Interactive Web-based Portals to Improve Patient Navigation and Connect Patients with Primary Care and Specialty Services in Underserved Communities.

This article presents a case study in the redesign, development, and implementation of a web-based healthcare clinic search tool for virtual patient navigation in underserved populations in Texas. It describes the workflow, assessment of system requirements, and design and implementation of two onli...

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Publicado en:Perspectives in Health Information Management pp. 37 - 49
Autores principales: Highfield, Linda, Ottenweller, Cecelia, Pfanz, Andre, Hanks, Jeanne
Formato: case study pictorial research tables/charts Journal Article
Publicado: American Health Information Management Association Spring2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Spring2014
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      pub: American Health Information Management Association
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        atl: Interactive Web-based Portals to Improve Patient Navigation and Connect Patients with Primary Care and Specialty Services in Underserved Communities.
      aug:
        au:
          Highfield, Linda
          Ottenweller, Cecelia
          Pfanz, Andre
          Hanks, Jeanne
        affil: Assistant Professor, Division of Management, Policy and Community Health, University of Texas School of Public Health in Houston, TX.
      sug:
        subj:
          Consumer Health Information
          Systems Design
          Medically Underserved Texas
          Internet
          Human
          Primary Health Care Texas
          Texas
          Funding Source
          Focus Groups
          Women's Health
          Patient Protection and Affordable Care Act
          Healthy People 2020
          Organizations, Nonprofit Texas
          Systems Implementation
          Case Studies
          Health Services Accessibility Texas
      ab: This article presents a case study in the redesign, development, and implementation of a web-based healthcare clinic search tool for virtual patient navigation in underserved populations in Texas. It describes the workflow, assessment of system requirements, and design and implementation of two online portals: Project Safety Net and the Breast Health Portal. The primary focus of the study was to demonstrate the use of health information technology for the purpose of bridging the gap between underserved populations and access to healthcare. A combination of interviews and focus groups was used to guide the development process. Interviewees were asked a series of questions about usage, usability, and desired features of the new system. The redeveloped system offers a multitier architecture consisting of data, business, and presentation layers. The technology used in the new portals include Microsoft .NET Framework 3.5, Microsoft SQL Server 2008, Google Maps JavaScript API v3, jQuery, Telerik RadControls (ASP.NET AJAX), and HTML. The redesigned portals have 548 registered clinics, and they have averaged 355 visits per month since their launch in late 2011, with the average user visiting five pages per visit. Usage has remained relatively constant over time, with an average of 142 new users (40 percent) each month. This study demonstrates the successful application of health information technology to improve access to healthcare and the successful adoption of the technology by targeted end users. The portals described in this study could be replicated by health information specialists in other areas of the United States to address disparities in healthcare access.
      pubtype: Academic Journal
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        case study
        pictorial
        research
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        Journal Article
      ougenre: Article
    language: English
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