scholarly journals Capturing the Impact of Patient Portals Based on the Quadruple Aim and Benefits Evaluation Frameworks: Scoping Review (Preprint)

2020 ◽  
Author(s):  
Melita Avdagovska ◽  
Devidas Menon ◽  
Tania Stafinski
Keyword(s):  
Health Care ◽  
Scoping Review ◽  
Emergency Department Visits ◽  
Patient Portals ◽  
Secure Messaging ◽  
Quadruple Aim ◽  
Scoping Reviews ◽  
Benefits Evaluation ◽  
Google Search ◽  
The Impact

BACKGROUND Despite extensive and continuing research in the area of patient portals, measuring the impact of patient portals remains a convoluted process. OBJECTIVE This study aims to explore what is known about patient portal evaluations and to provide recommendations for future endeavors. The focus is on mapping the measures used to assess the impact of patient portals on the dimensions of the Quadruple Aim (QA) framework and the Canada Health Infoway’s Benefits Evaluation (BE) framework. METHODS A scoping review was conducted using the methodological framework of Arksey and O’Malley. Reporting was guided by the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) extension for scoping reviews. A systematic and comprehensive search was conducted using the Ovid platform, and the following databases were searched: Ovid MEDLINE (R) ALL (including epub ahead of print, in-process, and other nonindexed citations), EMBASE, and PsycINFO. CINAHL on the EBSCO platform and Web of Science were searched for studies published between March 2015 and June 2020. A systematic gray literature search was conducted using the Google search engine. Extracted data were tabulated based on a coding template developed to categorize the literature into themes and areas of interest. RESULTS A total of 96 studies were included for data extraction. The studies were categorized based on the QA dimensions, with strict adherence to the definitions for each dimension. From the patients’ perspective, it was determined that most evaluations focused on benefits and barriers to access, access to test results, medication adherence, condition management, medical notes, and secure messaging. From the population perspective, the evaluations focused on the increase in population outreach, decrease in disparities related to access to care services, and improvement in quality of care. From the health care workforce perspective, the evaluations focused on the impact of patients accessing medical records, impact on workflow, impact of bidirectional secure messaging, and virtual care. From the health system perspective, the evaluations focused on decreases in no-show appointments, impact on office visits and telephone calls, impact on admission and readmission rates and emergency department visits, and impact on health care use. Overall, 77 peer-reviewed studies were mapped on the expanded version of the BE framework. The mapping was performed using subdimensions to create a more precise representation of the areas that are currently explored when studying patient portals. Most of the studies evaluated more than one subdimension. CONCLUSIONS The QA and BE frameworks provide guidance in identifying gaps in the current literature by providing a way to show how an impact was assessed. This study highlights the need to appropriately plan how the impact will be assessed and how the findings will be translated into effective adaptations.

scholarly journals Capturing the Impact of Patient Portals Based on the Quadruple Aim and Benefits Evaluation Frameworks: Scoping Review

10.2196/24568 ◽  
2020 ◽  
Vol 22 (12) ◽  
pp. e24568
Author(s):  
Melita Avdagovska ◽  
Devidas Menon ◽  
Tania Stafinski
Keyword(s):  
Health Care ◽  
Scoping Review ◽  
Emergency Department Visits ◽  
Patient Portals ◽  
Secure Messaging ◽  
Quadruple Aim ◽  
Scoping Reviews ◽  
Benefits Evaluation ◽  
Google Search ◽  
The Impact

Background Despite extensive and continuing research in the area of patient portals, measuring the impact of patient portals remains a convoluted process. Objective This study aims to explore what is known about patient portal evaluations and to provide recommendations for future endeavors. The focus is on mapping the measures used to assess the impact of patient portals on the dimensions of the Quadruple Aim (QA) framework and the Canada Health Infoway’s Benefits Evaluation (BE) framework. Methods A scoping review was conducted using the methodological framework of Arksey and O’Malley. Reporting was guided by the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) extension for scoping reviews. A systematic and comprehensive search was conducted using the Ovid platform, and the following databases were searched: Ovid MEDLINE (R) ALL (including epub ahead of print, in-process, and other nonindexed citations), EMBASE, and PsycINFO. CINAHL on the EBSCO platform and Web of Science were searched for studies published between March 2015 and June 2020. A systematic gray literature search was conducted using the Google search engine. Extracted data were tabulated based on a coding template developed to categorize the literature into themes and areas of interest. Results A total of 96 studies were included for data extraction. The studies were categorized based on the QA dimensions, with strict adherence to the definitions for each dimension. From the patients’ perspective, it was determined that most evaluations focused on benefits and barriers to access, access to test results, medication adherence, condition management, medical notes, and secure messaging. From the population perspective, the evaluations focused on the increase in population outreach, decrease in disparities related to access to care services, and improvement in quality of care. From the health care workforce perspective, the evaluations focused on the impact of patients accessing medical records, impact on workflow, impact of bidirectional secure messaging, and virtual care. From the health system perspective, the evaluations focused on decreases in no-show appointments, impact on office visits and telephone calls, impact on admission and readmission rates and emergency department visits, and impact on health care use. Overall, 77 peer-reviewed studies were mapped on the expanded version of the BE framework. The mapping was performed using subdimensions to create a more precise representation of the areas that are currently explored when studying patient portals. Most of the studies evaluated more than one subdimension. Conclusions The QA and BE frameworks provide guidance in identifying gaps in the current literature by providing a way to show how an impact was assessed. This study highlights the need to appropriately plan how the impact will be assessed and how the findings will be translated into effective adaptations.

scholarly journals Patient Portals: Objectives, Acceptance, and Effects on Health Outcome – A Scoping Review of Reviews

2021 ◽  
Author(s):  
I. Leb ◽  
S. Magnin ◽  
H.-U. Prokosch ◽  
M. Boeker
Keyword(s):  
Health Outcome ◽  
Scoping Review ◽  
Health Record ◽  
Patient Portal ◽  
Patient Portals ◽  
Secure Messaging ◽  
Scoping Reviews ◽  
Prisma Statement ◽  
Review Of Reviews ◽  
Facilitators And Barriers

Patient portals provide patients access to their electronic health record and other functions as secure messaging. For over a decade, more and more patient portals are developed for various settings. The aim of this scoping review of reviews is to systematically search the literature for existing reviews to provide an overview of patient portals’ objectives, acceptance and effects on outcome. We followed the PRISMA Statement and its extension for scoping reviews, and searched for articles published in 2011–2021. The 19 included articles were considerably heterogeneous concentrating on health outcome or patient portal facilitators and barriers.

scholarly journals Patient participation in the development and delivery of health care services, and implications for quality: Protocol for a scoping review.

2020 ◽  
Author(s):  
Joachim Sagen ◽  
Geir Smedslund ◽  
Ingvild Kjeken ◽  
Hanne Dagfinrud ◽  
Andreas Habberstad ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Participation ◽  
Scoping Review ◽  
Delivery Of Health Care ◽  
Health Care Services ◽  
Service Development ◽  
Meso Level ◽  
Care Services ◽  
Scoping Reviews ◽  
The Impact

Introduction Patient participation is increasingly important in individual patient treatment (micro-level), in institutional decisions (meso level) and in decisions on a governmental level (macro level). Nevertheless there is still conflicting evidence about the impact of involving patients in health service development and limited agreement on how to make it happen. This scoping review will map and describe characteristics of meso level approaches to patient participation and facilitators for successful patient participation. We will summarize existing knowledge about patient participation, and the impact on health care services. Methods The present study undertakes a scoping review of research on patient participation in the development and delivery of health care services and implications for quality, following the PRISMA checklist for scooping reviews (PRISMA-ScR). This review will be guided following Arksey and O’Malley’s framework for scoping reviews. All primary studies in English and Scandinavian languages will be eligible. The participants will be patients or healthcare professionals in healthcare services (older than 16 years old). Searches will be conducted in four electronic databases: MEDLINE, EMBASE, Cochrane and PsycINFO, and in grey literature. The final search results will be exported into EndNote, and from EndNote to Covidence to be screened. Final study selection and eligibility criteria will be developed post hoc based on increased familiarity with the literature. The data charting form will be developed and then pilot tested, before results will be reported in a tabular form with a list of factors. Furthermore, the meaning of the results will be summed up in relation to the study objectives. Dissemination and ethics Results will be disseminated through academic journals, conferences and seminars for health care professionals, patient organizations, included health care institutions, and communicated to policymakers. The project is funded by the Dam Foundation and does not require ethical approval.

scholarly journals Technology as the Key to Women’s Empowerment: A Scoping Review

2019 ◽  
Author(s):  
April Mackey ◽  
Pammla Petrucka
Keyword(s):  
Health Care ◽  
Gender Equity ◽  
Information And Communication Technologies ◽  
Scoping Review ◽  
Women's Empowerment ◽  
Women’S Empowerment ◽  
Use Of Technology ◽  
Scoping Reviews ◽  
Information And Communication ◽  
The Impact

Abstract Background: The achievement of gender equity and equality has been a long-time goal of many international entities . The main indicator for the goal of women’s empowerment, as part of the Sustainable Development Goals (SDGs), has been to enable the use of technology by increasing the current access for women and girls across the globe. While information and communication technologies (ICTs) were initially thought to be neutral in terms of access and opportunity, emerging trends now indicate that the use of technology within society has significant social implications, specifically related to gender as a determinant of health. Methods : Using the Arksey and O’Malley methodology for scoping reviews, the following question was answered: What is the impact of information and communication technology (ICT) on the level of women’s empowerment worldwide? The primary objective of this scoping review was to identify the extent, range, and scope of evidence involving the impact and influence of ICTs on women’s empowerment. A total of 51 articles were analyzed using the scoping review framework. Results: The major themes that emerged from this review included: (a) the means in which ICTs have assisted in building the capacity and tools of women, (b) the manner in which ICTs have been used as an intervention in supporting empowerment; and (c) the approach in which ICTs can act as potential barriers and facilitators to women’s attainment of agency. Conclusions: The evidence from this scoping review supports the innovative use of current and emerging technologies within health care to connect with, engage, and empower women both within the acute and community settings. The extant evidence explores how ICT has played a role in the promotion and support of women ’s empowerment as well as supporting the development of health care policies and relevant programs.

scholarly journals Antimicrobial Use in COVID-19 Patients in the First Phase of the SARS-CoV-2 Pandemic: A Scoping Review

Antibiotics ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. 745
Author(s):  
Wenjuan Cong ◽  
Ak Narayan Poudel ◽  
Nour Alhusein ◽  
Hexing Wang ◽  
Guiqing Yao ◽  
...  
Keyword(s):  
Critical Illness ◽  
Scoping Review ◽  
Clinical Evidence ◽  
Length Of Hospital Stay ◽  
Severity Of Illness ◽  
Antibiotic Prescribing ◽  
Antimicrobial Use ◽  
Clinical Scenarios ◽  
Scoping Reviews ◽  
The Impact

This scoping review provides new evidence on the prevalence and patterns of global antimicrobial use in the treatment of COVID-19 patients; identifies the most commonly used antibiotics and clinical scenarios associated with antibiotic prescribing in the first phase of the pandemic; and explores the impact of documented antibiotic prescribing on treatment outcomes in COVID-19 patients. The review complies with PRISMA guidelines for Scoping Reviews and the protocol is registered with the Open Science Framework. In the first six months of the pandemic, there was a similar mean antibiotic prescribing rate between patients with severe or critical illness (75.4%) and patients with mild or moderate illness (75.1%). The proportion of patients prescribed antibiotics without clinical justification was 51.5% vs. 41.9% for patients with mild or moderate illness and those with severe or critical illness. Comparison of patients who were provided antibiotics with a clinical justification with those who were given antibiotics without clinical justification showed lower mortality rates (9.5% vs. 13.1%), higher discharge rates (80.9% vs. 69.3%), and shorter length of hospital stay (9.3 days vs. 12.2 days). In the first 6 months of the pandemic, antibiotics were prescribed for COVID-19 patients regardless of severity of illness. A large proportion of antibiotic prescribing for mild and moderate COVID-19 patients did not have clinical evidence of a bacterial co-infection. Antibiotics may not be beneficial to COVID-19 patients without clinical evidence of a bacterial co-infection.

scholarly journals Making change last? Exploring the value of sustainability approaches in healthcare: a scoping review

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
L. Lennox ◽  
A. Linwood-Amor ◽  
L. Maher ◽  
J. Reed
Keyword(s):  
Scoping Review ◽  
Evidence Base ◽  
Vast Number ◽  
Community Healthcare ◽  
Healthcare Settings ◽  
Future Assessment ◽  
Scoping Reviews ◽  
Or Practice ◽  
The Impact ◽  
Appraisal Tool

Abstract Background Numerous models, tools and frameworks have been produced to improve the sustainability of evidence-based interventions. Due to the vast number available, choosing the most appropriate one is increasingly difficult for researchers and practitioners. To understand the value of such approaches, evidence warranting their use is needed. However, there is limited understanding of how sustainability approaches have been used and how they have impacted research or practice. This review aims to consolidate evidence on the application and impact of sustainability approaches in healthcare settings. Methods A systematic scoping review was designed to search for peer-reviewed publications detailing the use of sustainability approaches in practice. A 5-stage framework for scoping reviews directed the search strategy, and quality assessment was performed using the Mixed Method Appraisal Tool. Searches were performed through electronic citation tracking and snowballing of references. Articles were obtained through Web of Science, PubMed and Google Scholar. Six outcome variables for sustainability were explored to ascertain impact of approaches. Results This review includes 68 articles demonstrating the application of sustainability approaches in practice. Results show an increase in the use of sustainability approaches in peer-reviewed studies. Approaches have been applied across a range of healthcare settings, including primary, secondary, tertiary and community healthcare. Approaches are used for five main purposes, namely analysis, evaluation, guidance, assessment and planning. Results outline benefits (e.g. improved conceptualisation of sustainability constructs and improved ability to interpret sustainability data) and challenges (e.g. issues with approach constructs and difficulty in application) associated with using a sustainability approach in practice. Few articles (14/68) reported the sustainability outcome variables explored; therefore, the impact of approaches on sustainability remains unclear. Additional sustainability outcome variables reported in retrieved articles are discussed. Conclusions This review provides practitioners and researchers with a consolidated evidence base on sustainability approaches. Findings highlight the remaining gaps in the literature and emphasise the need for improved rigour and reporting of sustainability approaches in research studies. To guide future assessment and study of sustainability in healthcare settings an updated list of sustainability outcome variables is proposed. Trial Registration This review was registered on the PROSPERO database CRD 42016040081 in June 2016.

Responding and adapting to change: an allied health perspective

2020 ◽  
Vol 33 (4) ◽  
pp. 339-349
Author(s):  
Lisa Beasley ◽  
Sandra Grace ◽  
Louise Horstmanshof
Keyword(s):  
Health Care ◽  
Change Management ◽  
Scoping Review ◽  
Health Professionals ◽  
Allied Health ◽  
Change Processes ◽  
Allied Health Professionals ◽  
Content Type ◽  
Scoping Reviews ◽  
Change Leaders

Purpose The purpose of this paper is to review the literature on the response and adaption to change of allied health professionals. Understanding how individuals respond and adapt to change is essential to assist leaders to manage transformational change effectively. Contemporary health-care environments are characterised by frequent and rapid change, often with unrealistic and challenging time frames. Individuals operate independently, but also as members of teams, professions and organisations. Therefore, having a sound understanding of individual response to change is important for change leaders. In the Australian context, allied health professionals represent a quarter of the health-care workforce. There is a significant gap in understanding how allied health professionals respond and adapt to change. Design/methodology/approach A scoping review was designed to report on the nature and extent of the literature on the response and adaption to change in the context of allied health professionals. Change leaders in the health-care environment face a number of complex challenges when attempting to facilitate change. While this scoping review did not identify any specific literature on the response and adaption to change of allied health professionals, it did however provide information on change models and factors to take into consideration when implementing a change process. Findings The results of this scoping review identified findings in two main areas with regard to response and adaptation of allied health to change: a review of change management literature at the organisation level and change management for allied health. Most of the literature described organisational level change management without providing a structural framework for change. At the professional individual level, the literature focused on specific clinical interventions, rather than on the response and adaption to change for allied health. Minimal literature was identified in regard to the response and adaption to change of allied health professionals. In an environment characterised by continuous change and policy reform, a greater understanding of the response and adaption to change by allied health is a priority for research, policy and practice. Research limitations/implications This scoping review was undertaken to explore the response and adaption to change of allied health. It sought to identify the factors that may explain why certain disciplines within the allied health professional group responded to change differently. Scoping reviews do not set out to comprehensively source all relevant literature but rather to ascertain the nature and extent of the published literature in the field. Therefore, it is possible that a systematic review might uncover additional relevant papers. However, this scoping review provides a clear indication of the nature and extent of the literature in allied health. Practical implications Social implications This scoping review will assist change leaders to gain a better understanding of theoretical frameworks of individual, team and organisational change processes and the impacts these have individually and collectively on change processes. Originality/value To the best of the authors’ knowledge, this scoping review is the first of its kind to identify the minimal literature available on the way allied health professionals respond and adapt to change.

scholarly journals Economics of abortion: a scoping review protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e029939 ◽  
Author(s):  
Ernestina Coast ◽  
Samantha R Lattof ◽  
Yana van der Meulen Rodgers ◽  
Brittany Moore
Keyword(s):  
Scoping Review ◽  
Economic Outcomes ◽  
Primary Data ◽  
Science Literature ◽  
Safe Abortion ◽  
Economic Implications ◽  
Abortion Care ◽  
Scoping Reviews ◽  
The Impact ◽  
Analytical Approaches

IntroductionAbortion is a common feature of people’s reproductive lives. However, the economic implications of abortion and policies affecting abortion provision are poorly understood. This scoping review aims to systematically review social science literature for studies that have investigated the impact of abortion care (ie, un/safe abortion, post-abortion care) or abortion policies on economic outcomes at the micro-levels (ie, abortion seekers and their households), meso-levels (ie, communities and health systems) and macro-levels (ie, societies and nation states). Informed by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guideline for protocols, this protocol details the scoping review’s methodological and analytical approaches.Methods and analysisThis scoping review will utilise the PRISMA extension for Scoping Reviews (PRISMA-ScR) tool. Studies reporting on qualitative and/or quantitative data from any world region will be considered. For inclusion, studies must examine one of the following economic outcomes at the micro-levels, meso-levels and/or macro-levels: costs, benefits, impacts and/or value of abortion care or abortion policies. Searches will be conducted in eight electronic databases. We will conduct the searches and application of inclusion/exclusion criteria according to the PRISMA-ScR flow approach. No assessments of items’ quality will be made, as the purpose of this scoping review is to synthesise and describe the coverage of the evidence. After extracting all data, we will inductively develop an economic framework around the economics of abortion. The analysis will synthesise the evidence base and identify knowledge gaps on the costs and benefits of abortion to stakeholders at various levels.Ethics and disseminationFormal ethical approval is not required, as primary data will not be collected in this study. The findings of this study will be disseminated through peer-reviewed publications, conference presentations, and condensed summaries for key stakeholders and partners in the field.

The Use of Palliative Sedation to Treat Existential Suffering: A Scoping Review on Practices, Ethical Considerations, and Guidelines

2019 ◽  
Vol 35 (1) ◽  
pp. 13-20 ◽  
Author(s):  
Allysa L. Ciancio ◽  
Raza M. Mirza ◽  
Amy A. Ciancio ◽  
Christopher A. Klinger
Keyword(s):  
Health Care ◽  
Scoping Review ◽  
Research Policy ◽  
Grey Literature ◽  
Palliative Sedation ◽  
Ethical Considerations ◽  
Policy And Practice ◽  
Refractory Symptoms ◽  
Existential Suffering ◽  
The Impact

Context: Though palliative sedation has been recognized as an acceptable practice in Canada for many years now, there is a lack of clinical research and guidelines pertaining to its use as a treatment of existential refractory symptoms in the terminally ill. Objectives: This scoping review aimed to survey the literature surrounding palliative sedation and existential suffering and to inform research, policy, and practice. Methods: To address the main research question: Is palliative sedation an acceptable intervention to treat existential refractory symptoms in adults aged 65 and older? a scoping review following Arksey and O’Malley’s framework was performed, spanning electronic databases of the peer reviewed and grey literature. Articles were screened for inclusion, and a thematic content analysis allowed for a summary of key findings. Results: Out of 427 search results, 71 full text articles were obtained, 20 of which were included. Out of these articles, four themes were identified as key findings. These included: (1) Ethical considerations; (2) The role of the health care provider; looking specifically at the impact on nurses; (3) The need for multidisciplinary care teams; and (4) Existential suffering’s connection to religiosity and spirituality. Conclusion: Palliative sedation to treat existential refractory symptoms was labelled a controversial practice. A shortage of evidence-based resources limits the current literature’s ability to inform policy and clinical practice. There is a need for both qualitative and quantitative multi-center research so health care professionals and regional-level institutions have firm roots to establish proper policy and practice.

Sign in / Sign up

Export Citation Format

Share Document