title: Survey analysis of patient experience using a practice-linked PHR for type 2 diabetes mellitus.
abstract: Patient experience was assessed by survey as part of a large, randomized controlled trial of a secure, practice-linked personal health record called Patient Gateway at Partners HealthCare in Boston, MA. The subjects were patients with Type 2 diabetes who prepared for their upcoming primary care visit using a previsit electronic journal. The journal generated a diabetes care plan using patient chart information and patient responses to questions in preparation for a scheduled office visit. Review of 37 surveys revealed that a diabetes care plan took 5-9 minutes (modal) to be created by the patient and helped many patients to feel more prepared for their visit (60%) and give more accurate information to their provider (53%). Study limitations included small numbers of survey participants and a bias toward white, better educated patients with better controlled diabetes. Nevertheless, the electronic journal is a promising tool for visit preparation and process improvement.
authors.affiliation: Clinical Informatics Research and Development, Partners HealthCare; Boston, MA, USA.
authors.forename: Jonathan S
authors.initials: JS
authors.lastname: Wald
authors.forename: Richard W
authors.initials: RW
authors.lastname: Grant
authors.forename: Jeffrey L
authors.initials: JL
authors.lastname: Schnipper
authors.forename: Tejal K
authors.initials: TK
authors.lastname: Gandhi
authors.forename: Eric G
authors.initials: EG
authors.lastname: Poon
authors.forename: Alexandra C
authors.initials: AC
authors.lastname: Businger
authors.forename: E John
authors.initials: EJ
authors.lastname: Orav
authors.forename: Deborah H
authors.initials: DH
authors.lastname: Williams
authors.forename: Lynn A
authors.initials: LA
authors.lastname: Volk
authors.forename: Blackford
authors.initials: B
authors.lastname: Middleton
mesh_terms: D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D057286:Electronic Health Records; D019538:Health Care Surveys; D055991:Health Records, Personal; D006801:Humans; D008498:Medical Record Linkage; D009819:Office Visits; D010346:Patient Care Management; D017060:Patient Satisfaction