The Use of Personal Health Records to Support Patients with Chronic Illnesses Essay

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 4 peer-reviewed research articles from your research. For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies The Assignment: (4-5 pages not including the title and reference page) In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. The Use of Personal Health Records to Support Patients with Chronic Illnesses Essay. Be sure to address the following: Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format. Include an introduction explaining the purpose of the paper. 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. In your conclusion, synthesize the findings from the 4 peer-reviewed research articles. Use APA format and include a title page.

Clinical systems provide the creation and storage patients’ information in patient care. Clinical systems also enable for ease in reuse of necessary health and medical information to support patients’ care. Personal health records draw patient information into an application, making the information readily available for clinicians and patients. These clinical systems support health care providers to make clinical decisions such as diagnosis, treatment and other care plans more effectively (Roehrs et al., 2017). This paper presents peer- reviewed research findings on the application of personal health records to improve outcomes and efficiencies in management of chronic conditions. The paper seeks to describe the impact of this clinical system in nursing practice and healthcare delivery.

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Lester, M., Boateng, S., Studeny, J., & Coustasse, A. (2016). Personal health records: beneficial or burdensome for patients and healthcare providers? Perspectives in health information management, 13 (Spring).

This article is a foundational outlook at how personal health records (PHRs) have improved healthcare delivery and nursing practice by engaging patients in health care decisions. PHRs connect patients to their electronic medical records and health care providers. The authors provide detailed argument on how PHRs are more effective in making clients’ appointments and follow up care than mailing invitations. Most of the clients who create accounts in the PHRs are those with chronic conditions. By creating accounts, the patients realized less visits to the physician or nurse’s office. The Use of Personal Health Records to Support Patients with Chronic Illnesses Essay. Less visits are realized because one can upload any queries with treatment or prognosis of their conditions. The health care provider can in return reply by prescribing a certain care plan or reassuring the patients if necessary.

Patients initiated improvement of health outcomes by sharing records with providers and contacting them when necessary. The ease of contacting the providers makes patients promptly implement prescribed plan of care such as buying prescribed drugs and using them as advised. Through the PHRs, patients and providers share records making it easy for patients to request for clarification, refilling of drug prescription among other queries. The clinicians post necessary data concerning the patients where each patients can confidentially access it. Treatment outcomes improved because patients found value in interacting with the medical records and updating their medical data.

The efficiency of treatment plans by use of PHRs improved when patients were provided with training regarding use of PHRs. The platform is secure to use and this made patients to find value in accessing information in the PHRs. The authors of this article provide a detailed information on patients and clinicians experience when using the PHRs. Patients who encountered difficulties in utilizing the PHRs were advised to visit health care clinic for assistance. Besides, those who did not understand some information posted by the care providers inquired for clarifications. The study found demonstrated that a few aged patients could not use the PHRs because of low healthcare literacy. The Use of Personal Health Records to Support Patients with Chronic Illnesses Essay.

Wake, D. J., He, J., Czesak, A. M., Mughal, F., & Cunningham, S. G. (2016). MyDiabetesMyWay: an evolving national data driven diabetes self-management platform. Journal of diabetes science and technology, 10(5), 1050-1058.

This article is a foundational outlook at the use of PHRs to improve outcomes and efficiencies of treatment modalities for diabetes in Scotland. This peer review describes how PHRs incorporated different interventions to help diabetic persons realize better outcomes. The article describes how the clinical system helped achieve patients’ self-care behaviors, quality of care and diabetes-related psychological apprehensions. The article also describes how PHRs helped achieve low-density lipoprotein, lower blood pressure and low hemoglobin A1c as advocated by American Association of Diabetes Educators.

The peer review found that in most studies, participants had improvement in self-care behavior and physiologic outcome. Physiological outcomes included high self-efficacy, low glycated hemoglobin and lower blood glucose level. These outcomes subsequently prevented the users of the PHRs services from developing diabetes complications. The articles highlights that despite the evidence that the use of PHR improves diabetes management, utilization is low. The findings showed that psychological benefits of utilizing the PHR foe diabetes self-management include reduced distress and anxiety.

Wake et al (2016 examined the effects of sustained use of the PHRs apps in relation to health outcome improvement. PHRs data allows providers and patients to share medical data with clinical workflow to aid in lifestyle change interventions. The patients’ positive response to the digital health apps and application was evident during and after times of interacting with the PHRs content.  The Use of Personal Health Records to Support Patients with Chronic Illnesses Essay. Patients with chronic illnesses exploit the access and control over their health data as provided by the PHR to achieve good outcomes of health-self management.

Ford, E. W., Hesse, B. W., & Huerta, T. R. (2016). Personal health record use in the United States: forecasting future adoption levels. Journal of medical Internet research, 18(3), e73.

The authors of this article espouse on incorporating PHR as an integrated platform of storing health data used by care providers and patients. The adoption of this clinical system has enabled the patients to interact with health data and engage in decision-making that positively affect their health. Patients can share their share information with care providers through the PHRs or keep it private. According to the authors, PHRs have tremendously generated consumer support in reducing cost of accessing and affording health care. Through use of applications and apps containing PHRs, patients are able to contact care providers in relatively cheap cost that visiting the clinic every time. In this study, authors reviewed article about the efficacy of MyDiabetesMyWay, PHR platform for diabetes self-management in Scotland.

Accessibility of healthcare services is more with PHRs. This innovative clinical system is allowing patients to manage their chronic conditions and stay healthy.  The authors provide detailed information on how providers and clients’ interaction in the PHRs has increased accessibility of healthcare services by patients with the accounts. The utility of PHRs in the United States is increasing and only a relatively small percentage of the population are finding it difficult to utilize. This article provides details on patients’ level of interaction with this clinical system in the US.

The adoption of PHRs in the Scotland has improved quality of care and cut cost of healthcare services. Better client-provider engagement has enabled the achievement of these outcomes. Besides, this peer-reviewed research article provides a projection of how nursing services and healthcare delivery will achieve better outcomes in near future. The projection indicates that more ambitious uptake of the PHRs will increase efficiency of healthcare services. Due to the effectiveness, more health systems and providers are making PHRs functionality available for their clients.

Alyami, M. A., & Song, Y. T. (2016, June). Removing barriers in using personal health record systems. In 2016 IEEE/ACIS 15th International Conference on Computer and Information Science (ICIS) (pp. 1-8). IEEE.

This article provides a background of how PHRs provide patient-centered initiatives by integrating prime information into the platform and the challenges affecting its adoption rate. This article provides details on how PHRs have improved efficiency of healthcare in several countries by providing fast and accurate delivery of medical information.The Use of Personal Health Records to Support Patients with Chronic Illnesses Essay.  The authors of this article argue that combination of medical information, demographic data, and lifestyle data coincides with the definition of patient-centered medical care. Patient-centered care in return has led to improved health and wellness. The amelioration of health is a product of personalized care and public health decision-making caused by utilization of PHRs.

This peer-review assessed the adoption rate, success and barriers of adopting PHRs in several countries. The authors identified motivation factors that had encouraged different countries to adopt the system. The article describes that motivation factors include continuity of care, improving healthcare quality, saving cost, and empowering patients to take part in medical decision making among others. The authors review article regarding the use of PHRs in managing chronic conditions and found that they improved continuity of care. Recommendations by the authors include building of secure cloud storage, which can store sensitive personal medical data to improve patients’ privacy in PHRs.

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By using the PHRs as self-management tool for different conditions, patients’ and care providers have experienced several benefits. With more adoption and improvement of PHRs, patients’ lifestyle behavior will improve significantly. This article highlights that PHRs are effective. The provider-guided health and patient-managed PHRs have the potential to improve outcome of healthcare delivery and nursing practice.

Conclusion

The articles highlight that PHRs have led to better health care results and have provided for ability to update medical records. The peer reviews highlighted that electronic personal health records have provided confidential access to clinical record regarding patient’s examination results, prescribed treatment, and care plans. Clinics and other health facilities use personal health records to provide patients with self-management support. According to Wake et al (2016), this clinical has improved the outcomes of patients with different chronic conditions such diabetes, cholesterolemia. With more improvement and adoption of the PHRs all over the world, health care system will experience more efficiency. The Use of Personal Health Records to Support Patients with Chronic Illnesses Essay.

References

Alyami, M. A., & Song, Y. T. (2016, June). Removing barriers in using personal health record systems. In 2016 IEEE/ACIS 15th International Conference on Computer and Information Science (ICIS) (pp. 1-8). IEEE.

Ford, E. W., Hesse, B. W., & Huerta, T. R. (2016). Personal health record use in the United States: forecasting future adoption levels. Journal of medical Internet research, 18(3), e73.

Lester, M., Boateng, S., Studeny, J., & Coustasse, A. (2016). Personal health records: beneficial or burdensome for patients and healthcare providers? Perspectives in health information management, 13 (Spring).

Roehrs, A., Da Costa, C. A., da Rosa Righi, R., & De Oliveira, K. S. F. (2017). Personal health records: a systematic literature review. Journal of medical Internet research, 19(1), e13.

Wake, D. J., He, J., Czesak, A. M., Mughal, F., & Cunningham, S. G. (2016). MyDiabetesMyWay: an evolving national data driven diabetes self-management platform. Journal of diabetes science and technology, 10(5), 1050-1058. The Use of Personal Health Records to Support Patients with Chronic Illnesses Essay.