Impact of patient-accessible electronic medical records in rheumatology: use, satisfaction and effects on empowerment among patients

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    Abstract

    Background To measure the use, satisfaction and impact of a web portal which provides patients with rheumatoid arthritis home access to their electronic medical records (EMR). Methods A pretest-posttest study was conducted among 360 patients. Questionnaires assessed socio-demographics, health literacy, Internet use, disease characteristics, patient-provider relationship and empowerment before and after launching a hospital-based patient web portal. To measure the impact of the portal, patients’ satisfaction with care, trust in their rheumatologist, self-efficacy in patient-provider communication, illness perceptions, and medication adherence were assessed. The post-test included questions on portal use, satisfaction, and self-perceived impact due to portal use. Results 54% of respondents with Internet access had viewed their EMR. Respondents were positive about the ease of use and usefulness of the portal and reported very few problems. Age (P = .03), amount of Internet use (P = .01) and self-perceived Internet skills (P = .03) significantly predicted portal use. Of the respondents who had logged in, 44% reported feeling more involved in their treatment and 37% felt they had more knowledge about their treatment. Significant differences over time were not found on the empowerment-related instruments. Conclusions The current portal succeeded in offering patients access to their EMR in a usable and understandable way. While its true impact is difficult to grasp, a relevant portion of the patients felt more involved in their treatment due to the web portal. Offering patients home EMR access, therefore, appears to be a valuable addition to the care process
    Original languageEnglish
    Article number102
    Pages (from-to)-
    JournalBMC musculoskeletal disorders
    Volume15
    Issue number102
    DOIs
    Publication statusPublished - 2014

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    Patient Participation
    Electronic Health Records
    Rheumatology
    Internet
    Health Literacy
    Medication Adherence
    Self Efficacy
    Patient Satisfaction
    Rheumatoid Arthritis
    Emotions
    Therapeutics
    Communication
    Demography
    Surveys and Questionnaires

    Keywords

    • METIS-305144
    • IR-91863

    Cite this

    @article{4af62e0f8c9848d3a04fa98a178354d1,
    title = "Impact of patient-accessible electronic medical records in rheumatology: use, satisfaction and effects on empowerment among patients",
    abstract = "Background To measure the use, satisfaction and impact of a web portal which provides patients with rheumatoid arthritis home access to their electronic medical records (EMR). Methods A pretest-posttest study was conducted among 360 patients. Questionnaires assessed socio-demographics, health literacy, Internet use, disease characteristics, patient-provider relationship and empowerment before and after launching a hospital-based patient web portal. To measure the impact of the portal, patients’ satisfaction with care, trust in their rheumatologist, self-efficacy in patient-provider communication, illness perceptions, and medication adherence were assessed. The post-test included questions on portal use, satisfaction, and self-perceived impact due to portal use. Results 54{\%} of respondents with Internet access had viewed their EMR. Respondents were positive about the ease of use and usefulness of the portal and reported very few problems. Age (P = .03), amount of Internet use (P = .01) and self-perceived Internet skills (P = .03) significantly predicted portal use. Of the respondents who had logged in, 44{\%} reported feeling more involved in their treatment and 37{\%} felt they had more knowledge about their treatment. Significant differences over time were not found on the empowerment-related instruments. Conclusions The current portal succeeded in offering patients access to their EMR in a usable and understandable way. While its true impact is difficult to grasp, a relevant portion of the patients felt more involved in their treatment due to the web portal. Offering patients home EMR access, therefore, appears to be a valuable addition to the care process",
    keywords = "METIS-305144, IR-91863",
    author = "{van der Vaart}, R. and Drossaert, {Constance H.C.} and Erik Taal and K.W. Drossaers-Bakker and Vonkeman, {Harald Erwin} and {van de Laar}, {Mart A F J}",
    note = "Open access",
    year = "2014",
    doi = "10.1186/1471-2474-15-102",
    language = "English",
    volume = "15",
    pages = "--",
    journal = "BMC musculoskeletal disorders",
    issn = "4171-2474",
    publisher = "BioMed Central Ltd.",
    number = "102",

    }

    Impact of patient-accessible electronic medical records in rheumatology: use, satisfaction and effects on empowerment among patients. / van der Vaart, R.; Drossaert, Constance H.C.; Taal, Erik; Drossaers-Bakker, K.W.; Vonkeman, Harald Erwin; van de Laar, Mart A F J.

    In: BMC musculoskeletal disorders, Vol. 15, No. 102, 102, 2014, p. -.

    Research output: Contribution to journalArticleAcademicpeer-review

    TY - JOUR

    T1 - Impact of patient-accessible electronic medical records in rheumatology: use, satisfaction and effects on empowerment among patients

    AU - van der Vaart, R.

    AU - Drossaert, Constance H.C.

    AU - Taal, Erik

    AU - Drossaers-Bakker, K.W.

    AU - Vonkeman, Harald Erwin

    AU - van de Laar, Mart A F J

    N1 - Open access

    PY - 2014

    Y1 - 2014

    N2 - Background To measure the use, satisfaction and impact of a web portal which provides patients with rheumatoid arthritis home access to their electronic medical records (EMR). Methods A pretest-posttest study was conducted among 360 patients. Questionnaires assessed socio-demographics, health literacy, Internet use, disease characteristics, patient-provider relationship and empowerment before and after launching a hospital-based patient web portal. To measure the impact of the portal, patients’ satisfaction with care, trust in their rheumatologist, self-efficacy in patient-provider communication, illness perceptions, and medication adherence were assessed. The post-test included questions on portal use, satisfaction, and self-perceived impact due to portal use. Results 54% of respondents with Internet access had viewed their EMR. Respondents were positive about the ease of use and usefulness of the portal and reported very few problems. Age (P = .03), amount of Internet use (P = .01) and self-perceived Internet skills (P = .03) significantly predicted portal use. Of the respondents who had logged in, 44% reported feeling more involved in their treatment and 37% felt they had more knowledge about their treatment. Significant differences over time were not found on the empowerment-related instruments. Conclusions The current portal succeeded in offering patients access to their EMR in a usable and understandable way. While its true impact is difficult to grasp, a relevant portion of the patients felt more involved in their treatment due to the web portal. Offering patients home EMR access, therefore, appears to be a valuable addition to the care process

    AB - Background To measure the use, satisfaction and impact of a web portal which provides patients with rheumatoid arthritis home access to their electronic medical records (EMR). Methods A pretest-posttest study was conducted among 360 patients. Questionnaires assessed socio-demographics, health literacy, Internet use, disease characteristics, patient-provider relationship and empowerment before and after launching a hospital-based patient web portal. To measure the impact of the portal, patients’ satisfaction with care, trust in their rheumatologist, self-efficacy in patient-provider communication, illness perceptions, and medication adherence were assessed. The post-test included questions on portal use, satisfaction, and self-perceived impact due to portal use. Results 54% of respondents with Internet access had viewed their EMR. Respondents were positive about the ease of use and usefulness of the portal and reported very few problems. Age (P = .03), amount of Internet use (P = .01) and self-perceived Internet skills (P = .03) significantly predicted portal use. Of the respondents who had logged in, 44% reported feeling more involved in their treatment and 37% felt they had more knowledge about their treatment. Significant differences over time were not found on the empowerment-related instruments. Conclusions The current portal succeeded in offering patients access to their EMR in a usable and understandable way. While its true impact is difficult to grasp, a relevant portion of the patients felt more involved in their treatment due to the web portal. Offering patients home EMR access, therefore, appears to be a valuable addition to the care process

    KW - METIS-305144

    KW - IR-91863

    U2 - 10.1186/1471-2474-15-102

    DO - 10.1186/1471-2474-15-102

    M3 - Article

    VL - 15

    SP - -

    JO - BMC musculoskeletal disorders

    JF - BMC musculoskeletal disorders

    SN - 4171-2474

    IS - 102

    M1 - 102

    ER -