Evidence map›Paper›PMID 26568608›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2016

Improving health care proxy documentation using a web-based interview through a patient portal.

Adarsha S Bajracharya, Bradley H Crotty, Hollis B Kowaloff, Charles Safran, Warner V Slack

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Patient Perspectives on Advance Care Planning via a Patient Portal.The American journal of hospice & palliative care · 2019
    Article
  7. Article
  8. Article
  9. An environmental scan of shared access to patient portals.Journal of the American Medical Informatics Association : JAMIA · 2018
    Article
  10. Article
  11. Article
  12. Designing online health services for patients.Israel journal of health policy research · 2016
    Article
  13. Use of an Ambulatory Patient Portal for Advance Care Planning Engagement.Journal of the American Board of Family Medicine : JABFM
    Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Adarsha S BajracharyaDivision of Clinical Informatics, Beth Israel Deaconess Medical Center, 1330 Beacon St., Suite 400, Brookline, MA 02446, USA adarsha@bidmc.harvard.edu.
Bradley H CrottyDivision of Clinical Informatics, Beth Israel Deaconess Medical Center, 1330 Beacon St., Suite 400, Brookline, MA 02446, USA.
Hollis B KowaloffDivision of Clinical Informatics, Beth Israel Deaconess Medical Center, 1330 Beacon St., Suite 400, Brookline, MA 02446, USA.
Charles SafranDivision of Clinical Informatics, Beth Israel Deaconess Medical Center, 1330 Beacon St., Suite 400, Brookline, MA 02446, USA.
Warner V SlackDivision of Clinical Informatics, Beth Israel Deaconess Medical Center, 1330 Beacon St., Suite 400, Brookline, MA 02446, USA.

Funding

RESEARCH TRAINING-MEDICAL INFORMATICS 90T15LM007092 · NLM · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Nils Gehlenborg · 1992 to 2026
$32.8M
InfoSAGE Information Sharing Across Generation and EnvironmentsR01HS021495 · AHRQ · BETH ISRAEL DEACONESS MEDICAL CENTER · PI SAFRAN, CHARLES · 2013 to 2017
$2.4M
AHRQ HHS R01 HS021495NLM NIH HHS T15 LM007092
6 · The paper itself

Abstract

objectiveHealth care proxy (HCP) documentation is suboptimal. To improve rates of proxy selection and documentation, we sought to develop and evaluate a web-based interview to guide patients in their selection, and to capture their choices in their electronic health record (EHR).

methodsWe developed and implemented a HCP interview within the patient portal of a large academic health system. We analyzed the experience, together with demographic and clinical factors, of the first 200 patients who used the portal to complete the interview. We invited users to comment about their experience and analyzed their comments using established qualitative methods.

resultsFrom January 20, 2015 to March 13, 2015, 139 of the 200 patients who completed the interview submitted their HCP information for their clinician to review in the EHR. These patients had a median age of 57 years (Inter Quartile Range (IQR) 45-67) and most were healthy. The 99 patients who did not previously have HCP information in their EHR were more likely to complete and then submit their information than the 101 patients who previously had a proxy in their health record (odds ratio 2.4, P = .005). Qualitative analysis identified several ways in which the portal-based interview reminded, encouraged, and facilitated patients to complete their HCP.

conclusionsPatients found our online interview convenient and helpful in facilitating selection and documentation of an HCP. Our study demonstrates that a web-based interview to collect and share a patient's HCP information is both feasible and useful.

Indexed as

DocumentationElectronic Health RecordsPatient PortalsProxyAdultAgedChi-Square DistributionFemaleHumansInternetInterviews as TopicMaleMiddle AgedYoung Adult

Identifiers

PMID26568608
PMCPMC4901371

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.