Implementation of personal health records by case managers in a VAMC general medicine clinic.
The study objective was to determine the feasibility of implementation of personal health records (PHRs) by case managers (CMs) in a Veterans Affairs Medical Center (VAMC) Continuity of Care (COC) Clinic, to ascertain the impact of PHRs on patient access to vital health information, and to assess the effect on provider-patient communication. One hundred and fifty patients and 8 nurse CMs in the general medicine COC Clinic at the Iowa City VAMC participated in a prospective cohort study in which an intervention, implementation of PHRs, was performed in one half of the patients, selected at random by their CMs. All participants responded to questions about their personal possession of documentation of vital health information. Initially, the majority of subjects possessed poor documentation of basic health information. At follow-up, significant differences occurred between the cohort with PHRs and the cohort without in their documentation of immunizations, allergies, medications, and operations.
Tobacman
Joanne K
JK
College of Medicine, University of Iowa Health Care, 200 Hawkins Drive, Iowa City, IA 52242-1081, USA. joanne-tobacman@uiowa.edu
Kissinger
Pamella
P
Wells
Marilyn
M
Prokuski
Joan
J
Hoyer
Mary
M
McPherson
Patricia
P
Wheeler
Julie
J
Kron-Chalupa
Joyce
J
Parsons
Carol
C
Weller
Patricia
P
Zimmerman
Bridget
B
D022126:Access to Information / Q000523:psychology; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019090:Case Management / Q000592:standards*; D003142:Communication; D003266:Continuity of Patient Care / Q000592:standards; D004282:Documentation / Q000592:standards*; D005240:Feasibility Studies; D005260:Female; D006787:Hospitals, Veterans; D006801:Humans; D007388:Internal Medicine; D007484:Iowa; D008297:Male; D008499:Medical Records / Q000592:standards*; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital; D010353:Patient Education as Topic / Q000592:standards; D017060:Patient Satisfaction; D016730:Program Development; D015397:Program Evaluation; D011446:Prospective Studies; D011795:Surveys and Questionnaires