Assessing capacity to engage in healthcare to improve the patient experience through health information technology

Patient engagement is viewed as a means to improve patient care, increase population health, and decrease health care costs. Efforts to improve engagement are prevalent across healthcare, particularly through health information technology (HIT) tools such as patient portals. However, we know that no...

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Autores principales:	Cynthia Sieck, Daniel Walker, Megan Gregory, Naleef Fareed, Jennifer Hefner
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2019
Materias:	patient experience patient engagement health information technology digital literacy health disparities Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/0c67b7ffbea2437cb2174c97e279c29b
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spelling	oai:doaj.org-article:0c67b7ffbea2437cb2174c97e279c29b2021-11-15T04:28:44ZAssessing capacity to engage in healthcare to improve the patient experience through health information technology2372-0247https://doaj.org/article/0c67b7ffbea2437cb2174c97e279c29b2019-07-01T00:00:00Zhttps://pxjournal.org/journal/vol6/iss2/7https://doaj.org/toc/2372-0247Patient engagement is viewed as a means to improve patient care, increase population health, and decrease health care costs. Efforts to improve engagement are prevalent across healthcare, particularly through health information technology (HIT) tools such as patient portals. However, we know that not all patients have the same ability to engage, leading to potential disparities. We present the Engagement Capacity Framework and suggest that examining capacity for engagement would improve our ability to address currently unmeasured factors that facilitate engagement. The objective was to examine factors that influence an individual’s capacity for engagement through HIT. We administered a paper survey to patients seen for care in a Family Medicine Clinic at a large Academic Medical Center, measuring potential components of the Engagement Capacity Framework. 142 patients completed the survey. Respondents reported high self-efficacy, high resilience, and good or better quality of life. Most were willing to use the Internet. Almost 30% of respondents did not use a patient portal and 37% of these respondents were very or somewhat unwilling to use a portal. We observed significant positive correlations (p > 0.05) between portal use and searching for health information online, using email and owning technology. For those who did not use a portal we asked about willingness to use a portal; portal willingness was positively correlated with willingness to use the Internet (p < 0.01). Our findings emphasize the importance of assessing capacity for engagement in order to target interventions to those most in need, connecting them to necessary resources to allow more full participation in their care. <strong>Experience Framework</strong> This article is associated with the Innovation & Technology lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Innovation%20%26%20Technology%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-InnovationTechnology">Access other resources</a> related to this lens</li> </ul>Cynthia SieckDaniel WalkerMegan GregoryNaleef FareedJennifer HefnerThe Beryl Institutearticlepatient experiencepatient engagementhealth information technologydigital literacyhealth disparitiesMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient experience patient engagement health information technology digital literacy health disparities Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	patient experience patient engagement health information technology digital literacy health disparities Medicine (General) R5-920 Public aspects of medicine RA1-1270 Cynthia Sieck Daniel Walker Megan Gregory Naleef Fareed Jennifer Hefner Assessing capacity to engage in healthcare to improve the patient experience through health information technology
description	Patient engagement is viewed as a means to improve patient care, increase population health, and decrease health care costs. Efforts to improve engagement are prevalent across healthcare, particularly through health information technology (HIT) tools such as patient portals. However, we know that not all patients have the same ability to engage, leading to potential disparities. We present the Engagement Capacity Framework and suggest that examining capacity for engagement would improve our ability to address currently unmeasured factors that facilitate engagement. The objective was to examine factors that influence an individual’s capacity for engagement through HIT. We administered a paper survey to patients seen for care in a Family Medicine Clinic at a large Academic Medical Center, measuring potential components of the Engagement Capacity Framework. 142 patients completed the survey. Respondents reported high self-efficacy, high resilience, and good or better quality of life. Most were willing to use the Internet. Almost 30% of respondents did not use a patient portal and 37% of these respondents were very or somewhat unwilling to use a portal. We observed significant positive correlations (p > 0.05) between portal use and searching for health information online, using email and owning technology. For those who did not use a portal we asked about willingness to use a portal; portal willingness was positively correlated with willingness to use the Internet (p < 0.01). Our findings emphasize the importance of assessing capacity for engagement in order to target interventions to those most in need, connecting them to necessary resources to allow more full participation in their care. <strong>Experience Framework</strong> This article is associated with the Innovation & Technology lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Innovation%20%26%20Technology%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-InnovationTechnology">Access other resources</a> related to this lens</li> </ul>
format	article
author	Cynthia Sieck Daniel Walker Megan Gregory Naleef Fareed Jennifer Hefner
author_facet	Cynthia Sieck Daniel Walker Megan Gregory Naleef Fareed Jennifer Hefner
author_sort	Cynthia Sieck
title	Assessing capacity to engage in healthcare to improve the patient experience through health information technology
title_short	Assessing capacity to engage in healthcare to improve the patient experience through health information technology
title_full	Assessing capacity to engage in healthcare to improve the patient experience through health information technology
title_fullStr	Assessing capacity to engage in healthcare to improve the patient experience through health information technology
title_full_unstemmed	Assessing capacity to engage in healthcare to improve the patient experience through health information technology
title_sort	assessing capacity to engage in healthcare to improve the patient experience through health information technology
publisher	The Beryl Institute
publishDate	2019
url	https://doaj.org/article/0c67b7ffbea2437cb2174c97e279c29b
work_keys_str_mv	AT cynthiasieck assessingcapacitytoengageinhealthcaretoimprovethepatientexperiencethroughhealthinformationtechnology AT danielwalker assessingcapacitytoengageinhealthcaretoimprovethepatientexperiencethroughhealthinformationtechnology AT megangregory assessingcapacitytoengageinhealthcaretoimprovethepatientexperiencethroughhealthinformationtechnology AT naleeffareed assessingcapacitytoengageinhealthcaretoimprovethepatientexperiencethroughhealthinformationtechnology AT jenniferhefner assessingcapacitytoengageinhealthcaretoimprovethepatientexperiencethroughhealthinformationtechnology
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Assessing capacity to engage in healthcare to improve the patient experience through health information technology

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