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T-Space at The University of Toronto Libraries >
Journal of Medical Internet Research >
Volume 6 (2004) >

Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/4695

Title: Providing a Web-based Online Medical Record with Electronic Communication Capabilities to Patients With Congestive Heart Failure: Randomized Trial
Authors: Ross, Stephen E
Moore, Laurie A
Earnest, Mark A
Wittevrongel, Loretta
Lin, Chen-Tan
Keywords: Original Paper
Heart Failure
Patient Participation
Patient Advocacy
Patient Compliance
Randomized Controlled Trial
Electronic Communication
Electronic Health Record
Issue Date: 14-May-2004
Publisher: Gunther Eysenbach; Centre for Global eHealth Innovation, Toronto, Canada
Citation: Stephen E Ross, Laurie A Moore, Mark A Earnest, Loretta Wittevrongel, Chen-Tan Lin. Providing a Web-based Online Medical Record with Electronic Communication Capabilities to Patients With Congestive Heart Failure: Randomized Trial. J Med Internet Res 2004;6(2):e12 <URL: http://www.jmir.org/2004/2/e12/>
Abstract: [This item is a preserved copy and is not necessarily the most recent version. To view the current item, visit http://www.jmir.org/2004/2/e12/ ] Background: It is possible to provide patients with secure access to their medical records using the Internet. Such access may assist patients in the self-management of chronic diseases such as heart failure. Objective: To assess how a patient-accessible online medical record affects patient care and clinic operations. The SPPARO (System Providing Access to Records Online) software consisted of a web-based electronic medical record, an educational guide, and a messaging system enabling electronic communication between the patient and staff. Methods: A randomized controlled trial was conducted in a specialty practice for patients with heart failure. Surveys assessing doctor-patient communication, adherence, and health status were conducted at baseline, 6 months, and 1 year. Use of the system, message volume, utilization of clinical services, and mortality were monitored. Results: One hundred and seven patients were enrolled (54 intervention and 53 controls). At 12 months, the intervention group was not found to be superior in self-efficacy (KCCQ self-efficacy score 91 vs. 85, p=0.08), but was superior in general adherence (MOS compliance score 85 vs. 78, p=0.01). A trend was observed for better satisfaction with doctor-patient communication. The intervention group had more emergency department visits (20 vs. 8, p=0.03), but these visits were not temporally related to use of the online medical record. There were no adverse effects from use of the system. Conclusions: Providing patients with congestive heart failure access to an online medical record was feasible and improved adherence. An effect on health status could not be demonstrated in this pilot study.
Description: Reviewer: Houston, Thomas
Reviewer: Winkelmann, Warren
URI: http://hdl.handle.net/1807/4695
ISSN: 1438-8871
Other Identifiers: doi:10.2196/jmir.6.2.e12
Rights: Copyright (cc) Retained by author(s) under a Creative Commons License: http://creativecommons.org/licenses/by/2.0/
Appears in Collections:Volume 6 (2004)

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