National Healthcare Quality and Disparities Report
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Topics
- Asthma (1)
- Autism (1)
- Behavioral Health (1)
- Cancer (1)
- Caregiving (1)
- Children/Adolescents (1)
- Chronic Conditions (1)
- Clinician-Patient Communication (3)
- Communication (3)
- Comparative Effectiveness (1)
- Critical Care (1)
- Dementia (1)
- Depression (1)
- Diabetes (1)
- Disparities (1)
- Education: Continuing Medical Education (1)
- Education: Patient and Caregiver (7)
- Elderly (1)
- Electronic Health Records (EHRs) (4)
- Health Information Technology (HIT) (8)
- Health Insurance (1)
- Health Literacy (1)
- Health Promotion (1)
- Hospitalization (2)
- Infectious Diseases (1)
- Inpatient Care (1)
- Low-Income (1)
- Maternal Care (1)
- Medical Errors (1)
- Medication (1)
- Nursing Homes (2)
- Outcomes (1)
- Patient-Centered Healthcare (1)
- Patient Adherence/Compliance (1)
- Patient and Family Engagement (5)
- Patient Experience (2)
- Patient Safety (1)
- Prevention (1)
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- Provider (1)
- Provider: Health Personnel (1)
- Provider: Pharmacist (1)
- Public Health (1)
- Public Reporting (1)
- Quality of Care (1)
- Racial and Ethnic Minorities (3)
- Risk (1)
- Shared Decision Making (1)
- Social Determinants of Health (1)
- Social Media (2)
- Surgery (1)
- Tools & Toolkits (4)
- Uninsured (1)
- Urban Health (1)
- (-) Web-Based (24)
- Women (1)
- Workforce (1)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 24 of 24 Research Studies DisplayedSmith MA, Bednarz L, Nordby PA
Increasing consumer engagement by tailoring a public reporting website on the quality of diabetes care: a qualitative study.
The goal of this study was to determine if tailoring quality reports to persons with diabetes mellitus and co-occurring chronic conditions would increase user engagement with a website that publicly reports the quality of diabetes care. It concluded that tailoring can be used to improve public reporting sites for individuals with chronic conditions, ultimately allowing consumers to make more informed health care decisions.
AHRQ-funded; HS021899.
Citation: Smith MA, Bednarz L, Nordby PA .
Increasing consumer engagement by tailoring a public reporting website on the quality of diabetes care: a qualitative study.
J Med Internet Res 2016 Dec 21;18(12):e332. doi: 10.2196/jmir.6555.
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Keywords: Chronic Conditions, Shared Decision Making, Diabetes, Patient and Family Engagement, Web-Based
Gaugler JE, Reese M, Tanler R
Care to Plan: an online tool that offers tailored support to dementia caregivers.
This study developed and tested the feasibility of "Care to Plan" (CtP), an online resource for dementia caregivers (e.g., relatives or unpaid nonrelatives) that generates tailored support recommendations. It concluded that, based on the integrated qualitative and quantitative data, CtP was simple and easy to understand. The streamlined visual layout facilitated utility and the individualized recommendations could meet the needs of users.
AHRQ-funded; HS20948; HS22445.
Citation: Gaugler JE, Reese M, Tanler R .
Care to Plan: an online tool that offers tailored support to dementia caregivers.
Gerontologist 2016 Dec;56(6):1161-74. doi: 10.1093/geront/gnv150.
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Keywords: Caregiving, Dementia, Elderly, Web-Based, Tools & Toolkits
Bjarnadottir RI, Millery M, Fleck E
Correlates of online health information-seeking behaviors in a low-income Hispanic community.
The authors explored the correlates of online health information-seeking behaviors among Hispanic residents of a low-income urban neighborhood. They found that age and Spanish as preferred language were negatively associated with online health information-seeking, whereas education and health literacy were positively associated. They concluded that their findings have implications for designing online health information resources and interventions appropriate for the populations they are likely to reach.
AHRQ-funded; HS019853.
Citation: Bjarnadottir RI, Millery M, Fleck E .
Correlates of online health information-seeking behaviors in a low-income Hispanic community.
Inform Health Soc Care 2016 Dec;41(4):341-9. doi: 10.3109/17538157.2015.1064429.
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Keywords: Education: Patient and Caregiver, Low-Income, Racial and Ethnic Minorities, Urban Health, Web-Based
Wang D, Luque AE
Evaluation of a statewide HIV-HCV-STD online clinical education program by healthcare providers - a comparison of nursing and other disciplines.
The authors evaluated the New York State HIV-HCV-STD Clinical Education Initiative (CEI) online education program and compared the self-reported measures by clinicians from different disciplines. They found that physicians and nurse practitioners were the most satisfied, while pharmacists and case/care managers recorded lower than average responses. They recommended that online education programs consider the unique needs by clinicians from specific disciplines.
AHRQ-funded; HS022057.
Citation: Wang D, Luque AE .
Evaluation of a statewide HIV-HCV-STD online clinical education program by healthcare providers - a comparison of nursing and other disciplines.
Stud Health Technol Inform 2016;225:267-71.
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Keywords: Comparative Effectiveness, Education: Continuing Medical Education, Infectious Diseases, Provider, Web-Based
Furtado KS, Kaphingst KA, Perkins H
Health insurance information-seeking behaviors among the uninsured.
In order to better understand how to reach the uninsured and support their health insurance decision making, this study examined where the uninsured collect information about health insurance and the extent to which they trust those sources and media. Its findings suggest that strategies that pair health care professionals, lay health advisors, or community liaisons with the ubiquity of the Internet may be a strong approach for delivering quality health insurance information to the uninsured.
AHRQ-funded; HS020309.
Citation: Furtado KS, Kaphingst KA, Perkins H .
Health insurance information-seeking behaviors among the uninsured.
J Health Commun 2016;21(2):148-58. doi: 10.1080/10810730.2015.1039678.
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Keywords: Uninsured, Health Insurance, Education: Patient and Caregiver, Web-Based
Laccetti AL, Chen B, Cai J
Increase in cancer center staff effort related to electronic patient portal use.
The authors examined patterns of use of electronic portals by clinic staff at a National Cancer Institute-designated comprehensive cancer center. They found that from 2011 to 2014, staff portal activity increased approximately 10-fold, and sixteen percent of all actions occurred outside clinic hours. They concluded that cancer center employee use of an electronic patient portal has increased markedly over time, particularly among nursing staff.
AHRQ-funded; HS022418.
Citation: Laccetti AL, Chen B, Cai J .
Increase in cancer center staff effort related to electronic patient portal use.
J Oncol Pract 2016 Dec;12(12):e981-e90. doi: 10.1200/jop.2016.011817.
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Keywords: Cancer, Health Information Technology (HIT), Provider: Health Personnel, Web-Based, Workforce
Lyles CR, Allen JY, Poole D
"I want to keep the personal relationship with my doctor": Understanding barriers to portal use among African Americans and Latinos.
The investigators sought to understand specific barriers to portal use among African American and Latino patients at Kaiser Permanente, which has had a portal in place for over a decade. Their findings suggest that uniform adoption of portal use across diverse patient groups requires more usable, more personalized websites, which may be particularly important for reducing health care disparities.
AHRQ-funded; HS022408.
Citation: Lyles CR, Allen JY, Poole D .
"I want to keep the personal relationship with my doctor": Understanding barriers to portal use among African Americans and Latinos.
J Med Internet Res 2016 Oct 3;18(10):e263. doi: 10.2196/jmir.5910.
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Keywords: Disparities, Electronic Health Records (EHRs), Clinician-Patient Communication, Racial and Ethnic Minorities, Web-Based
Mueller SK, Yoon C, Schnipper JL
Association of a web-based handoff tool with rates of medical errors.
The researchers implemented a web-based handoff tool and training for health care professionals and evaluated the association of the tool with rates of medical errors in adult medical and surgical patients. They found that implementation of this tool was associated with a significant reduction in rates of medical errors, driven largely by a reduction in errors attributable to communication failure and errors that occurred during end-of-shift handoffs.
AHRQ-funded; HS023331.
Citation: Mueller SK, Yoon C, Schnipper JL .
Association of a web-based handoff tool with rates of medical errors.
JAMA Intern Med 2016 Sep;176(9):1400-2. doi: 10.1001/jamainternmed.2016.4258.
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Keywords: Medical Errors, Patient Safety, Surgery, Tools & Toolkits, Web-Based
Bush RA, Stahmer AC, Connelly CD
Exploring perceptions and use of the electronic health record by parents of children with autism spectrum disorder: a qualitative study.
This study used structured interviews with nine parents to examine perceptions of electronic health records and related patient portals in the treatment of their children. The authors recommend further research to increase portal registration and integration in patient care.
AHRQ-funded; HS022404.
Citation: Bush RA, Stahmer AC, Connelly CD .
Exploring perceptions and use of the electronic health record by parents of children with autism spectrum disorder: a qualitative study.
Health Informatics J 2016 Sep;22(3):702-11. doi: 10.1177/1460458215581911.
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Keywords: Autism, Electronic Health Records (EHRs), Web-Based, Patient Experience, Education: Patient and Caregiver
Menefee HK, Thompson MJ, Guterbock TM
Mechanisms of communicating health information through Facebook: implications for consumer health information technology design.
The authors aimed to characterize patients' use of communication mechanisms within Facebook for health information communication to provide insight into how consumer HIT solutions may be better designed to meet patients' communication needs and preferences. They found that participants consider multiple factors, including what information they intended to share, what they were trying to accomplish, attributes of technology, and attributes and communication practices of their social networks.
AHRQ-funded; HS022930.
Citation: Menefee HK, Thompson MJ, Guterbock TM .
Mechanisms of communicating health information through Facebook: implications for consumer health information technology design.
J Med Internet Res 2016 Aug 11;18(8):e218. doi: 10.2196/jmir.5949.
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Keywords: Communication, Education: Patient and Caregiver, Health Information Technology (HIT), Social Media, Web-Based
Perez SL, Kravitz RL, Bell RA
Characterizing internet health information seeking strategies by socioeconomic status: a mixed methods approach.
The authors investigated how the Internet is used to obtain health-related information and how individuals with differing socioeconomic resources navigate it when presented with a health decision. Their findings suggest that individuals with different levels of socioeconomic status vary in the heuristics and search patterns they rely upon to direct their searches and that the influence and use of credible information in the process of making a decision is associated with education and prior experiences with healthcare services.
AHRQ-funded; HS022236.
Citation: Perez SL, Kravitz RL, Bell RA .
Characterizing internet health information seeking strategies by socioeconomic status: a mixed methods approach.
BMC Med Inform Decis Mak 2016 Aug 9;16:107. doi: 10.1186/s12911-016-0344-x.
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Keywords: Education: Patient and Caregiver, Health Information Technology (HIT), Social Determinants of Health, Web-Based
Fiks AG, DuRivage N, Mayne SL
Adoption of a portal for the primary care management of pediatric asthma: a mixed-methods implementation study.
The researchers evaluated the feasibility of using a patient portal for pediatric asthma in primary care. Fewer than three percent of those families invited to enroll used the portal. The authors found that although use of the portal was associated with higher treatment engagement, their results suggested that achieving widespread portal adoption is unlikely in the short term.
AHRQ-funded; HS021645; HS022689.
Citation: Fiks AG, DuRivage N, Mayne SL .
Adoption of a portal for the primary care management of pediatric asthma: a mixed-methods implementation study.
J Med Internet Res 2016 Jun 29;18(6):e172. doi: 10.2196/jmir.5610.
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Keywords: Web-Based, Primary Care, Children/Adolescents, Patient-Centered Healthcare, Asthma
Huesch MD, Galstyan A, Ong MK
Using social media, online social networks, and internet search as platforms for public health interventions: a pilot study.
The researchers analyzed public health interventions aimed at women potentially interested in maternity care via campaigns on social media (Twitter), social networks (Facebook), and online search engines (Google Search). They found that the campaigns reached a little more than 140,000 consumers each day across the three platforms, with a little more than 400 engagements each day. Facebook and Google search had broader reach, better engagement rates, and lower costs than Twitter.
AHRQ-funded; HS021868.
Citation: Huesch MD, Galstyan A, Ong MK .
Using social media, online social networks, and internet search as platforms for public health interventions: a pilot study.
Health Serv Res 2016 Jun;51 Suppl 2:1273-90. doi: 10.1111/1475-6773.12496.
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Keywords: Social Media, Web-Based, Public Health, Maternal Care, Women
Bajracharya AS, Crotty BH, Kowaloff HB
Improving health care proxy documentation using a web-based interview through a patient portal.
The authors sought to develop and evaluate a web-based interview to assist patients with health care proxy documentation to be included in the patients' electronic health record. They implemented the interview within the patient portal of an academic health system and analyzed the experience of the first 200 patients to complete it. The patients found the online interview convenient and helpful in establishing a healthcare proxy.
AHRQ-funded; HS021495.
Citation: Bajracharya AS, Crotty BH, Kowaloff HB .
Improving health care proxy documentation using a web-based interview through a patient portal.
J Am Med Inform Assoc 2016 May;23(3):580-7. doi: 10.1093/jamia/ocv133.
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Keywords: Web-Based, Electronic Health Records (EHRs), Health Information Technology (HIT)
Taylor CB, Kass AE, Trockel M
Reducing eating disorder onset in a very high risk sample with significant comorbid depression: a randomized controlled trial.
The authors evaluated an online eating disorder (ED) intervention designed to reduce ED and comorbid pathology. They found that ED attitudes and behaviors improved more in the intervention group than in the control group. They concluded that an inexpensive, easily disseminated intervention might reduce ED onset among those at highest risk.
AHRQ-funded; HS000078.
Citation: Taylor CB, Kass AE, Trockel M .
Reducing eating disorder onset in a very high risk sample with significant comorbid depression: a randomized controlled trial.
J Consult Clin Psychol 2016 May;84(5):402-14. doi: 10.1037/ccp0000077.
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Keywords: Behavioral Health, Depression, Prevention, Web-Based
Lyles CR, Sarkar U, Schillinger D
Refilling medications through an online patient portal: consistent improvements in adherence across racial/ethnic groups.
The researchers evaluated longitudinal changes in statin adherence to determine whether racial/ethnic minorities initiating use of the online refill function in patient portals had similar changes over time compared with whites. Their examination of a retrospective cohort of diabetes patients who were existing patient portal users found that all racial/ethnic minority groups had poorer baseline statin adherence compared with whites.
AHRQ-funded; HS022408.
Citation: Lyles CR, Sarkar U, Schillinger D .
Refilling medications through an online patient portal: consistent improvements in adherence across racial/ethnic groups.
J Am Med Inform Assoc 2016 Apr;23(e1):e28-e33. doi: 10.1093/jamia/ocv126.
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Keywords: Medication, Web-Based, Patient Adherence/Compliance, Electronic Health Records (EHRs), Racial and Ethnic Minorities
Konetzka RT, Perraillon MC
Use of Nursing Home Compare website appears limited by lack of awareness and initial mistrust of the data.
The researchers used a qualitative assessment of how consumers select nursing homes and of the role of information about quality, using semistructured interviews of people who recently placed a family member or friend in a nursing home. They found that consumers had a positive reaction when shown Nursing Home Compare; however, its use appeared to be limited by lack of awareness and, to some extent, initial lack of trust of the data.
AHRQ-funded; HS021877.
Citation: Konetzka RT, Perraillon MC .
Use of Nursing Home Compare website appears limited by lack of awareness and initial mistrust of the data.
Health Aff 2016 Apr;35(4):706-13. doi: 10.1377/hlthaff.2015.1377.
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Keywords: Nursing Homes, Public Reporting, Web-Based, Quality of Care, Education: Patient and Caregiver
Masterson Creber R, Prey J, Ryan B
Engaging hospitalized patients in clinical care: study protocol for a pragmatic randomized controlled trial.
The purpose of this paper is to describe the protocol for a study to assess how patients' information needs during hospitalization can be addressed with health information technologies using a personalized inpatient portal. The study is designed to test whether the portal will improve patient engagement.
AHRQ-funded; HS021816.
Citation: Masterson Creber R, Prey J, Ryan B .
Engaging hospitalized patients in clinical care: study protocol for a pragmatic randomized controlled trial.
Contemp Clin Trials 2016 Mar;47:165-71. doi: 10.1016/j.cct.2016.01.005.
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Keywords: Health Information Technology (HIT), Hospitalization, Inpatient Care, Patient and Family Engagement, Web-Based
Arcia A, Suero-Tejeda N, Bales ME
Sometimes more is more: iterative participatory design of infographics for engagement of community members with varying levels of health literacy.
The study objective was to collaborate with community members to develop tailored infographics that support comprehension of health information, engage the viewer, and may have the potential to motivate health-promoting behaviors. It concluded that carefully designed infographics can be useful tools to support comprehension and thus help patients engage with their own health data.
AHRQ-funded; HS019853; HS022961
Citation: Arcia A, Suero-Tejeda N, Bales ME .
Sometimes more is more: iterative participatory design of infographics for engagement of community members with varying levels of health literacy.
J Am Med Inform Assoc 2016 Jan;23(1):174-83. doi: 10.1093/jamia/ocv079.
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Keywords: Education: Patient and Caregiver, Health Literacy, Health Promotion, Patient and Family Engagement, Web-Based
Sorkin DH, Amin A, Weimer DL
Rationale and study protocol for the Nursing Home Compare Plus (NHCPlus) randomized controlled trial: A personalized decision aid for patients transitioning from the hospital to a skilled-nursing facility.
This paper describes the design and rationale of a two-arm randomized controlled trial designed to test the effectiveness of Nursing Home Compare Plus (NHCPlus) compared to usual care only, in a sample of patients being discharged from the hospital to an SNF (N=229). Assessments were conducted within 24h prior to patient discharge and 30-days post discharge. A primary outcome to be examined was the use of NHC.
AHRQ-funded; HS021844.
Citation: Sorkin DH, Amin A, Weimer DL .
Rationale and study protocol for the Nursing Home Compare Plus (NHCPlus) randomized controlled trial: A personalized decision aid for patients transitioning from the hospital to a skilled-nursing facility.
Contemp Clin Trials 2016 Jan 7;47:139-45. doi: 10.1016/j.cct.2015.12.018.
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Keywords: Nursing Homes, Web-Based, Patient Experience, Hospitalization, Health Information Technology (HIT)
Mirsky JB, Tieu L, Lyles C
A mixed-methods study of patient-provider e-mail content in a safety-net setting.
The researchers explored the content of patient-provider e-mails in a safety-net primary care clinic, by conducting a content analysis using inductive and deductive coding of e-mail exchanges. Their results showed that patients in safety-net clinics are capable of safely and effectively using electronic messaging for between-visit communication with providers.
AHRQ-funded; HS022408; HS023558.
Citation: Mirsky JB, Tieu L, Lyles C .
A mixed-methods study of patient-provider e-mail content in a safety-net setting.
J Health Commun 2016;21(1):85-91. doi: 10.1080/10810730.2015.1033118..
Keywords: Communication, Health Information Technology (HIT), Patient and Family Engagement, Primary Care, Web-Based
Siegel CA, Horton H, Siegel LS
A validated web-based tool to display individualised Crohn's disease predicted outcomes based on clinical, serologic and genetic variables.
The researchers developed a validated, individualised, web-based tool for patients and clinicians to visualise individualised risks for developing Crohn's disease complications. Their web-based tool displays an individualised predicted outcome for adult patients with Crohn's disease based on clinical, serologic and genetic variables. This tool can be used to help providers and patients make personalised decisions about treatment options.
AHRQ-funded; HS021747.
Citation: Siegel CA, Horton H, Siegel LS .
A validated web-based tool to display individualised Crohn's disease predicted outcomes based on clinical, serologic and genetic variables.
Aliment Pharmacol Ther 2016 Jan;43(2):262-71. doi: 10.1111/apt.13460.
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Keywords: Web-Based, Tools & Toolkits, Risk, Outcomes
Dalal AK, Dykes PC, Collins S
A web-based, patient-centered toolkit to engage patients and caregivers in the acute care setting: a preliminary evaluation.
The researchers implemented a web-based, patient-centered toolkit that engages patients/caregivers in the hospital plan of care by facilitating education and patient-provider communication. Of the 585 eligible patients approached on medical intensive care and oncology units, 239 were enrolled (119 patients, 120 caregivers). They found that the average system usability scores and satisfaction ratings of a sample of surveyed enrollees were favorable.
AHRQ-funded; HS023535.
Citation: Dalal AK, Dykes PC, Collins S .
A web-based, patient-centered toolkit to engage patients and caregivers in the acute care setting: a preliminary evaluation.
J Am Med Inform Assoc 2016 Jan;23(1):80-7. doi: 10.1093/jamia/ocv093.
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Keywords: Critical Care, Patient and Family Engagement, Clinician-Patient Communication, Tools & Toolkits, Web-Based
Lee JL, Choudhry NK, Wu AW
Patient use of email, Facebook, and physician websites to communicate with physicians: a national online survey of retail pharmacy users.
The researchers explored patient behavior and interest in using the Internet to contact physicians. They surveyed CVS customers with at least one chronic condition in the household and found strong interest among patients in the use of email and Facebook to communicate with their physicians. They identified a gap between patient interest and what physicians may currently provide. They suggested the adoption of secure Web messaging systems as a possible solution that addresses both institutional concerns and patient demand.
AHRQ-funded; HS000029.
Citation: Lee JL, Choudhry NK, Wu AW .
Patient use of email, Facebook, and physician websites to communicate with physicians: a national online survey of retail pharmacy users.
J Gen Intern Med 2016 Jan;31(1):45-51. doi: 10.1007/s11606-015-3374-7.
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Keywords: Communication, Health Information Technology (HIT), Clinician-Patient Communication, Provider: Pharmacist, Web-Based