A socio-technical systems approach to the use of health IT for patient reported outcomes: Patient and healthcare provider perspectives. (Record no. 6957)

MARC details
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fixed length control field 04409nam a22004577a 4500
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fixed length control field 211101s20192019 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1532-0464
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Original cataloging agency Ovid MEDLINE(R)
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PMID 34384570
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Title A socio-technical systems approach to the use of health IT for patient reported outcomes: Patient and healthcare provider perspectives.
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Source Journal of Biomedical Informatics. 100S:100048, 2019.
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Abbreviated source J Biomed Inform. 100S:100048, 2019.
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Journal name Journal of biomedical informatics
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Year 2019
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Manufacturer FY2019
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Publication status ppublish
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Date added to catalog 2021-11-01
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Abstract BACKGROUND: Patient-Reported Outcomes (PROs) can be used to inform the clinical management of individuals, including patient self-management, care planning, and goal setting. Despite a rapid proliferation of technology to collect and integrate PROs in clinical care, uptake by patients and healthcare providers remains sub optimal. A consideration of systems factors to understand these challenges is needed.
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Abstract CONCLUSION: The STS model provides a comprehensive framework that can be applied to collect patient and healthcare provider feedback to better guide the design and implementation of new health information technology. Copyright (c) 2019 The Author(s). Published by Elsevier Inc. All rights reserved.
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Abstract DISCUSSION: Several emergent themes were identified under the five selected dimensions of the STS model (clinical content, human computer interface, hardware and software computing infrastructure, people, and workflow and communication). Findings highlighted the continued need for innovative methods to obtain more rapid cycle, continuous feedback to identify system factors impacting use of these technologies.
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Abstract METHODS: With questions guided by the STS model, semi-structured interviews were conducted with eighteen patients and nine healthcare providers to elicit feedback about facilitators and barriers to successful use of PRO apps and PRO data in ambulatory settings. Patient participants were selected to fit into two categories: older, low utilizers of technology with less than a bachelor's degree, and younger higher utilizers of technology with at least a bachelor's degree. Participants were from primary and specialty care practices. Data were analyzed inductively to identify emergent themes.
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Abstract OBJECTIVES: To apply the socio-technical systems (STS) model as a framework for understanding the usability and functional requirements of patients collecting PRO data using applications (apps), and of healthcare providers using these data at the point of care in ambulatory settings.
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Abstract RESULTS: Younger patients were only interested in using a PRO app if they had an active health issue to track. The nine older patients preferred passive means of data collection if they were to track a health issue, and preferred direct contact with their healthcare provider and using office visits to share information. All patients desired optimal usability and emphasized bidirectional communication in an app that is transparent about privacy. All nine healthcare providers agreed that PRO data would be most useful and relevant if key patient populations were targeted based on the specific measure. In this case the healthcare providers noted potentially optimal utility of collecting physical function PRO data for patients 65 and older. Access to the data was highlighted by each healthcare provider stating that these data would be most useful if they were seamlessly integrated into the electronic health record.
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Language note English
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Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
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Institution MedStar Health Research Institute
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Institution MedStar Institute for Innovation
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Department National Center for Human Factors in Healthcare
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Department Sports Medicine Research Center
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Medline publication type Journal Article
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Local Authors Burn, Sacha
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Local Authors Howe, Jessica
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Local Authors Kellogg, Kathryn
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Local Authors Lincoln, Andrew E
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Local Authors Ratwani, Raj M
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Local Authors Schubel, Laura
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Local Authors Wesley, Deliya B
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All authors Burn S, Howe J, Hsiao CJ, Kellogg K, Kim B, Lincoln A, Ratwani R, Schubel L, Wesley DB
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DOI <a href="https://dx.doi.org/10.1016/j.yjbinx.2019.100048">https://dx.doi.org/10.1016/j.yjbinx.2019.100048</a>
Public note https://dx.doi.org/10.1016/j.yjbinx.2019.100048
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
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          MedStar Authors Catalog MedStar Authors Catalog 11/01/2021   34384570 34384570 11/01/2021 11/01/2021 Journal Article

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