Patient Adoption and Utilization of a Web-Based and Mobile-Based Portal for Collecting Outcomes After Elective Orthopedic Surgery.
Kerri BellEugene WarnickKristen J NicholsonSarah UlcoqSeong Jin KimGregory D SchroederAlexander VaccaroPublished in: American journal of medical quality : the official journal of the American College of Medical Quality (2018)
Health care increasingly collects patient-reported outcomes (PROs) via web-based platforms. The purpose of this study was to evaluate how patient age influences portal engagement. Patients undergoing elective surgery at a single multispecialty orthopedic practice from September 2014 to February 2017 had access to an online portal to complete PROs, message the clinic, and view physical therapy instructions. A mobile app was optionally available. Age, sex, log-in frequency, PRO completion rates, and number of messages sent were reviewed retrospectively. Message frequency, log-in rates, and PRO compliance were highest for patients aged 41 to 50, 51 to 60, and 61 to 70, respectively. Mobile app use decreased with age ( P = .002); yet, at all ages, the mobile app group was more engaged. In particular, for patients aged 18 to 30 years, log-in frequency increased 2.5-fold and PRO compliance improved 44% ( P < .001) in the mobile app group. This study demonstrates that portal interaction varies by age and that data capture is highest in patients who choose the mobile app.
Keyphrases
- patient reported outcomes
- patients undergoing
- end stage renal disease
- healthcare
- chronic kidney disease
- newly diagnosed
- minimally invasive
- ejection fraction
- primary care
- prognostic factors
- peritoneal dialysis
- electronic health record
- case report
- artificial intelligence
- big data
- health insurance
- acute coronary syndrome
- deep learning
- quality improvement