TY - GEN
T1 - Challenges when engaging diabetic patients and their clinicians in using e-health technologies to improve clinical outcomes
AU - Dixon, Brian Edward
AU - Jabour, Abdulrahman Mohammed
AU - O'Kelly Phillips, Erin
AU - Marrero, David G.
PY - 2014
Y1 - 2014
N2 - Diabetes mellitus (DM) is a chronic disease affecting more than 285 people worldwide and the fourth leading cause of death. Increasing evidence suggests that many DM patients have poor adherence with prescribed medication therapies, impacting clinical outcomes. Patients' barriers to medication adherence and the extent to which barriers contribute to poor outcomes, however, are not routinely assessed. We designed a dashboard for an electronic health record system to integrate DM disease and medication data, including patient-reported barriers to adherence. The dashboard was pilot tested at multiple ambulatory clinics to examine whether integrated electronic tools can support patient-centered decision-making processes involving complex medication regimens for DM and other chronic diseases. During pilot testing, we encountered several challenges when engaging patients and clinicians in using the dashboard as well as a portal used to gather self-reported psychosocial information directly from patients. In this paper we explore those challenges and suggest methods for better supporting the adoption and use of e-health technologies to improve care delivery processes as well as health outcomes for populations like diabetic patients.
AB - Diabetes mellitus (DM) is a chronic disease affecting more than 285 people worldwide and the fourth leading cause of death. Increasing evidence suggests that many DM patients have poor adherence with prescribed medication therapies, impacting clinical outcomes. Patients' barriers to medication adherence and the extent to which barriers contribute to poor outcomes, however, are not routinely assessed. We designed a dashboard for an electronic health record system to integrate DM disease and medication data, including patient-reported barriers to adherence. The dashboard was pilot tested at multiple ambulatory clinics to examine whether integrated electronic tools can support patient-centered decision-making processes involving complex medication regimens for DM and other chronic diseases. During pilot testing, we encountered several challenges when engaging patients and clinicians in using the dashboard as well as a portal used to gather self-reported psychosocial information directly from patients. In this paper we explore those challenges and suggest methods for better supporting the adoption and use of e-health technologies to improve care delivery processes as well as health outcomes for populations like diabetic patients.
KW - Computerized Medical Records Systems
KW - Drug Monitoring
KW - Medication Adherence
KW - Patient-Centered Care
KW - Personal Health Records
KW - Physician-Patient Relations
KW - Type 2 Diabetes Mellitus
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U2 - 10.1007/978-3-319-07446-7_23
DO - 10.1007/978-3-319-07446-7_23
M3 - Conference contribution
AN - SCOPUS:84903475225
SN - 9783319074450
T3 - Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
SP - 238
EP - 247
BT - Universal Access in Human-Computer Interaction
PB - Springer-Verlag
T2 - 8th International Conference on Universal Access in Human-Computer Interaction, UAHCI 2014 - Held as Part of 16th International Conference on Human-Computer Interaction, HCI International 2014
Y2 - 22 June 2014 through 27 June 2014
ER -