TY - JOUR
T1 - A multicenter, randomized, open study to evaluate the impact of an electronic data capture system on the care of patients with rheumatoid arthritis
AU - Huffstutter, Joseph
AU - Craig, W. David
AU - Schimizzi, Gregory
AU - Harshbarger, John
AU - Lisse, Jeffrey
AU - Kasle, Shelley
AU - Hymson, Lisa
AU - Yocum, David
AU - Castro, Lesley
AU - Hegedus, Ronald
AU - Callegari, Peter
AU - Yeilding, Newman
AU - Gilmer, Keith
N1 - Funding Information:
Declaration of interest: This study was supported by Centocor, Inc., Malvern, PA USA. JH received research grants and speaking fees from Bristol-Myers Squibb, Centocor, and Genentech, and speaking fees from Eli Lilly, Merck, and Pfizer. JL has received grants from Centocor. DY has received grants, advisor fees, and speaking fees from Centocor, and grants and speaking fees from Abbott and Amgen. RH, PC, NY, and KG are employees of Centocor; RH, NY, and KG own stock in Johnson & Johnson.
PY - 2007/8
Y1 - 2007/8
N2 - Objective: To examine the impact of an electronic data capture system on patient satisfaction and patient-physician interactions in a rheumatology clinical setting. Study design: In this multicenter study, 1079 patients with rheumatoid arthritis completed questionnaires quarterly about their health and satisfaction with care using a computer. At 6 months, 901 eligible patients were randomized 2:1 to receive or not to receive graphical summarized health information or Health Tracker (HT) reports. Data collected at each visit included patient satisfaction with care; patient-physician interaction assessments; a 56-joint self-assessment for patients; a 28-joint assessment for physicians; patient pain, fatigue, and global assessments (visual analogue scale, physician global assessment, Health Assessment Questionnaire, and Short Form-12) all of which were cumulatively recorded in the HT report. Results: Patient demographics at baseline were similar between groups. Changes from baseline to 1 year showed that patients in the HT-viewers group were significantly more satisfied with their care (p < 0.001) than those in the HT-nonviewers group (p = 0.131). Physicians reported improved interactions with patients at 1 year in both the HT-viewers (p < 0.001) and HT-nonviewers groups (p = 0.002); however, the improvement was significantly larger for the HT-viewers group than for the HT-nonviewers group (p < 0.001). Adverse events were comparable between groups. Conclusions: Patient access to systematically collected patient data reports promoted self-involvement and improved patient satisfaction and patient-physician interactions more in the HT-viewers than in HT-nonviewers groups at 1 year (p < 0.001). This was an open, observational study; no formal hypothesis testing was conducted. The HT system was not validated and some bias may have existed with respect to patient comfort level with a computer, user error, and timing of data entry of the physicians' assessments.
AB - Objective: To examine the impact of an electronic data capture system on patient satisfaction and patient-physician interactions in a rheumatology clinical setting. Study design: In this multicenter study, 1079 patients with rheumatoid arthritis completed questionnaires quarterly about their health and satisfaction with care using a computer. At 6 months, 901 eligible patients were randomized 2:1 to receive or not to receive graphical summarized health information or Health Tracker (HT) reports. Data collected at each visit included patient satisfaction with care; patient-physician interaction assessments; a 56-joint self-assessment for patients; a 28-joint assessment for physicians; patient pain, fatigue, and global assessments (visual analogue scale, physician global assessment, Health Assessment Questionnaire, and Short Form-12) all of which were cumulatively recorded in the HT report. Results: Patient demographics at baseline were similar between groups. Changes from baseline to 1 year showed that patients in the HT-viewers group were significantly more satisfied with their care (p < 0.001) than those in the HT-nonviewers group (p = 0.131). Physicians reported improved interactions with patients at 1 year in both the HT-viewers (p < 0.001) and HT-nonviewers groups (p = 0.002); however, the improvement was significantly larger for the HT-viewers group than for the HT-nonviewers group (p < 0.001). Adverse events were comparable between groups. Conclusions: Patient access to systematically collected patient data reports promoted self-involvement and improved patient satisfaction and patient-physician interactions more in the HT-viewers than in HT-nonviewers groups at 1 year (p < 0.001). This was an open, observational study; no formal hypothesis testing was conducted. The HT system was not validated and some bias may have existed with respect to patient comfort level with a computer, user error, and timing of data entry of the physicians' assessments.
KW - Electronic data capture system
KW - Health tracker
KW - Patient satisfaction
KW - Patient-physician interaction
KW - Rheumatoid arthritis
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U2 - 10.1185/030079907X210624
DO - 10.1185/030079907X210624
M3 - Article
C2 - 17626700
AN - SCOPUS:34548127708
SN - 0300-7995
VL - 23
SP - 1967
EP - 1979
JO - Current Medical Research and Opinion
JF - Current Medical Research and Opinion
IS - 8
ER -