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Implementation of Technology-based Patient Engagement Strategies within Practice-based Research Networks.

Beth Careyva1, Kyle Shaak2, Geoffrey Mills2

  • 1From the Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (BC, KS, MJ, BS); the Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia (GM); the Department of Community Health, Lehigh Valley Health Network, Allentown (SG); and the Department of Family Medicine, Ohio State University, Columbus, OH (LSW). beth_a.careyva@lvhn.org.

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|September 11, 2016
PubMed
Summary

Technology use in practice-based research networks (PBRNs) is low, with information technology support being a key barrier. Addressing these challenges can help integrate innovative patient engagement tools into PBRNs.

Keywords:
Decision Support TechniquesElectronic Health RecordsHealth Services ResearchPatient ParticipationPractice-based ResearchPrivacyRegistriesRisk AssessmentSurveys & QuestionnairesUnited States Agency for Healthcare Research and QualityWorkload

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Area of Science:

  • Health Services Research
  • Digital Health
  • Primary Care Research

Background:

  • Technology-based patient engagement strategies are emerging, but their adoption and challenges within practice-based research networks (PBRNs) are not well understood.
  • PBRN directors are crucial for guiding the implementation and translation of patient-facing technologies into clinical practice.

Purpose of the Study:

  • To assess the current use of technology-based patient engagement strategies in PBRNs.
  • To identify barriers to the adoption of these technologies within PBRNs.

Main Methods:

  • A survey of PBRN directors was conducted as part of the 2015 CAFM Educational Research Alliance (CERA) survey.
  • Data were collected from 54 out of 96 eligible PBRN directors, yielding a 56% response rate.

Main Results:

  • Adoption of technology-based patient engagement strategies was limited; fewer than half of PBRNs used common tools like risk assessments or decision aids.
  • The primary barriers identified were lack of information technology (IT) support and low patient portal enrollment rates.
  • For practice engagement, clinician workload and practice leadership were significant factors, with patient privacy concerns being less prominent.

Conclusions:

  • The limited use of patient-facing technologies in PBRNs presents an opportunity to optimize their application.
  • Enhancing IT support and addressing clinician workload concerns are critical steps to facilitate the integration of innovative technologies in PBRNs.