Use of the Blue Button Online Tool for Sharing Health Information: Qualitative Interviews With Patients and Providers.
Use of the Blue Button Online Tool for Sharing Health Information: Qualitative Interviews With Patients and Providers.
复制标题
DOI：
10.2196/jmir.4595
复制
发表时间：
2015-08-18
影响因子：
7.4
通讯作者：
Turvey CL
中科院分区：
文献类型：
--
作者：
Klein DM;Fix GM;Hogan TP;Simon SR;Nazi KM;Turvey CL
提供者之间的信息共享对于护理协调至关重要，特别是在美国退伍军人事务部（VA）等卫生系统中，许多患者也接受其他医疗保健组织的护理。患者可以通过使用蓝色按钮来促进这种共享，这是一种在线工具，可以促进患者查看，打印和下载他们的健康记录。本研究的目的是描述（1）患者使用Blue Button（VA患者门户网站My HealtheVet中的在线信息共享工具）的情况，（2）VA和非VA提供者之间的信息共享实践，以及（3）提供者和患者在临床访视期间如何使用打印的Blue Button报告。半结构化的定性访谈进行了34 VA患者，10 VA供应商，9非VA供应商。访谈的重点是患者使用蓝色按钮，VA和非VA提供者之间的信息共享实践，以及患者和提供者在临床访视期间如何使用打印的蓝色按钮报告。定性的主题，确定通过迭代轮的编码开始与先验模式的基础上，技术采用理论。VA和非VA提供者之间的信息共享主要依赖于患者。患者最常使用蓝色按钮访问和共享VA实验室结果。供应商认识到需要改进信息共享，重视蓝色按钮，并表示有兴趣以电子方式在不同环境中共享信息。以消费者为导向的技术，如蓝色按钮，可以促进患者与其他医疗保健系统的提供者共享健康信息;然而，需要更多的教育，告知患者这种用途，以促进护理协调。需要进行更多的研究，以探索个人健康记录文件，如蓝色按钮报告，如何可以很容易地共享和纳入提供者的临床工作流程。
Information sharing between providers is critical for care coordination, especially in health systems such as the United States Department of Veterans Affairs (VA), where many patients also receive care from other health care organizations. Patients can facilitate this sharing by using the Blue Button, an online tool that promotes patients’ ability to view, print, and download their health records. The aim of this study was to characterize (1) patients’ use of Blue Button, an online information-sharing tool in VA’s patient portal, My HealtheVet, (2) information-sharing practices between VA and non-VA providers, and (3) how providers and patients use a printed Blue Button report during a clinical visit. Semistructured qualitative interviews were conducted with 34 VA patients, 10 VA providers, and 9 non-VA providers. Interviews focused on patients’ use of Blue Button, information-sharing practices between VA and non-VA providers, and how patients and providers use a printed Blue Button report during a clinical visit. Qualitative themes were identified through iterative rounds of coding starting with an a priori schema based on technology adoption theory. Information sharing between VA and non-VA providers relied primarily on the patient. Patients most commonly used Blue Button to access and share VA laboratory results. Providers recognized the need for improved information sharing, valued the Blue Button printout, and expressed interest in a way to share information electronically across settings. Consumer-oriented technologies such as Blue Button can facilitate patients sharing health information with providers in other health care systems; however, more education is needed to inform patients of this use to facilitate care coordination. Additional research is needed to explore how personal health record documents, such as Blue Button reports, can be easily shared and incorporated into the clinical workflow of providers.