Evidence map›Paper›PMID 30946464›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2019

Patient experience with family history tool: analysis of patients' experience sharing their family health history through patient-computer dialogue in a patient portal.

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

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 6% of its field
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

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  9. The importance of consumer- and patient-oriented perspectives in biomedical and health informatics.Journal of the American Medical Informatics Association : JAMIA · 2019
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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 at 3 institutions in 1 country.

Adarsha S BajracharyaDepartment of Medicine, University of Massachusetts Medical School, Worchester, Massachusetts, USA.
Bradley H CrottyCollaborative for Healthcare Delivery Science, Center for Advancing Population Science, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Hollis B KowoloffDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Charles SafranDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Warner V SlackDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Beth Israel Deaconess Medical Center · USMedical College of Wisconsin · USUniversity of Massachusetts Chan Medical School · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe collection and use of a family health history are important for assessing the patient's risk of disease, but history taking is often impeded by practical barriers in the office. Provision for patient-computer dialogue, linked with the electronic health record, may enable patients to contribute their history while bypassing these barriers. We sought to assess the patient experience using such a tool. MATERIALS AND

methodsWe linked the family history module of a computer-based medical history to the patient portal of a large academic health system. The interview consisted of 39 primary questions with a predetermined high test-retest reliability. Patients' results were structured and summarized, and available within their electronic health record. Patients optionally completed a survey about their experience. We inductively analyzed free-text responses collected between 2014 and 2016.

resultsAmong 97 781 patient portal users, 9562 patients accessed and 4223 patients completed the family medical history interview. Of these patients, 1451 completed our survey. Main themes that were identified included (1) patient empowerment, (2) anticipated value, (3) validity concerns, (4) privacy concerns, and (5) reflections on patient-computer dialogue. Patients also provided suggestions for the improvement of future family history tools. DISCUSSION: Patients providing their family health information is an example of collaborative electronic work with clinicians and was seen as valuable by those who participated. Concerns related to contextual information and uncertainty need to be addressed.

conclusionsPatient-computer dialogue to collect family medical history empowered patients and added perceived value and efficiency to the patient experience of care.

Indexed as

Medical History TakingPatient PortalsAdultAgedAmbulatory Care Information SystemsAttitude to ComputersElectronic Health RecordsFamily HealthFemaleHumansMaleMiddle AgedPatient ParticipationSurveys and QuestionnairesUser-Computer InterfaceYoung Adultambulatory care information systemsconsumer health informaticsmedical history takingpatient portals

Identifiers

PMID30946464
PMCPMC7647187
OpenAlexW2928587272

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.