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Published on: August 1, 2019
Patient-Entered Wellness Data and Tailored Electronic Recommendations Increase Preventive Care
Julie Foucher-Urcuyo1, David Longworth2, Michael Roizen2
1From the Lerner College of Medicine (JF-U), the Wellness Institute (MR), the Department of Internal Medicine and Medicine Institute Center for Value-Based Care Research (MBR), and Quantitative Health Science (BH), Cleveland Clinic, Cleveland, Ohio; and the Division of Primary Care, Lahey Health, Burlington, MA (DL). fouchej@ccf.org.
Patient-entered wellness data in a new tool significantly increased provider orders for preventive services, including lifestyle medicine and diagnostic tests. This demonstrates patient willingness to share data and its impact on care delivery.
Area of Science:
- Digital Health
- Preventive Medicine
- Primary Care
Background:
- Delivering preventive care is crucial for population health.
- Integrating patient-generated data into clinical workflows can enhance care.
- Electronic tools may facilitate personalized health recommendations.
Purpose of the Study:
- To evaluate if a tool using patient-entered wellness data improves preventive care delivery.
- To assess the impact of tailored electronic recommendations on provider orders.
Main Methods:
- A mixed-methods retrospective study design was employed.
- An Integrated Wellness Tool was utilized in primary care encounters.
- Propensity score matching compared patients using the tool with a historical control group.
Main Results:
- Providers using the tool placed significantly more orders for smoking cessation, lifestyle medicine, and psychology consults.
- Increased orders were observed for online nutrition and stress management programs.
- The tool also led to higher rates of spirometry, polysomnography, and prescriptions for antidepressant and hypnotic medications.
Conclusions:
- Patients are receptive to entering their wellness data.
- Patient-entered data effectively influences provider ordering patterns for preventive services.
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