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Proposing a Transactional Model of eHealth Literacy: Concept Analysis | JMIR

Proposing a Transactional Model of eHealth Literacy: Concept Analysis | JMIR | healthcare technology | Scoop.it

eHealth literacy was conceptualized in 2006 as the ability of internet users to locate, evaluate, and act upon web-based health information.

 

Now, advances in eHealth technology have cultivated transactional opportunities for patients to access, share, and monitor health information. However, empirical evidence shows that existing models and measures of eHealth literacy have limited theoretical underpinnings that reflect the transactional capabilities of eHealth.

 

This paper describes a conceptual model based on the Transactional Model of Communication (TMC), in which eHealth literacy is described as an intrapersonal skillset hypothesized as being dynamic; reciprocal; and shaped by social, relational, and cultural contexts.

 

The objective of this study was to systematically examine eHealth literacy definitions, models, and measures to propose a refined conceptual and operational definition based on the TMC.

 

Systematic review evidence revealed incongruity between operational eHealth literacy included in definitions compared with literacies included within models and measures. Theoretical underpinnings of eHealth literacy also remain dismal.

 

Despite the transactional capabilities of eHealth, the role of “communication” in eHealth literacy remains underdeveloped and does not account for physical and cognitive processing abilities necessary for multiway transactions.

 

read the full study at https://www.jmir.org/2018/10/e10175/

nrip's insight:

eHealth literacy is the ability of internet users to locate, evaluate, and act upon web-based health information. The result of this study identifies that the role of “communication” in eHealth literacy remains underdeveloped.

 

Current frameworks and technologies do not account for physical and cognitive processing abilities necessary for multiway transactions.

 

A study of the Consumption(access by patients) patterns of a majority of patient education resources will be interesting. It may shed light on this underdevelopment being required or not.

 

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How to Boost Patient Portal Usage

How to Boost Patient Portal Usage | healthcare technology | Scoop.it

While portal technology has been available in other industries for some years, access to health information and records via a secure login is only now becoming common place in healthcare by the end of the year.


Patient portal are excellent opportunities for providers to expand the way they engage with their patients. Here are a some best practices for using portals in your practice.



Increase Availability


Patients with full-time jobs don’t always have the flexibility to communicate or interact with you during your traditional office hours. By offering a robust patient portal system, ideally tied into your cloud-based EHR, you provide patients with the opportunity to learn more about your practice and their health at their convenience, whether that’s late in the evening or on a weekend. This type of access provides patients a sense of comfort because they know their records are always within reach, even when your office isn’t open or you’re not on call. Including some personally written content or material for patients to view and reference online will go a long way towards creating a helpful presence, while also reducing the amount of time you have to spend explaining that information.


Improve Communication


Similarly, many portals offer secure communication channels so patients can ask questions of you or your team. Have a plan in place to respond to these questions. Try to be as prompt as possible – within reason of course.


Some patient portals also allow for the ability to schedule – or at minimum request – appointments. By taking advantage of this feature, you can help eliminate lengthy wait times on the phone, which helps both your patients and your staff.


In return, you also have the ability to easily send patients appointment reminders or contact information when a patient needs their information for a referral.


Maintain Records


Allowing the patient to fill out forms in advance of appointments or update their own address and billing information and emergency contact list not only helps the patient get through the intake process more quickly, it helps your team become more efficient. In addition, many portals also offer patients the ability to pay outstanding balances through a secure payment system. In more complex patient portals, patients can update their prescription information and problem list to help physicians reduce the likelihood of adverse events.


Educate


Explaining esoteric health information like lab results over the phone, or even in person, can be an inefficient method for educating patients. Since the information is often unfamiliar, the chance they’ll forget the information or misplace their printed instructions can be high.


Through a patient portal, you can not only deliver test results that can be read at any time, you also have the opportunity to educate the patient and his family about what those results mean. Having a library of fact-based information regarding specific conditions or upcoming tests can help alleviate stress or confusion – and maybe even prevent the patient from conducting random searches online, finding inaccurate information, and arriving at ill-founded conclusions.


It’s also a great way to educate a patient about specialists or other doctors that you may be referring him to. While the patient portal system can be very disparate – different offices may or may not be using the same portal – you still have the ability to give a patient a basic fact sheet and office contact information for the referred doctor. This is yet another way to put a patient’s mind at ease.


more at http://healthworkscollective.com/zach-watson/177401/best-practices-boosting-patient-portal-engagement


nrip's insight:

PHRs/Patient portals must look beyond MU. Patient Portals should go beyond being enterprise portals and become mediums for patient engagement, health tracking and a tool towards personalized health.  They must include inputs from the patient and as such should be a bidirectional application rather than being a customized gorgeous front end to an EHR database.


I believe if done right PHR's will be a very useful tool to improving diagnostics, lowering care costs and also in prevention. 


If you'd like to take a look at an inclusive bi-directional PHR system which goes beyond MU and is always evolving, contact me on twitter at @nrip or use the form on the right to setup a call.

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Patient Education/Marketing Report: Revolution

Patient Education/Marketing Report: Revolution | healthcare technology | Scoop.it
Patient education used to be a cookie-cutter operation: Hire a spokesperson, plan an event and draft a static list of symptoms, then call it a day.


But in the wake of groundbreaking campaigns from AstraZeneca and Novartis, the industry may well have to raise its content-creation game—and cede considerable control to super-informed patients in the process.


Larry Dobrow reports on the two programs that have raised the ­
patient-ed stakes in this excellent article at Medical Marketing and Media


- Read the article: http://www.mmm-online.com/features/patient-educationmarketing-report-revolution/article/434032/


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Using apps to enhance patient and family education

Using apps to enhance patient and family education | healthcare technology | Scoop.it

There are lots of medical apps available for smart phones and tablets, many of which are free or inexpensive. But how do you incorporate them into clinical practice?


The good news is you don’t have to invest in fancy equipment. If you’re asking about apps, you probably own a smart phone or tablet. Your patients who will benefit most from apps own the technology already, too. So the most efficient and effective way to start is to use the technology you have, and have learners use what they have.


Next step is to find the most appropriate resources. Do not start from “what apps are available?” That would not be patient-centered. Instead, ask: What conditions do my patients have? What do I teach about? What do my patients and their families need to learn? What questions do they have? What behaviors do they need help changing to optimize health?


There are 3 places apps might be used:
1. In the clinical encounter, as you explain something.
2. During a hospitalization, to engage the patient and family in the educational process.
3. At home, to provide information and support healthy behavior changes.


Read more: http://notimetoteach.com/2013/using-apps-to-enhance-patient-and-family-education/


Via Parag Vora
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