Using personal health portals for diabetes Patients
Synthesize the peer-reviewed research you reviewed. Be sure to address the following:
- Identify the 5 peer-reviewed articles you reviewed, citing each in APA format.
- Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described.
Be specific and provide examples.
Articles are up to the writer to choose . Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and EfficienciesNew technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.
.To Prepare:
Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”Identify and select 5 peer-reviewed articles from your research.The Assignment: (4-5 pages)In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:Identify the 5 peer-reviewed articles you reviewed, citing each in APA format.Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
Diabetes has ignited public concern over recent decades due to the challenges and health conditions associated with it. Frequent data indicate an increasing number of diabetes patients in the United States, resulting in an enormous economic burden. Effective management of diabetes requires collaboration between the patients and the providers. To achieve this, patients need to provide relevant information, resources, and decision support through health records and portals to the health care system. Patient portals enable the patients to access their health information from the electronic health record (HER) of an organization through a Web-based platform. The increasing use of patient portals has proved informative and helpful in the management of diabetes. This literature review identifies peer-reviewed researches that describe the state of science in the use of patient portals in the management of diabetes patients.
Firstly, I reviewed the article ‘Patient Portal Use in Diabetes Management’ by Stephanie Shimada. The study used an electronic literature search which revealed that 29% to 46% of diabetes patients were registered for a portal account (Sun et al., 2018). The study included patients of 18 years and above and both qualitative and quantitative methods were used. According to Sun et al. (2018), various factors such as clinical characteristics, personal traits, provider engagement, and technology were associated with the use of portals. Some of the features in the patient portals included access to the HER data such as medical history, visit summary, and lab results (Sun et al., 2018). The study indicated that younger patients were likely to register for portal usage than the older population. The use of portals had an impact on glycemic control. In this regard, the patients in the intervention group could request feedback from a health coach, unlike those in the control group. Further, patients with Web-based access to the management system had better control of LDL, but not weight or blood pressure (Sun et al., 2018). Non-registered patients complained of unawareness of the portal existence, slow response by the nurses, and lack of access to computers. Benefits of using portals included increased access to care outside of office visits, better behaviour change, enhanced satisfaction and communication (Sun et al., 2018). The study recommends more engagement by patients in portal use.
The other article is “Diabetic Personal Health Record” by Amirabbas AZIZI. The study aimed at discussing the approaches to minimize the workload of healthcare settings and manage diabetes cases through proper personal health records. According to the survey, the patients with knowledge about diabetes and its process tend to be skilful in communication which aids the long-term process of the disease management. A Web-based Personal Health Record (PHR) provides an essential tool to allow the patients to access their health information (Azizi et al., 2016). As a result, they can ask questions and provide feedback to the providers for easy management. Iran was identified as the highest diabetes prevalent country, which lacks a standard strategy for data collection. In this regard, the study was an effort to develop a PHR system for diabetic patients in Iran. The study used a 2-step validation method which indicated that most of the data items are highly significant (Azizi et al., 2016). The study concluded that data should be organized in a conventional manner for effective management of diabetes. The quality of research was assessed using a mixture of approaches such as the American Diabetes Association and Evidence Grading System for Clinical Practice Recommendations (Azizi et al., 2016). The limitation of the study included the failure to contact the authors of the studies used to confirm data categorization. The study indicated an improved tendency to apply artificial intelligence in diabetes imaging in the recent past.
“A Systematic Review of electronic portal usage among patients with diabetes” by Daniel is another article which examined the characteristics and barriers associated with the use of portals among diabetic patients. The criteria used included ensuring that all the portals used belonged to diabetic patients. The study indicates that care should be made ‘patient-centred’ to ensure that patients assume charge over their health. According to the study, improved patient outcomes requires greater coordination and adapting to patients’ needs. The methods used to research included online searches using PubMed and other databases (Amante et al., 2014). Further, the patients could communicate privately with the providers to provide feedback and additional relevant information. The study revealed that portal utilization was prevalent among the highly educated, younger, and high-income population. Some articles indicated that patients who used insulin also reported high portal utilization (Amante et al., 2014). Additionally, the high engagement level between the providers and the patients ignited the portal utilization. The study indicated that lack of awareness, low desire, and capacity to use portals were the significant limitations to portal usage, based on the qualitative outcomes.
“Digital Diabetes: Perspectives for Diabetes Prevention, Management and Research” is a peer-reviewed journal by G. Fagherazzi and P. Ravaud which features the transformation of diabetes management through digital means. The study reviews the electronic approaches used to monitor the patients’ data, behaviours, and symptoms through sensors and smartphones. The study featured electronic health records which include the data collected online, as a faster approach to interact with the patient (Fagherazzi & Ravaud, 2019). According to the study, diabetes patients usually monitor their glucose levels, and the use of e-records is a useful tool to track their lifestyle patterns. About 0.49% benefit is generated by patients who use mobile apps to manage diabetes (Fagherazzi & Ravaud, 2019). E-records enhances the interaction capability between the patient and the healthcare provider. However, the study identified some barriers to this technology, such as cost, security concerns, and insufficient scientific evidence (Fagherazzi & Ravaud, 2019). The devices used to monitor functionalities of various body parts include ‘smart’ socks, and mini-electrocardiography (ECG).
“A Qualitative Study of how Patients with Type 2 Diabetes Use an Electronic Stand-Alone Personal Health Record” by Kelvin et al. the use of personal health records (PHRs) has been emphasized to ensure that patients have full knowledge of their conditions and the approaches to manage them. The study interviewed 59 diabetes patients and the interviews audio-recorded. The participants aged between 28 and 80 years (Fuji, Abbott & Galt, 2015). According to the study, the use of personal records is an effective tool to manage diabetes. However, the practical aspect of PHRs is a limiting factor because most patients depict laxity. The participants exhibited example barriers to PHRs to include family, work, travelling, and personal illnesses (Fuji, Abbott & Galt, 2015). The study indicated the need for a stronger patient-provider relationship to enhance the adoption of personal health records system.
Generally, personal health records and portals have proved to be effective tools in enhancing outcomes in diabetic patients. These tools allow the patients to self-manage themselves and monitor their progress for better management. This paper has featured the literature from five peer-reviewed journals concerning the use of personal health records (PHRs) and portals to support diabetes patients. The articles have shared common barriers to PHRs, such as unawareness and inaccessibility to computers.
References
Amante, D. J., Hogan, T. P., Pagoto, S. L., & English, T. M. (2014). A systematic review of
electronic portal usage among patients with diabetes. Diabetes technology &
therapeutics, 16(11), 784-793.
Azizi, A., Aboutorabi, R., Mazloum-Khorasani, Z., Hoseini, B., & Tara, M. (2016). Diabetic
personal health record: a systematic review article. Iranian journal of public health, 45(11), 1388.
Fagherazzi, G., & Ravaud, P. (2019). Digital diabetes: Perspectives for diabetes prevention,
management and research. Diabetes & metabolism, 45(4), 322-329.
Fuji, K. T., Abbott, A. A., & Galt, K. A. (2015). A qualitative study of how patients with type 2
diabetes use an electronic stand-alone personal health record. Telemedicine and e-Health, 21(4), 296-300.
Sun, R., Korytkowski, M. T., Sereika, S. M., Saul, M. I., Li, D., & Burke, L. E. (2018). Patient
portal use in diabetes management: Literature review. JMIR diabetes, 3(4), e11199.