Abstract：
BACKGROUND:Safety-net systems serve patients with limited health literacy and limited English proficiency (LEP) who face communication barriers. However, little is known about how diverse safety-net patients feel about increasing clinician electronic health record (EHR) use. OBJECTIVE:The aim of this study was to better understand how safety-net patients, including those with LEP, view clinician EHR use. METHODS:We conducted focus groups in English, Spanish, and Cantonese (N=37) to elicit patient perspectives on how clinicians use EHRs during clinic visits. Using a grounded theory approach, we coded transcripts to identify key themes. RESULTS:Across multiple language groups, participants accepted multitasking and silent clinician EHR use if focused on their care. However, participants desired more screen share and eye contact, especially when demonstrating physical concerns. All participants, including LEP participants, wanted clinicians to include them in EHR use. CONCLUSIONS:Linguistically diverse patients accept the value of EHR use during outpatient visits but desire more eye contact, verbal warnings before EHR use, and screen-sharing. Safety-net health systems should support clinicians in completing EHR-related tasks during the visit using patient-centered strategies for all patients.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Khoong EC,Cherian R,Matta GY,Lyles CR,Schillinger D,Ratanawongsa Ndoi
10.2196/13131subject
Has Abstractpub_date
2019-05-22 00:00:00pages
e13131issue
5eissn
1439-4456issn
1438-8871pii
v21i5e13131journal_volume
21pub_type
杂志文章abstract：BACKGROUND:Digital health can empower citizens to manage their health and address health care system problems including poor access, uncoordinated care and increasing costs. Digital health interventions are typically complex interventions. Therefore, evaluations present methodological challenges. OBJECTIVE:The objecti...
journal_title：Journal of medical Internet research
pub_type： 杂志文章
doi：10.2196/10202
更新日期：2018-06-07 00:00:00
abstract：BACKGROUND:The Internet is widely used by young people and could serve to improve insufficient access to mental health care. Previous information on this topic comes from selected samples (students or self-selected individuals) and is incomplete. OBJECTIVE:In a community sample of young adults, we aimed to describe fr...
journal_title：Journal of medical Internet research
pub_type： 杂志文章
doi：10.2196/jmir.4254
更新日期：2015-05-15 00:00:00
abstract：BACKGROUND:Sleep hygiene is important for maintaining good sleep and reducing insomnia. OBJECTIVE:This study examined the long-term efficacy of a theory-based app (including cognitive behavioral therapy [CBT], theory of planned behavior [TPB], health action process approach [HAPA], and control theory [CT]) on sleep hy...
journal_title：Journal of medical Internet research
pub_type： 杂志文章,随机对照试验
doi：10.2196/15841
更新日期：2020-04-01 00:00:00
abstract：BACKGROUND:Online health communities (OHCs) provide a convenient and commonly used way for people to connect around shared health experiences, exchange information, and receive social support. Users often interact with peers via multiple communication methods, forming a multirelational social network. Use of OHCs is co...
journal_title：Journal of medical Internet research
pub_type： 杂志文章
doi：10.2196/jmir.5985
更新日期：2016-08-25 00:00:00
abstract：BACKGROUND:Exercise is an effective intervention for the prevention of falls; however, some forms of exercises have been shown to be more effective than others. There is a need to identify effective and efficient methods for training health professionals in exercise prescription for falls prevention. OBJECTIVE:The obj...
journal_title：Journal of medical Internet research
pub_type： 杂志文章,随机对照试验
doi：10.2196/jmir.1680
更新日期：2011-12-22 00:00:00
abstract：BACKGROUND:Many health information providers on the Internet and doctors with email accounts are confronted with the phenomenon of receiving unsolicited emails from patients asking for medical advice. Also, a growing number of websites offer "ask-the-doctor" services, where patients can ask questions to health professi...
journal_title：Journal of medical Internet research
pub_type： 杂志文章
doi：10.2196/jmir.2.1.e1
更新日期：2000-01-01 00:00:00
abstract：BACKGROUND:Over the last two decades, the number of studies on electronic symptom reporting has increased greatly. However, the field is very heterogeneous: the choices of patient groups, health service innovations, and research targets seem to involve a broad range of foci. To move the field forward, it is necessary t...
journal_title：Journal of medical Internet research
pub_type： 杂志文章,评审
doi：10.2196/jmir.2214
更新日期：2012-10-03 00:00:00
abstract：:The use of Web-based methods to deliver and evaluate interventions is growing in popularity, particularly in a health care context. They have shown particular promise in responding to sensitive or stigmatized issues such as mental health and sexually transmitted infections. In the field of domestic violence (DV), howe...
journal_title：Journal of medical Internet research
pub_type： 杂志文章,随机对照试验
doi：10.2196/jmir.7039
更新日期：2017-03-28 00:00:00
abstract：:Formal Internet interventions exist in a broad context of diverse online health resources, which share elements in common like information, advice and peer support. However, most online health resources are not created by healthcare professionals. Internet interventions need to be designed to "compete" in that wider c...
journal_title：Journal of medical Internet research
pub_type： 评论,社论
doi：10.2196/jmir.8.3.e24
更新日期：2006-09-29 00:00:00
abstract：BACKGROUND:Influenza is a viral respiratory disease capable of causing epidemics that represent a threat to communities worldwide. The rapidly growing availability of electronic "big data" from diagnostic and prediagnostic sources in health care and public health settings permits advance of a new generation of methods ...
journal_title：Journal of medical Internet research
pub_type： 杂志文章
doi：10.2196/jmir.7101
更新日期：2017-06-15 00:00:00
abstract：BACKGROUND:Given the recognized importance of preventing poor dietary behaviors during adolescence, we need a better understanding of college students' dietary behaviors. Studies have found that individual factors and electronic health (eHealth) literacy may affect one's dietary behaviors. However, few studies have ful...
journal_title：Journal of medical Internet research
pub_type： 杂志文章
doi：10.2196/13140
更新日期：2019-11-26 00:00:00
abstract：BACKGROUND:Mental health services aim to provide recovery-focused care and facilitate coproduced care planning. In practice, mental health providers can find supporting individualized coproduced care with service users difficult while balancing administrative and performance demands. To help meet this aim and using pri...
journal_title：Journal of medical Internet research
pub_type： 杂志文章
doi：10.2196/14868
更新日期：2020-03-19 00:00:00
abstract：:Analogous to checklists of recommendations such as the CONSORT statement (for randomized trials), or the QUORUM statement (for systematic reviews), which are designed to ensure the quality of reports in the medical literature, a checklist of recommendations for authors is being presented by the Journal of Medical Inte...
journal_title：Journal of medical Internet research
pub_type： 社论
doi：10.2196/jmir.6.3.e34
更新日期：2004-09-29 00:00:00
abstract：BACKGROUND:Advances in mobile health (mHealth) have enabled systematic and continuous management of patients with chronic diseases. OBJECTIVE:We developed a smartphone-based mHealth system and aimed to evaluate its effects on health behavior management and risk factor control in stroke patients. METHODS:With a multif...
journal_title：Journal of medical Internet research
pub_type： 杂志文章
doi：10.2196/15377
更新日期：2020-02-27 00:00:00
abstract：:Virtual care, the use of videoconferencing technology to connect with patients, has become critical in providing continuing care for patients during the current COVID-19 pandemic. Virtual care has now been adopted by health care providers across the spectrum, including physicians, residents, nurse practitioners, nurse...
journal_title：Journal of medical Internet research
pub_type： 杂志文章
doi：10.2196/20621
更新日期：2021-01-21 00:00:00
abstract：BACKGROUND:Syringe service programs (SSPs) are safe, highly effective programs for promoting health among people who inject drugs. However, resource limitations prevent the delivery of a full package of prevention services to many clients in need. Computer-tailored interventions may represent a promising approach for p...
journal_title：Journal of medical Internet research
pub_type： 杂志文章,随机对照试验
doi：10.2196/19703
更新日期：2020-09-29 00:00:00
abstract：BACKGROUND:In many countries, there has been substantial progress in establishing the electronic transmission of patients' health information between health care providers, but little is known about how best to engage patients in the process. OBJECTIVE:We explored patients' views about sharing of electronic health inf...
journal_title：Journal of medical Internet research
pub_type： 杂志文章
doi：10.2196/jmir.1164
更新日期：2009-08-06 00:00:00
abstract：BACKGROUND:More than 35% of American adults are obese. For African American and Hispanic adults, as well as individuals residing in poorer or more racially segregated urban neighborhoods, the likelihood of obesity is even higher. Information and communication technologies (ICTs) may substitute for or complement communi...
journal_title：Journal of medical Internet research
pub_type： 杂志文章
doi：10.2196/jmir.5741
更新日期：2016-06-28 00:00:00
abstract：BACKGROUND:The prevalence of chronic diseases such as type 2 diabetes and chronic low back pain is rising. Patient empowerment is a key strategy in the management of chronic diseases. Patient empowerment can be fostered by Web-based interactive health communication applications (IHCAs) that combine health information w...
journal_title：Journal of medical Internet research
pub_type： 杂志文章,随机对照试验
doi：10.2196/jmir.3904
更新日期：2015-03-03 00:00:00
abstract：BACKGROUND:Home telemonitoring figures among the various solutions that could help attenuate some of the problems associated with aging populations, rates of chronic illness, and shortages of health professionals. OBJECTIVE:The primary aim of this study was to further our understanding of the clinical effects associat...
journal_title：Journal of medical Internet research
pub_type： 杂志文章,评审
doi：10.2196/jmir.1357
更新日期：2010-06-16 00:00:00
abstract：BACKGROUND:Efficiently sharing health data produced during standard care could dramatically accelerate progress in cancer treatments, but various barriers make this difficult. Not sharing these data to ensure patient privacy is at the cost of little to no learning from real-world data produced during cancer care. Furth...
journal_title：Journal of medical Internet research
pub_type： 杂志文章
doi：10.2196/16810
更新日期：2020-03-20 00:00:00
abstract：BACKGROUND:eHealth tools on the Internet have the potential to help people manage their health and health care. However, little is known about the distribution and use of different kinds of eHealth tools across the population or within population subgroups. OBJECTIVE:The purpose of this study was to examine the preval...
journal_title：Journal of medical Internet research
pub_type： 杂志文章
doi：10.2196/jmir.1035
更新日期：2009-02-20 00:00:00
abstract：BACKGROUND:The Institute of Medicine recommends Survivorship Care Plans (SCPs) for all cancer survivors. However, it is unclear whether certain patient groups may or may not benefit from SCPs. OBJECTIVE:The aim was to assess whether the effects of an automatically generated paper SCP on patients' satisfaction with inf...
journal_title：Journal of medical Internet research
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.2196/jmir.4914
更新日期：2016-07-08 00:00:00
abstract：BACKGROUND:In December 2019, the COVID-19 outbreak started in China and rapidly spread around the world. Lack of a vaccine or optimized intervention raised the importance of characterizing risk factors and symptoms for the early identification and successful treatment of patients with COVID-19. OBJECTIVE:This study ai...
journal_title：Journal of medical Internet research
pub_type： 杂志文章,meta分析
doi：10.2196/20509
更新日期：2020-10-02 00:00:00
abstract：BACKGROUND:Health risk assessments are becoming more popular as a tool to conveniently and effectively reach community-dwelling adults who may be at risk for serious chronic conditions such as coronary heart disease (CHD). The use of such instruments to improve adults' risk factor awareness and concordance with clinica...
journal_title：Journal of medical Internet research
pub_type： 杂志文章
doi：10.2196/jmir.2369
更新日期：2014-04-18 00:00:00
abstract：BACKGROUND:Type 2 diabetes mellitus (T2DM) is a highly prevalent chronic metabolic disease characterized by hyperglycemia and cardiovascular risks. Without proper treatment, T2DM can lead to long-term complications. Diabetes self-management is recognized as the cornerstone of overall diabetes management. Web-based self...
journal_title：Journal of medical Internet research
pub_type： 杂志文章,评审
doi：10.2196/jmir.2800
更新日期：2013-12-13 00:00:00
abstract：BACKGROUND:Family conflict can reduce adolescent adherence to type 1 diabetes management tasks. The Family Teamwork in-person intervention was shown to be efficacious in reducing conflict and low adherence to diabetes-related tasks. Its reach and potential impact, however, were limited by the need to deliver the interv...
journal_title：Journal of medical Internet research
pub_type： 杂志文章
doi：10.2196/15318
更新日期：2019-09-13 00:00:00
abstract：BACKGROUND:The obesity pandemic has now reached children, and households should change their lifestyles to prevent it. OBJECTIVE:The objective was to assess the effect of a comprehensive intervention on body mass index z-score (BMIZ) in schoolchildren. METHODS:A yearlong study was conducted at 4 elementary schools in...
journal_title：Journal of medical Internet research
pub_type： 临床试验,杂志文章
doi：10.2196/jmir.5584
更新日期：2016-06-24 00:00:00
abstract：BACKGROUND:An increasing number of doctor reviews are being generated by patients on the internet. These reviews address a diverse set of topics (features), including wait time, office staff, doctor's skills, and bedside manners. Most previous work on automatic analysis of Web-based customer reviews assumes that (1) pr...
journal_title：Journal of medical Internet research
pub_type： 杂志文章
doi：10.2196/11141
更新日期：2018-11-12 00:00:00
abstract：BACKGROUND:Intensive interventions targeting diet and physical activity are effective for weight reduction but are costly. Tailored, computer-generated, step-count feedback may provide an intensive and affordable way to increase the physical activity of people at high risk for cardiovascular disease. OBJECTIVE:The obj...
journal_title：Journal of medical Internet research
pub_type： 临床试验,杂志文章,多中心研究
doi：10.2196/jmir.7.5.e56
更新日期：2005-11-17 00:00:00
