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11
February, 2012
Saturday

Satisfaction

The association between health information exchange and measures of patient satisfaction

Vest JR, Miller TR. Applied Clinical Informatics, 2(4)

Objective:
Health information exchange (HIE) is the interorganizational sharing of patient information and is one of many health information technology initiatives expected to transform the U.S. healthcare system. Two outcomes expected to be improved by HIE are patient-provider communication and patient satisfaction . This analysis examined the relationship between the level of HIE engagement and these two factors in a sample of U.S. hospitals.
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30 November 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): Communication, Data Sharing, Health Information Exchange, Hospitals, Patient, Satisfaction

Use and Satisfaction with Electronic Health Record by Primary Care Physicians in a Health District in Brazil

Holanda AA et al, Journal of Medical Systems, 2011

It is believed that Electronic Health Records (EHR) improve not only quality of care but also patient safety and health care savings. This seems to be true for developed countries but not necessarily in emerging economies. This paper examined the primary care physicians’ satisfaction with a specific EHR in a health district of a major city in Brazil and describes how they are using it as well as its specific functions. A cross-sectional questionnaire survey with all physicians from all Community Health Centers of the 6th health district of the City of Fortaleza that were using HER was conducted. From the 111 subjects (100%), a total of 99 physicians answered the survey (89% response rate). For overall satisfaction with the EHR, 2 (2%) were satisfied, 50 (50.5%) were satisfied in part and 47 (47.5%) were not satisfied.
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12 November 2011 | No Comments »
Categories: Science | Country: Brazil | EHR: EHR, EHR Brazil | Tag(s): Ambulatory Care, Developing Countries, Primary Care, Satisfaction

First medical contact and physicians’ opinion after the implementation of an electronic record system

Claret P-G et al, The American Journal of Emergency Medicine, 2011

Hospitals implement electronic medical record systems (EMRSs) that are intended to support medical and nursing staff in their daily work. Evolution toward more computerization seems inescapable. Nevertheless, this evolution introduced new problems of organization.

This before-and-after observational study evaluated the door-to-first-medical-contact (FMC) times before and after the introduction of EMRS. A satisfaction questionnaire, administered after the “after” period, measured clinicians’ satisfaction concerning computerization in routine clinical use. The following 5 questions were asked: Do you spare time in your note taking with EMRS? Do you spare time in the medical care that you provide to the patients with EMRS? Does EMRS improve the quality of medical care for your patients? Are you satisfied with the EMRS implementation? Would you prefer a return to handwritten records?

Results showed an increase in door-to-FMC time induced by EMRS and a lower triage capacity. In the satisfaction questionnaire, clinicians reported minimal satisfaction but refused to return to handwritten records.

The increase in door-to-FMC time may be explained by the improved quantity/quality of data and by the many interruptions due to the software. Medical reorganization was requested after the installation of the EMRS.

25 October 2011 | No Comments »
Categories: Science | Country: France | EHR: EHR, EHR France | Tag(s): Hospitals, Implementation, Physicians, Satisfaction

Can mobile apps boost patient satisfaction?

Jenn Riggle, Hospital Impact

“Can mobile apps improve Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) satisfaction scores? Maybe…
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20 October 2011 | No Comments »
Categories: News | Country: United States | Tag(s): mHealth, Patient, Satisfaction

Website Features Which Increase The Patient Satisfaction Index

Plus91

“A large part of managing a patient over a long period of time is communicating with the patient. All old (follow up) cases in medical practices have niche requirements and expectations from their doctors. A satisfied patient is a doctor’s most powerful marketing asset. Healthcare professionals should strive to provide all old (follow up) cases with special features to improve quality of service, which in turn will increase the Patient Satisfaction Index.
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17 October 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Communication, facebook, Patient, Satisfaction, Website

The 2011 EHR User Satisfaction Survey

Robert L. Edsall and Kenneth G. Adler, AAFP

“We were able to collect a total of 3,427 responses, far more than in previous surveys. Of those, 603 were excluded because the respondents said they did not use EHR systems; 99 were excluded because they either did not name the system they use, named a practice management system rather than an EHR system, named a “home-grown” proprietary system or named something that we could not verify to be an EHR system;
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14 September 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Physicians, Satisfaction

Telehealthcare for long term conditions

McLean S et al, BMJ, 342

Telehealthcare is personalised healthcare delivered over a distance; data are transferred from the patient to the professional, who then provides feedback
In patients with severe long term conditions, such as problematic asthma and diabetes, telehealthcare can reduce hospital admissions without increasing mortality
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13 September 2011 | No Comments »
Categories: Science | Tag(s): Chronic Diseases, Education, Satisfaction, Telemedicine, Videoconferencing

Perception, satisfaction and utilization of the VALUE home telehealth service

Finkelstein SM et al, Journal of Telemedicine and Telecare, 17(6)

We conducted a randomized controlled trial to evaluate the perception, satisfaction and utilization of a home telehealth service for frail elderly people living independently in their home communities. Control group subjects continued with their usual care and intervention group subjects were able to supplement their usual care with the use of a web portal. The web portal allowed videoconferencing and electronic messaging between home care nurses and clients, ordering health-related and home care services, access to health-related information and general access to the Internet. A total of 99 eligible people (59 female, 40 male) from one urban and one rural study site agreed to participate in the study. Eighty-four subjects were active participants for nine months.
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3 September 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): Digital Homecare, Elderly, Messaging, Portal, Rural, Satisfaction, Telemedicine, Urban, Videoconferencing

Transitioning between ambulatory EHRs: a study of practitioners’ perspectives

Zandieh SO et al, J Am Med Inform Assoc, 2011

Objective
To evaluate practitioners’ expectations of, and satisfaction with, older and newer electronic health records (EHRs) after a transition.

Material and methods
Pre- and post-transition survey administered at six academic-affiliated ambulatory care practices from 2006 to 2008. Four practices transitioned to one commercial EHR and two practices to another. We compared respondents’ expectations of, and satisfaction with, the newer EHR.
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29 August 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Ambulatory Care, Physicians, Satisfaction

Usability and accessibility in consumer health informatics current trends and future challenges

Goldberg L et al, American Journal of Preventive Medicine, 40(5 Suppl 2)

It is a truism that, for innovative eHealth systems to have true value and impact, they must first and foremost be usable and accessible by clinicians, consumers, and other stakeholders. In this paper, current trends and future challenges in the usability and accessibility of consumer health informatics will be described. Consumer expectations of their healthcare providers and healthcare records in this new era of consumer-directed care will be explored, and innovative visualizations, assistive technologies, and other ways that healthcare information is currently being provided and/or shared will be described.
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24 July 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Access, Health Information, Medical Informatics, phr, Satisfaction, Usability

Integrating mobile phones in healthcare…WITHOUT APPS!

April Foreman, Storify

“For those who are not aware, I utilize a SMS based mood-tracking website that I help my patients register on. I do not text them, and they do not text me. Rather, they text mood ratings (on a 1-10 scale) and a website collects and displays that data as a graph, as well as their series of texts about how they are doing as a micro mood journal. I have been doing this since January 2011, and it has transformed the way that I work with patients.
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6 June 2011 | No Comments »
Categories: News | Country: United States | Tag(s): mHealth, Satisfaction, SMS, Website

Cancer Patients Benefit From Full Access to Medical Records

“Cancer patients who are given full access to their medical records feel a greater sense of satisfaction about their treatment, a new study finds.
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24 May 2011 | No Comments »
Categories: News, RA News, Record Access | Country: France | EHR: EHR, EHR France | Tag(s): Access, emr, Oncology, Patient, Satisfaction

Full access to medical records does not modify anxiety in cancer patients

Gravis G et al, Cancer, 2011

BACKGROUND:
Information is crucial for increasing the patients’ empowerment and autonomy in relevant decision‐making processes, especially in malignant diseases. However, the extent to which information should be delivered is debated. The objective of this study was to assess the impact of providing systematic full access (SFA) to the medical record on anxiety, quality of life, and satisfaction.

METHODS:
Patients with newly diagnosed breast cancer, colon cancer, or lymphoma who had received adjuvant chemotherapy in an outpatient setting were included in a randomized controlled trial comparing those who requested access (RA) and those who provided SFA to the medical record. Anxiety was assessed using the Spielberger State‐Trait Anxiety Inventory before, during, and at the end of treatment. Quality of life was evaluated using the European Organization for Research and Cancer quality‐of‐life questionnaire (EORTC QLQ‐C30) before and at the end of treatment. Patients’ satisfaction and perception of the organized medical record (OMR) were evaluated using a specifically designed questionnaire at the end of treatment.
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24 May 2011 | No Comments »
Categories: Patients, RA Research, Record Access, Science | Country: France | EHR: EHR, EHR France | Tag(s): Access, emr, Oncology, Patient, Satisfaction

A New Instrument for Measuring Clinician Satisfaction With Electronic Health Records

Sockolow PS et al, Computers, Informatics, Nursing, 2011

A new survey instrument was developed and validated to measure clinician (nurse) satisfaction with electronic health record impact on clinical process. The Health Information Technology Reference- Based Evaluation Framework guided the selection of evaluation dimensions for the survey. Survey questions were gathered from existing health information technology satisfaction surveys that reflected individual evaluation concepts, such as efficiency or benefits. Decisions about data-gathering methods (eg, item selection) were made based on reviews of literature and surveys of clinician satisfaction with health information technology and expert input. Preliminary instrument validation was accomplished using qualitative and statistical analysis of five repeated sets of responses from clinicians at the pilot site and field administrations repeated twice at electronic health record implementation and paper-based comparison sites and by analyzing convergent evidence from observations and interviews. Reliability was assessed on one sample: 30 graduate nursing students at the single pilot site.
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6 May 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Nurses, Satisfaction

EHR Progress In The Medical Practice

Ken Congdon, Healthcare Technology Online

“I’m not sure which is increasing at a faster pace — EHR adoption rates or studies about EHR adoption rates. The latest in a string of EHR-related studies, titled Electronic Health Records: Status, Needs, and Lessons 2011, was released a few weeks ago by MGMA (The Medical Group Management Association).
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22 April 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Adoption, Physicians, Satisfaction

A case study of user assessment of a corrections electronic health record

Madison LG, Phillip WR. Perspectives in Health Information Management, 8(Spring)

The federal government, through the Office of the National Coordinator for Health Information Technology, has moved vigorously to promote widespread and meaningful use of interoperable electronic health records (EHRs) by 2014. The Kentucky Department of Corrections implemented its EHR system in 2006 and in 2010 the department assessed user satisfaction and perception of usability based on criteria that reflect meaningful use.
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10 April 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Evaluation, Health Information Technology, Meaningful Use, Satisfaction

More than half of Kaiser members use PHR

Linda Davidson, e-Health Insider

“US healthcare provider Kaiser Permanente has achieved a 58% adoption rate for its electronic personal health record among eligible members.
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9 April 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Adoption, Appointments, Benefits, Messaging, phr, Satisfaction

MGMA study of EHRs shows optimization, meaningful use eligibility a challenge

Brian Ahier, Ahier.net

“The Medical Group Management Association (MGMA) today released new findings from its Electronic Health Records: Status, Needs and Lessons 2011 Report Based on 2010 Data, which provides a snapshot of medical practices’ experiences adopting an electronic health record (EHR) system and the barriers to those that have not.
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7 April 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Adoption, Incentives, Meaningful Use, Satisfaction

Doctors using fully implemented EHRs report lower costs, higher productivity, MGMA finds

Joseph Conn, ModernHealthcare

“Ambulatory-care physicians who have implemented an electronic health-record system are largely satisfied with their purchases, and their satisfaction increases if they have their EHR systems optimized, according to data from a survey by the Medical Group Management Association.
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6 April 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Benefits, Satisfaction

Clinicians satisfaction with CPOE ease of use and effect on clinicians’ workflow, efficiency and medication safety

Khajouei R et al, International Journal of Medical Informatics, 2011

Objectives
To study the satisfaction of end-users of a computerized physician order entry (CPOE) system concerning ease of use and the effect on users’ workflow, efficiency, and medication safety and to seek users’ opinions regarding required improvements of the system. Usability evaluation had shown that this system, which was in use for almost a decade, contained a number of severe usability problems. So another objective of the study was to determine whether there was a direct relation between user satisfaction and the results of a usability evaluation of the system.
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20 March 2011 | No Comments »
Categories: Science | Country: Netherlands | Tag(s): CPOE, Efficiency, Medication Errors, Satisfaction, Usability, Workflow

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