The Online Personal Action Plan A Tool to Transform Patient-Enabled Preventive and Chronic Care
The Online Personal Action Plan A Tool to Transform Patient-Enabled Preventive and Chronic Care
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DOI：
10.1016/j.amepre.2015.11.014
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发表时间：
2016-07-01
影响因子：
5.5
通讯作者：
Kanter, Michael H.
中科院分区：
文献类型：
--
作者：
Henry, Shayna L.;Shen, Ernest;Kanter, Michael H.
简介：用于管理预防和慢性病护理的面向患者的在线工具可以是一种资源有效的方式，以增加患者在健康促进方面的代理权。最近，Kaiser Permanente Southern加州在成员门户网站上增加了在线个人行动计划（oPAP），以使成员能够更好地访问有关预防、健康促进和护理差距的信息。本研究描述了凯泽永久南加州成员谁使用oPAP，以及如何使用oPAP的成员，以关闭五个不同的护理差距：血红蛋白A1 C测试，肺炎疫苗接种，和三个癌症screenings.Methods：护理差距关闭率oPAP用户和成员之间没有在2014年12月和2015年3月之间的在线患者门户网站进行了比较。数据在2015年分析。共计838，638例（48.9%女性;平均年龄49.5岁; 40.4% oPAP使用者）进行了检查。根据人口统计学、BMI、吸烟状况、健康和保险状况以及开放式护理缺口的数量进行调整后，对于选定的护理缺口类型，oPAP访问与90天内护理缺口闭合的可能性更大相关，特别是血红蛋白A1 c检测和乳腺癌、宫颈癌和结肠直肠癌筛查。oPAP访问对护理差距关闭的影响不同的某些少数民族groups.Conclusions：虽然医疗机构已经制定了管理和关闭预防保健差距的方法，这些努力是资源密集型的。oPAP的使用者比未注册的成员更有可能缩小差距，特别是癌症筛查测试。oPAP似乎是一个有效的工具，在提高患者参与预防性保健。(C)2016年美国预防医学杂志。爱思唯尔公司出版All rights reserved.
Introduction: Patient-facing online tools for managing preventive and chronic care can be a resource-effective way to increase patient agency in health promotion. Recently, Kaiser Permanente Southern California added the Online Personal Action Plan (oPAP) to the member web portal to better enable members to access information about prevention, health promotion, and care gaps. This study described Kaiser Permanente Southern California members who use oPAP, as well as how members use oPAP to close five different care gaps: hemoglobin A1c testing, pneumonia vaccination, and three cancer screenings.Methods: Care gap closure rates between oPAP users and members not registered on the online patient portal between December 2014 and March 2015 were compared. Data were analyzed in 2015. A total of 838,638 cases (48.9% women; mean age, 49.5 years; 40.4% oPAP users) were examined.Results: Adjusting for demographics, BMI, smoking status, health and insurance status, and number of open care gaps, oPAP access was associated with a somewhat greater likelihood of care gap closure within 90 days for select care gap types, particularly hemoglobin A1c testing and breast, cervical, and colorectal cancer screening among eligible members. The effect of oPAP access on care gap closure differed by certain ethnic minority groups.Conclusions: Although healthcare organizations have developed approaches to managing and closing preventive care gaps, these efforts are resource intensive. Users of oPAP are more likely than non-registered members to close gaps, especially cancer screening tests. The oPAP appears to be an effective tool at improving patient engagement in preventive health care. (C) 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.