .101 Chapter 6 Patients’ and health professionals’ understanding of and preferences for graphical presentation styles for individual level EORTC QLQ-C30 scores . .121 Chapter 7 eHealth for breast cancer survivors: Feasibility and preliminary evidence on the efficacy of an interactive portal . .141 Chapter 8 Supporting lung cancer patients by eHealth: A pilot study of the feasibility, use and impact of an interactive portal . 157 Chapter 9 General discussion . 167 Chapter 10 Summary . 185 Nederlandse samenvatting (Summary in Dutch) . 191 Dankwoord (Acknowledgments) . .199 List of publications . .205 About the author . 209 Chapter 1 Chapter General introduction Chapter 1 Cancer survivors Due to advancements in the early detection, diagnosis and treatment of cancer, along 1 with the ageing population, the number of cancer survivors is increasing rapidly [1]. In the Netherlands, numbers are expected to increase from 420.000 in 2009 up to 660.000 individuals in 2020 [2]. Over the years there has been debate about who should be considered a cancer survivor and different definitions have been presented [3]. According to the National Coalition for Cancer Survivorship (NCCS), individuals are a cancer survivor from the moment of diagnosis through the balance of life [4]. This implies that individuals undergoing treatment (usually referred to as cancer patients) are also seen as cancer survivors, which was also suggested by the Institute of Medicine (IOM) in their report “From cancer patient to cancer survivor: Lost in transition” [5]. The National Cancer Institute (NCI) has adapted and expanded the definition of the NCCS by also including family, friends and caregivers [6]. In contrast, the Survivorship Task Force of the European Organisation of Research and Treatment of Cancer (EORTC) has defined a cancer survivor as an individual who has completed his or her primary treatment for cancer and is currently disease-free [7]. We will adhere to the definition of the NCCS in this thesis, which implies that we refer to individuals both during and after treatment when we use the term cancer survivor. As the majority (62%) of cancer survivors live at least 5 years after diagnosis (“long-term”) [2], with cancer therapies health professionals not only try to maximize cure but also to minimize side effects of treatments [8]. Nevertheless, many survivors suffer from short- term, long-term and/or late effects caused by the cancer itself or cancer treatment, and can therefore be seen as individuals with a chronic disease. These effects can be physical or psychosocial and are likely to have an impact on health status and quality of life [5]. Short-term effects occur during treatment and include, for example, nausea and vomiting, hair loss, pain, and dyspnea; these effects often disappear after treatment completion. Long-term effects refer to side effects of cancer treatment that are persistent, such as pain, fatigue, and anxiety and sexual problems. Late effects emerge months or even years after the end of treatment. Besides an increased risk of cancer recurrence and second malignancies, late effects include, for example, cardiovascular disease, fibrosis, peripheral neuropathy, and cognitive deficits. Cancer survivorship care Survivorship care is becoming increasingly important for supporting cancer survivors in coping with these effects. It includes the palliation of persisting symptoms, the prevention of late effects of treatment or second cancers, and health promotion to maximize health status [8]. For palliation, prevention and health promotion, the provision of relevant information is important. The majority of cancer survivors have strong information needs regarding their diagnosis, treatment, rehabilitation and (late) effects [9; 10]. More specifically, they would like to know as much as possible about the characteristics of their disease, the course of treatment, the possible occurrence of (late) effects and what to 10 General introduction do to prevent or overcome them, what their follow-up schedule is and how to develop and maintain a healthy lifestyle. Information needs differ across the cancer trajectory and across people from different age, sex, educational level, ethnicity and stage of 1 disease [11]. As fulfilled information needs are related to satisfaction with care [12], and sometimes even to a better quality of life [13], it is important to provide survivors with information that fits their individual characteristics, preferences and needs to as great an extent as possible. Many of the short-term, long-term and late effects of cancer and its treatment have a physical component, which makes it increasingly important to adopt a healthy lifestyle in order to maximize health status. Being sufficiently physically active is especially important. A large number of studies have investigated the effects of interventions aimed at stimulating physical activity in cancer survivors both during and after treatment. In general, these studies have found positive effects on physical and psychosocial well- being, including improved physiology and body composition, less fatigue, improved psychological outcomes, better overall health-related quality of life and improvements in specific quality of life domains [14-19]. For breast, colon and prostate cancer, even a reduced risk of cancer recurrence has been reported [20; 21]. Despite these benefits, physical activity norms recommending 150 minutes of moderate intensity, 75 minutes of vigorous intensity or a comparable combination of these two per week [22] are not met by many cancer survivors [23; 24]. Barriers for being sufficiently physically active include health- or treatment related factors (e.g., illness, fatigue, nausea, pain, weakness), environmental factors (e.g., lack of equipment, lack of facilities, weather circumstances, family responsibilities) and personal factors (e.g., no interest, lack of self-discipline, lack of enjoyment, no motivation)[25-27]. It is important to help survivors to overcome these barriers so that they can engage regularly in physical activity. In this regard it is appropriate to provide relevant information and advice that take into account individual characteristics, needs and preferences. Another important factor in managing the (late) effects of cancer and its treatment is the regular screening for physical and psychosocial symptoms. In part, this can be done with questionnaires in which cancer survivors report about their health status: patient-reported outcomes (PROs). PROs can provide health professionals with information about the symptoms and subjective well-being of
Load more

Recommended publications
  • Telemedicine Services for Remote Reporting and Dissemination Technology in Sub-Saharan Africa
    Theme 2019: International Cooperation as Key Principle in Space Activities Telemedicine services for remote reporting and dissemination technology in Sub-Saharan Africa Silvana Dellepiane - Moira Gerace Telemedicine services for remote reporting and dissemination technology in Sub-Saharan Africa 4. A CASE STUDY: C.A.R. 1. INTRODUCTION • • Substainable Goals Geopolitical vision • WHO Leadership priorities and UHC • Healthcare and conditions of children • The logic ICT context • Hospital of Maïgaro • Culture, Cooperation and Technology • Telemedicine: Needs and requirements 5. DIGITAL DIVIDE and TELEMEDICINE IN AFRICA 2. E-Health • ICT technology Dissemination • Medicine-at-a-distance • Satellite communications • Telemedicine practice 6. TELEMEDICINE: A PILOT STUDY IN C.A.R. • WHO digital health • The approach • Maximising digital health technology AFRO • The Project development Region • The Project architecture • The software development 3. DATA PROTECTION • The platform • Medical records • The experiment on site • GDPR Legal issues 7. CONCLUSIONS Telemedicine services for remote reporting and dissemination technology in Sub-Saharan Africa 1. INTRODUCTION • Substainable Goals • WHO Leadership priorities and UHC • The logic ICT context • Culture, Cooperation and Technology End of 2015: transition from UNITED NATIONS Millennium Development Goals (MDGs) (proposed in the late 90s) to Sustainable Development Goals (SDGs). SDG 3 – Ensure healthy lives and promote well-being for all at all ages As one of the Sustainable Development Goals (SDGs) set by the UN at the September 2015 global summit held in New York, SDG 3 – better health care and general well-being has always been a major challenge, especially in the developing world. Workers in various industries that are supposed to propel economic growth can only maximise their productivity if they are physically well and fit to comfortably handle their jobs’ magnitudes.
    [Show full text]
  • Health IT-Enabled Care Coordination and Redesign in Tennessee
    FINAL CONTRACT REPORT Using Health IT in Practice Redesign: Impact of Health IT on Workflow Health IT-Enabled Care Coordination and Redesign in Tennessee Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov HEALTH IT Final Contract Report Health IT-Enabled Care Coordination and Redesign in Tennessee Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov Contract No. HHSA 290-2010-00024I Prepared by: RTI International Research Triangle Park, NC Authors: Jonathan S. Wald, M.D., M.P.H., RTI International Laurie L. Novak, Ph.D., M.H.S.A., Vanderbilt University Medical Center (VUMC), Nashville, TN Christopher L. Simpson, M.A., VUMC Jason M. Slagle, Ph.D., VUMC Alison K. Banger, M.P.H., RTI International Neeraja B. Peterson, M.D., M.S., VUMC AHRQ Publication No. 15-0048-EF June 2015 This document is in the public domain and may be used and reprinted without permission except those copyrighted materials that are clearly noted in the document. Further reproduction of those copyrighted materials is prohibited without the specific permission of copyright holders. Suggested Citation: Wald JS, Novak LL, Simpson CL, et al. Health IT-Enabled Care Coordination and Redesign in Tennessee. (Prepared by RTI International, under Contract No. 290-2010-00024I). AHRQ Publication No. 15-0048-EF. Rockville, MD: Agency for Healthcare Research and Quality. June 2015. None of the investigators has any affiliations or financial involvement that conflicts with the material presented in this report. This project was funded by the Agency for Healthcare Research and Quality (AHRQ), U.S.
    [Show full text]
  • Getting Results for Hematology Patients Through Access to the Electronic Health Record
    doi:10.5737/1181912x163154158 Getting results for hematology patients through access to the electronic health record by David Wiljer, Sima Bogomilsky, Pamela Catton, Cindy perceive in accessing the records and their information-seeking Murray, Janice Stewart and Mark Minden behaviours, including internet usage, rather than clinical characteris - Abstract tics or educational levels (Fowles et al., 2004; Ross et al., 2005). The range of benefits of providing patients with access to their Purpose: To conduct a needs assessment to identify patient and records is still somewhat undefined (Ross & Lin, 2003). Although most provider perceptions about providing patients with access to their studies identify the need for further research in this area, there is some electronic health record in order to develop an online system that is evidence of an increase in patient satisfaction and improved patient appropriate for all stakeholders. Methods: Malignant hematology compliance with self-care (Ross, 2004; Winkelman & Leonard, 2004). patients were surveyed and health care providers were interviewed to Research also suggests that making electronic health records accessible identify issues and validate concerns reported in the literature. Based to patients may empower them (Ralston, Revere, Robins, & Goldberg, on the analysed data, a prototype will be designed to examine the fea - 2004; Ueckert et al., 2003). A recent study from Britain indicated that sibility and efficacy of providing patients with access to their elec - patients find it useful to have access to their health records, but they tronic health record and tailored information. Results: 61% of want to be included in the process of developing the system for patient patients reported using the internet to find health information; 89% access (Pyper et al., 2004).
    [Show full text]
  • Provider Manual TABLE of CONTENTS INTRODUCTION Aspirus Arise Is Pleased to Welcome You As a Partner! Introduction
    Provider Manual TABLE OF CONTENTS INTRODUCTION Aspirus Arise is pleased to welcome you as a partner! Introduction ...................................................................................................................................................3 The Aspirus Arise Provider Manual is designed and produced for Aspirus Arise Contact Aspirus Arise ................................................................................................................................4 providers to promote a clear understanding of our policies and procedures, About Aspirus Arise ....................................................................................................................................5 including provider services, outpatient prior authorization, claims, and eligibility. Product and Benefit Plans ........................................................................................................................6 The purpose of this manual is to answer some of the questions you may Member Primary Care Access Model .................................................................................................... 7 have regarding Aspirus Arise operations. As changes occur, this manual will be updated on a routine basis. Aspirus Arise reserves Appointment Scheduling Guidelines .....................................................................................................8 the right to revise or alter the material and information detailed in Medical Record Requirements ................................................................................................................9
    [Show full text]
  • Remote Delivery of a Standardized Educational Protocol for Self-Management of Chronic Swelling of the Lower Limbs in Individuals with Limited Mobility
    REMOTE DELIVERY OF A STANDARDIZED EDUCATIONAL PROTOCOL FOR SELF-MANAGEMENT OF CHRONIC SWELLING OF THE LOWER LIMBS IN INDIVIDUALS WITH LIMITED MOBILITY by Becky Lee Faett BSN, Waynesburg College, 2000 MBA, Waynesburg College, 2002 MSN, Waynesburg College, 2006 Submitted to the Graduate Faculty of School of Health and Rehabilitation Science in partial fulfillment of the requirements for the degree of Doctor of Philosophy University of Pittsburgh 2012 UNIVERSITY OF PITTSBURGH SCHOOL OF HEALTH AND REHABILITATION SCIENCES The dissertation was presented by Becky Lee Faett It was defended on August 29, 2012 and approved by Mary Jo Geyer, PT, PhD, C.Ped, FACCWS, CLT-LANA, Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh Ray Burdett PhD, PT, CPed, CO, Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh Leslie A. Hoffman PhD, RN, FAAN, Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh Patricia Karg MSE, Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh Dissertation Advisor: David M. Brienza, PhD, Department of Rehabilitation and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh ii Copyright © by Becky Lee Faett 2012 iii REMOTE DELIVERY OF A STANDARDIZED EDUCATIONAL PROTOCOL FOR SELF-MANAGEMENT OF CHRONIC SWELLING OF THE LOWER LIMBS IN INDIVIDUALS WITH LIMITED MOBILITY Becky L Faett, PhD University of Pittsburgh, 2012 The purpose of this study was to develop and evaluate the remote delivery of a standardized self- management protocol for chronic swelling of the lower limbs, termed Telerehabilitation to Empower You to Manage and Prevent Swelling (TR-PUMPS).
    [Show full text]
  • Medical Informatics
    Medical Informatics Practical Guide for the Healthcare Professional Third Edition Robert E. Hoyt MD FACP Editor Melanie Sutton PhD Ann Yoshihashi MD FACE Associate Editors University of West Florida School of Allied Health and Life Sciences Medical Informatics Program Pensacola Florida Medical Informatics Practical Guide for the Healthcare Professional Disclaimer Every effort has been made to make this book as accurate as possible but no warranty is implied. The information provided is on an “as is” basis. The authors and the publisher shall have neither liability nor responsibility to any person or entity with respect to any loss or damages arising from the information contained in this book. The views expressed in this book are those of the author and do not necessarily reflect the official policy or position of the University of West Florida, Department of the Navy, Department of Defense, nor the U.S. Government. Copyright © 2009 First Edition: June 2007 Second Edition: August 2008 All rights reserved. No part of this book may be reproduced or transmitted in any form, by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without written permission from the publisher, except for inclusion of brief excerpts in connection with reviews or scholarly analysis. ISBN-13: 978-0-557-13323-9 Published by: Lulu.com Preface to the Third Edition ompiling and editing this third edition has been challenging because of the non-stop changes occurring in Medical Informatics in 2009. In some respects this has been a banner year Cbecause of new opportunities related to the American Recovery and Reinvestment Act.
    [Show full text]
  • AUR 2017 Research Paper Abstracts
    AUR 2017 Research Paper Abstracts Research papers are oral educational or scientific presentations that are 8 minutes in length, followed by a 2-minute discussion period. Present- ing author is identified by institution name, city, and state (or country if not United States or Canada). Presentations by trainees (medical students, residents, or 1st-year fellows) are noted in green. Wednesday, May 10, 2017 (SS01-02) 2:10–2:20 PM Resident Education and Turnaround Time; Consider- 2:00–3:30 PM ations for Academic Health Care Centers SS01: Resident Education 1 Carl Flink, MD, University of Cincinnati, Cincinnati, OH; Eric B. Eng- land, MD; Jason N. Itri, MD, PhD; Jason F. Broomhall, MD; Emily Location: Grand Ballroom West Orscheln, MD ([email protected]) Moderators: Ana P. Lourenco, MD PURPOSE: Turnaround Time (TAT) has become a focus of many Priscilla J. Slanetz, MD, MPH radiology departments. Whether implemented as an independent qual- ity initiative or guided by leadership, TAT is now a word in our daily vocabulary and always in the back of our minds during the work day. (SS01-01) 2:00–2:10 PM The resulting improvements in TAT have helped referring physicians Best Practices in Trainee Development: a Successful make timely decisions regarding patient care and improved patient Resident Curriculum in Leadership and Professionalism throughput. Because academic radiology departments are responsible for teaching residents AND providing timely interpretation of imaging Christopher A. Sinsabaugh, MD, Indiana University School of Medicine, studies we want to examine more closely the impact that residents Indianapolis, IN; Aaron P. Kamer, MD; Nicholas A.
    [Show full text]
  • 17 E-Health and Integrated Care
    Integrated Care FM.indd 1 14/09/16 6:40 PM For Els Between dream and deed lie laws and practical obstacles Willem Elschot, (1882-1960), famous Dutch poet, Rotterdam, 1910 By the same author r Health regions and payment systems in England, Sweden and the Netherlands, 1980 (in Dutch) r A Cathedral of Care, 2001 (in Dutch) r Health Care Innovation according the Cappuccinomodel, 2014 (in Dutch) FM.indd 2 14/09/16 6:40 PM Integrated Care Better and Cheaper By Guus Schrijvers With a selection of more than 100 good and bad practices of intregated care REED BUSINESS INFORMATION, AMSTERDAM FM.indd 3 14/09/16 6:40 PM © Reed Business, Amsterdam 2016 Reed Business Information is onderdeel van Reed Business bv, Postbus 152, 1000 AD Amsterdam. Cover design : Mariël Lam BNO, ‘s-Hertogenbosch Image design: Marcel Stam Translation: Elizabeth Verwey All rights reserved (including those of translation into foreign languages). No part of this book may be reproduced in any form – by photoprint, microfilm, or any other means – or transmitted or trans- lated into a machine language without written permission from the publisher. ISBN 978 90 352 4937 0 NUR FM.indd 4 14/09/16 6:40 PM Foreword The future sustainability of health systems is increasingly shaped by ageing popula- tions, urbanisation, and the globalisation of unhealthy lifestyles. Driven by these broad shifts in demographics and disease status, care has become ever more com- plex and costly. However, the fragmented nature of today’s health systems means that they are unable to respond effectively to meet these new demands.
    [Show full text]
  • COVID-19 Publications - Week 24 2020 941 Publications
    Update June 08- June 14, 2020, Dr. Peter J. Lansberg MD, PhD Weekly COVID-19 Literature Update will keep you up-to-date with all recent PubMed publications categorized by relevant topics COVID-19 publications - Week 24 2020 941 Publications PubMed based Covid-19 weekly literature update For those interested in receiving weekly updates click here For questions and requests for topics to add send an e-mail [email protected] Reliable on-line resources for Covid 19 WHO Cochrane Daily dashbord BMJ Country Guidance The Lancet Travel restriction New England Journal of Medicine Covid Counter JAMA Covid forcasts Cell CDC Science AHA Oxford Universtiy Press ESC Cambridge Univeristy Press EMEA Springer Nature Evidence EPPI Elsevier Wikipedia Wiley Cardionerds - COVID-19 PLOS Genomic epidemiology LitCovid NIH-NLM Oxygenation Ventilation toolkit SSRN (Pre-prints) German (ICU) bed capacity COVID reference (Steinhauser Verlag) COVID-19 Projections tracker AAN - Neurology resources COVID-19 resources (Harvard) COVID-19 resources (McMasters) COVID-19 resources (NHLBI) COVID-19 resources (MEDSCAPE) COVID-19 Diabetes (JDRF) COVID-19 TELEMEDICINE (BMJ) Global Causes of death (Johns Hopkins) COVID-19 calculators (Medscap) Guidelines NICE Guidelines Covid-19 Korean CDC Covid-19 guidelines Flattening the curve - Korea IDSA COVID-19 Guidelines Airway Management Clinical Practice Guidelines (SIAARTI/EAMS, 2020) ESICM Ventilation Guidelines Performing Procedures on Patients With Known or Suspected COVID-19 (ASA, 2020) OSHA Guidance on Preparing the Workplace for
    [Show full text]
  • Health Portal Functionality and the Use of Patient-Centered Technology
    Walden University ScholarWorks Walden Dissertations and Doctoral Studies Walden Dissertations and Doctoral Studies Collection 2017 Health Portal Functionality and the Use of Patient- Centered Technology Anita Joyce Simmons Walden University Follow this and additional works at: https://scholarworks.waldenu.edu/dissertations Part of the Databases and Information Systems Commons, Nursing Commons, and the Public Health Education and Promotion Commons This Dissertation is brought to you for free and open access by the Walden Dissertations and Doctoral Studies Collection at ScholarWorks. It has been accepted for inclusion in Walden Dissertations and Doctoral Studies by an authorized administrator of ScholarWorks. For more information, please contact [email protected]. Walden University College of Health Sciences This is to certify that the doctoral study by Anita Simmons has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Joan Moon, Committee Chairperson, Health Services Faculty Dr. Susan Hayden, Committee Member, Health Services Faculty Dr. Patricia Schweickert, University Reviewer, Health Services Faculty Chief Academic Officer Eric Riedel, Ph.D. Walden University 2016 Abstract Health Portal Functionality and the Use of Patient-Centered Technology by Anita Joyce Simmons MSN, Harding University, 2004 BSN, Harding University, 1987 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University November 2016 Abstract Health portals are dedicated web pages for medical practices to provide patients access to their electronic health records. The problem identified in this quality improvement project was that the health portal in the urgent care setting had not been available to staff nor patients.
    [Show full text]
  • Health Portal Functionality and the Use of Patient-Centered Technology
    CORE Metadata, citation and similar papers at core.ac.uk Provided by Walden University Walden University ScholarWorks Walden Dissertations and Doctoral Studies Walden Dissertations and Doctoral Studies Collection 2017 Health Portal Functionality and the Use of Patient- Centered Technology Anita Joyce Simmons Walden University Follow this and additional works at: https://scholarworks.waldenu.edu/dissertations Part of the Databases and Information Systems Commons, Nursing Commons, and the Public Health Education and Promotion Commons This Dissertation is brought to you for free and open access by the Walden Dissertations and Doctoral Studies Collection at ScholarWorks. It has been accepted for inclusion in Walden Dissertations and Doctoral Studies by an authorized administrator of ScholarWorks. For more information, please contact [email protected]. Walden University College of Health Sciences This is to certify that the doctoral study by Anita Simmons has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Joan Moon, Committee Chairperson, Health Services Faculty Dr. Susan Hayden, Committee Member, Health Services Faculty Dr. Patricia Schweickert, University Reviewer, Health Services Faculty Chief Academic Officer Eric Riedel, Ph.D. Walden University 2016 Abstract Health Portal Functionality and the Use of Patient-Centered Technology by Anita Joyce Simmons MSN, Harding University, 2004 BSN, Harding University, 1987 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University November 2016 Abstract Health portals are dedicated web pages for medical practices to provide patients access to their electronic health records.
    [Show full text]
  • Special Master's Report
    Drugs Aging 2005; 22 (3): 231-255 Review Article 1170-229X/05/0003-0231/S34.95/0 © 2005 Adis Data Information BV. All rights reserved. Assessing Medication Adherence in the Elderly Which Tools to Use in Clinical Practice? Eric J. MacLaughlin1,2 Cynthia L. Raehl,1 Angela K. Treadway,1 Teresa L. Sterling,1 Dennis P. Zoller2 and Chester A. Bond1,3 1 Department of Pharmacy Practice at Texas Tech University Health Sciences Center School of Pharmacy, Amarillo, Texas, USA 2 Department of Family Medicine at Texas Tech University Health Sciences Center School of Medicine, Amarillo, Texas, USA 3 Department of Psychiatry at Texas Tech University Health Sciences Center School of Medicine, Amarillo, Texas, USA Contents Abstract................................................................................................................................................................ 231 1. Medication Adherence versus Medication Compliance..................................................................... 232 2. Consequences of Medication Nonadherence in the Elderly................................................................233 3. Effectiveness of Medication Adherence Improvement Programmes.................................................. 234 4. Understanding Fundamental Reasons for Nonadherence in the Elderly.............................................234 4.1 Demographic Variables......................................................................................................................235 4.2 Medical Variables ...............................................................................................................................235
    [Show full text]