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Systematic Review - Secure Messaging Between Providers and Patients, and Patients' Access to Their Own Medical Record: Evidence on Health Outcomes, Satisfaction, Efficiency and Attitudes (Paperback)
Loot Price: R353
Discovery Miles 3 530
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Systematic Review - Secure Messaging Between Providers and Patients, and Patients' Access to Their Own Medical Record: Evidence on Health Outcomes, Satisfaction, Efficiency and Attitudes (Paperback)
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Loot Price R353
Discovery Miles 3 530
Expected to ship within 7 - 11 working days
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As internet access and the use of mobile devices becomes more
widely available, and as it is increasingly used by patients to
access health information, many healthcare systems are capitalizing
on this trend by offering patients electronic methods to
communicate with providers and to learn about their health and
medical problems. Some organizations or practices have developed
stand-alone systems that allow for secure messaging between
patients and their providers. Others, particularly those with
existing electronic health record systems (EHRs), are developing
companion applications specifically designed for patients that give
patients access to email communication, access to their medical
records and to test reports, and access to educational information
on preventive care or disease-specific care. Much of this
development is based on a perception that this is something that
patients desire; and, that these systems will enhance patient
satisfaction, improve care or make it more efficient. As the
Veterans Health Administration (VHA) expands the capabilities of
its personal health record system, My HealtheVet (MHV), and places
greater emphasis on encouraging its use, it is interested in
understanding how best to prioritize different functionalities and
which of them will provide the greatest benefits to Veterans. This
systematic review was designed to evaluate the literature
surrounding secure messaging systems and electronic applications
that give patients access to their own medical records,
specifically investigating the evidence that these systems improve
health outcomes, patient satisfaction, healthcare utilization and
efficiency, and adherence. Additionally, the review examined
studies that evaluated attitudes, particularly regarding patients
having online access to their own medical information; and specific
patient characteristics associated with use of personal health
record systems. The review distinguished between electronic systems
that were "tethered" or tied to existing healthcare institution
systems similar to how MHV is tethered to VHA's EHR, versus those
that were "stand-alone." The key questions were: Key Question #1.
What is the association between secure messaging and health
outcomes, patient satisfaction, adherence, efficiency or
utilization, or automated email? Key Question #2. What is the
association between patient access to their own medical record and
health outcomes, patient satisfaction, adherence, efficiency or
utilization, and attitudes about access?
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