title: Engaging patients and clinicians through a wellness portal to improve the health of Oklahomans.
abstract: Patient-centeredness is one of the key dimensions of the patient-centered medical home model, yet it is still not uniformly understood. A goal-directed care approach that incorporates active preparation and comprehensive patient visits has been suggested to empower patients and improve health outcomes by various resources, including patient-side health IT (e.g. portals). In the context of a recent randomized controlled trial funded by the Agency of Healthcare Research and Quality, we developed a patient Wellness Portal that was linked to a previously designed and implemented clinician-portal. A six-month pilot implementation study was followed by a 12-month randomized controlled trial to determine the impact of the Portal on patient and practice-level outcomes. Results indicate that the Wellness Portal was easy to use, well received by patients, helped users educate themselves about their conditions, gauge their health status, and create a longitudinal wellness plan for discussion during an annual wellness visit. A preliminary analysis also showed that a greater proportion of patients received preventive services in the Portal intervention group than in the control group.
authors.affiliation: University of Oklahoma Health Sciences Center, Department of Family and Preventive Medicine, 900 NE 10th St., Oklahoma City, OK 73104, USA. znagykal@ouhsc.edu
authors.forename: Zsolt J
authors.initials: ZJ
authors.lastname: Nagykaldi
authors.forename: Ann F
authors.initials: AF
authors.lastname: Chou
authors.forename: Cheryl B
authors.initials: CB
authors.lastname: Aspy
authors.forename: James W
authors.initials: JW
authors.lastname: Mold
mesh_terms: D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D020407:Internet; D008297:Male; D009825:Oklahoma / Q000453:epidemiology; D010353:Patient Education as Topic / Q000379:methods; D018802:Patient-Centered Care / Q000458:organization & administration*; D011315:Preventive Medicine; D016032:Randomized Controlled Trials as Topic; D012042:Registries