Shared Online Health Records for Patient Safety and Care
- Conditions
- Diabetes
- Registration Number
- NCT00251875
- Lead Sponsor
- Agency for Healthcare Research and Quality (AHRQ)
- Brief Summary
The study uses a randomized, prospective cohort design to assess the impact of shared online health records on 1) patient safety, 2) health goal adherence and outcomes, 3) documentation of family history, and 4) barriers to the adoption of patient-physician communication technology.
Hypothesis: the respective interventions will result in 1) improved patient safety 2) greater adherence to health care maintenance and chronic disease guidelines 3) more accurate documentation of family history 4) the identification of technology adoption enablers and barriers.
- Detailed Description
During the first phase of the study, primary care practice patients continue to receive "usual care" while their physician's offices are using Patient Gateway, an Internet portal offering secure messaging, common requests, chart information, and health information that has already been developed. Also in this first phase, all patients using Patient Gateway will receive an electronic letter explaining the research study and a link to an electronic consent form. In addition to recruitment of subjects, phase 1 allows for baseline data to be collected.
In the second phase, study clinics will be randomized into one of two intervention "arms". Study subjects whose clinics are randomized into Arm 1 will be invited to review and comment on their medication, allergy, and diabetes information through Patient Gateway; they can then submit this information to their primary care physician for review. Those randomized into Arm 2 will report on their health maintenance status and family history and submit this information to their primary care physician through Patient Gateway prior to a scheduled visit. Chart reviews performed at the end of Phase 1 and Phase 2 will be conducted to identify differences in process measures and outcome measures between intervention and control groups.
In addition, a medication phone survey sub-study will be conducted to evaluate the effect of the new Patient Gateway features on medication management.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 5400
- All patients, who are enrolled in Patient Gateway, of physicians and practices participating in the study.
- Any patients who are not enrolled in Patient Gateway or do not belong to a participating practice.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method 1. ADEs 2. duration of ameliorable medication side effects 3. health goal adherence rates 4. diabetes outcomes 5. familial risk factor documentation rates 6. user satisfaction surveys 7. user metrics
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (10)
Beacon Hill/Downtown Primary Care
🇺🇸Boston, Massachusetts, United States
Massachusetts General Hospital Women's Health Associates
🇺🇸Boston, Massachusetts, United States
Brigham & Women's Hospital at Norwood
🇺🇸Norwood, Massachusetts, United States
Brigham Primary Physicians at Faulkner
🇺🇸Jamaica Plain, Massachusetts, United States
Brigham & Women's Hospital Women's Health Center
🇺🇸Chestnut Hill, Massachusetts, United States
Brigham & Women's Physicians Group
🇺🇸Chestnut Hill, Massachusetts, United States
Charlestown Health Center
🇺🇸Charlestown, Massachusetts, United States
Bulfinch Medical Group
🇺🇸Boston, Massachusetts, United States
Revere Health Center
🇺🇸Revere, Massachusetts, United States
Southern Jamaica Plain Health Center
🇺🇸Jamaica Plain, Massachusetts, United States