Engaging Diverse Patients in Using an Online Patient Portal

让不同的患者参与使用在线患者门户

• 批准号: 8598816
• 负责人: COURTNEY REES LYLES
• 金额: $ 15.44万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-01 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8598816
• 关键词: Engaging; Diverse; Patients; Using; Online

DESCRIPTION (provided by applicant): This is an application for a K99/R00 award for Dr. Courtney Lyles, PhD, a health services researcher at the University of California San Francisco, who is establishing herself as a young investigator examining health information technology use among diverse diabetes patients. This award will provide her with the support to transition to an independent academic researcher and to accomplish the following goals: 1) to become an expert in using comparative effectiveness research methods to understand the influence of online patient portal use on diabetes outcomes within racial/ethnic minority groups, 2) to employ qualitative and implementation science skills to understand barriers to portal use and to design a new approach to patient engagement, 3) to apply these rigorous approaches within an integrated delivery system with a mature electronic system (Kaiser Permanente Northern California) and a safety net public hospital system currently implementing an online patient portal (San Francisco General Hospital, SFGH). Dr. Lyles has assembled a multi-disciplinary mentoring team, led by Dr. Dean Schillinger, MD, who is an expert in designing and rigorously evaluating innovative interventions in this safety net setting. This team also includes: Dr. Andrew Karter, PhD, a senior investigator at Kaiser with expertise in racial/ethnic healthcare disparities and comparative effectiveness methodologies; Dr. Rena Pasick, DrPH, a professor at UCSF who is a national leader in mixed methods approaches to understanding diverse patient preferences and needs; Dr. James Ralston, MD, MPH, an investigator at Group Health Research Institute who is an expert in patient portals and designing interventions utilizing technology to improve diabetes care; and Dr. Ralph Gonzales, MD, a professor at UCSF with deep expertise in implementation science and evaluating innovations within the safety net. Although there are marked racial/ethnic disparities in portal use nationwide, we know little about how to engage diverse patients in utilizing these technologies to extend their care beyond in-person office visits to improve diabetes self-care and management. In Aim 1, we will determine the link between portal use and diabetes outcomes (measured by adherence, missed appointments, and clinical control) among racial/ethnic minority patients at Kaiser. In Aim 2, we will transition to SFGH to qualitatively assess barriers to portal use among diabetes patients, employing user-centered design methodologies. And finally in Aim 3, we will design and test a novel program that addresses patient-reported barriers to use and trains SFGH patients to access the portal as part of their care routine. This work to actively engage a broader and more diverse group of patients in using new health information technology such as portals has the potential to improve health outcomes and reduce overall disparities in care.

描述（由申请人提供）：这是加利福尼亚大学旧金山分校的医疗服务研究员Courtney Lyles博士K99/R00奖的申请，他正在将自己确立为年轻的研究人员，研究了各种糖尿病患者的健康信息技术的使用。该奖项将为她提供向独立学术研究人员过渡并实现以下目标的支持：1）成为使用比较有效性研究方法的专家，以了解在线患者门户对种族/族裔少数民族内糖尿病结果的影响，2）2））在定性和实施科学方面采用障碍，以使他们在范围内采用障碍，以将这些方法纳入系统，以将这些方法用于新的方法，以设计新的方法，这些方法是将这些方法设置为3），这些方法是将这些方法设置为3）。电子系统（Kaiser Permanente North California）和一个安全网公共医院系统目前正在实施在线患者门户网站（SFGH旧金山综合医院）。莱尔斯博士召集了由医学博士Dean Schillinger博士领导的多学科指导团队，他是在此安全网环境中设计和严格评估创新干预措施的专家。该团队还包括：Kaiser的高级研究员Andrew Karter博士，在种族/族裔医疗保健差异和比较有效性方法方面具有专业知识； UCSF教授Rena Pasick博士DRPH是混合方法的国家领导者，以了解多样化的患者偏好和需求； Group Health Research Institute的调查员James Ralston博士，医学博士，MPH，他是患者门户的专家，并设计了利用技术改善糖尿病护理的干预措施；以及UCSF教授Ralph Gonzales博士在实施科学方面具有深厚的专业知识，并评估了安全网中的创新。 尽管在全国门户使用中存在明显的种族/族裔差异，但我们对如何吸引多样化的患者利用这些技术来扩展他们的护理超越面对面的办公访问，以改善糖尿病自我保健和管理。在AIM 1中，我们将在Kaiser的种族/少数民族患者中确定门户使用和糖尿病结果（通过遵守，错过的任命和临床控制）之间的联系。在AIM 2中，我们将过渡到SFGH，以使用以用户为中心的设计方法来定性评估糖尿病患者门户使用的障碍。最后，在AIM 3中，我们将设计和测试一项新型计划，以解决患者报告的使用障碍，并训练SFGH患者作为其护理程序的一部分进入门户网站。这项工作旨在积极吸引更广泛，更多样化的患者使用新的健康信息技术（例如门户网站），有可能改善健康结果并减少护理的总体差异。