The potential utility of a shared medical record in a "first-time" stroke population.
This preliminary investigation explored the utilization of a shared medical record for improving treatment compliance and outcome measures for "first-time" stroke victims. It was hypothesized that individuals who had access to information regarding the diagnosis and treatment of their stroke and general stroke-related educational materials would have improved compliance and outcomes when compared with persons with only educational materials. Inpatient teaching was reinforced during outpatient visits. Data were collected at two points in time, comparing the two groups. Chi-square tests showed no differences between the shared-record and control groups regarding baseline demographic characteristics. Subjects reported their intentions to modify health-related behaviors by completing the diet, smoking and medication subscales of Miller's Health Intention Scale. They reported their compliance with treatment on the diet, medication, and smoking subscales of Miller's Health behavior Scale. The Glasgow Outcome Scale and the Global Outcome provided treatment outcome measures. Analysis of outcome measures was performed by means of analysis of variance. At the 6-month follow-up, no differences were seen in health practices. A trend toward better perceived outcome was suggested in the shared medical record group when poorest perceived outcomes were compared. For the most part, subjects in the shared-record group were satisfied with having a copy of their records, took them on visits to physicians, and reported learning more about their strokes. Suggestions for future research include specific treatment information as a variable to be assessed against better measures of health practices. In particular, studies might investigate whether access to personal health and treatment information interacts with the amount of responsibility patients take for their own health and whether this leads to the development of a collaborative relationship with primary health care professionals.
Banet
G A
GA
Souers Stroke Institute, Department of Neurology, St. Louis University Health Sciences Center, MO 63110-0250, USA.
Felchlia
M A
MA
D000704:Analysis of Variance; D002561:Cerebrovascular Disorders / Q000523:psychology* / Q000534:rehabilitation*; D016009:Chi-Square Distribution; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008499:Medical Records; D017063:Outcome Assessment, Health Care; D010349:Patient Compliance; D010353:Patient Education as Topic; D010358:Patient Participation