Literature DB >> 16779122

A Medicaid eHealth program: an analysis of benefits to users and nonusers.

Charles Safran1, Grace Pompilio-Weitzner, Kathryn D Emery, Louis Hampers.   

Abstract

OBJECTIVE: To describe parental use of an Internet-based educational and emotional support system, in a regional NICU program.
METHODS: Baby CareLink was installed in NICUs in 4 Denver area hospitals in 2003. Parents were offered access from hospital terminals and from any other Internet access point. Data on use of the program was collected by the computer system. Discharge status was verified by Colorado's Department of Public Assistance.
RESULTS: Of the 388 families admitted to Denver area NICUs with Baby CareLink during the study period, 135 (34.8%) were identified as Medicaid families (needing public assistance). After exclusions, data for 81 Medicaid and 154 non-Medicaid families were available for analysis. Medicaid families who accessed 3 or more Baby CareLink web pages per day took their infants home 17.5 days sooner than families who used Baby CareLink less often (p=0.03). Among the non-Medicaid families, more frequent users of Baby CareLink took their infants home 14.3 days sooner (p=0.04).
CONCLUSIONS: Internet portals will be used by both Medicaid and non-Medicaid parents with children in NICUs to meet educational needs. More frequent use of Baby CareLink was associated with significantly shorter length of stay. Self-help tools for parents may free nursing resource for families with greater needs.

Entities:  

Mesh:

Year:  2005        PMID: 16779122      PMCID: PMC1560881     

Source DB:  PubMed          Journal:  AMIA Annu Symp Proc        ISSN: 1559-4076


  16 in total

Review 1.  Online patient-helpers and physicians working together: a new partnership for high quality health care.

Authors:  T Ferguson
Journal:  BMJ       Date:  2000-11-04

2.  Empowering patients using computer based health support systems.

Authors:  D H Gustafson; F M McTavish; E Boberg; B H Owens; C Sherbeck; M Wise; S Pingree; R P Hawkins
Journal:  Qual Health Care       Date:  1999-03

3.  Implementing potentially better practices for improving family-centered care in neonatal intensive care units: successes and challenges.

Authors:  Kimberly A Cisneros Moore; Kara Coker; Allison B DuBuisson; Betsy Swett; William H Edwards
Journal:  Pediatrics       Date:  2003-04       Impact factor: 7.124

4.  Internet use and perceptions of information reliability by parents in a neonatal intensive care unit.

Authors:  Amrit S Dhillon; Susan G Albersheim; Sulaiman Alsaad; Nisha S Pargass; John A F Zupancic
Journal:  J Perinatol       Date:  2003 Jul-Aug       Impact factor: 2.521

5.  Caring for the NICU parent.

Authors:  C Kenner
Journal:  J Perinat Neonatal Nurs       Date:  1990-12       Impact factor: 1.638

6.  Informational needs of parents of sick neonates.

Authors:  N B Perlman; J L Freedman; R Abramovitch; H Whyte; H Kirpalani; M Perlman
Journal:  Pediatrics       Date:  1991-09       Impact factor: 7.124

7.  Empowering children and families with information technology.

Authors:  D M D'Alessandro; N P Dosa
Journal:  Arch Pediatr Adolesc Med       Date:  2001-10

8.  How parents of premature infants gather information and obtain support.

Authors:  J E Brazy; B M Anderson; P T Becker; M Becker
Journal:  Neonatal Netw       Date:  2001-03

9.  The information and support needs of mothers of premature infants.

Authors:  E M McKim
Journal:  J Pediatr Nurs       Date:  1993-08       Impact factor: 2.145

10.  The collaborative edge: patient empowerment for vulnerable populations.

Authors:  Charles Safran
Journal:  Int J Med Inform       Date:  2003-03       Impact factor: 4.046

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  1 in total

1.  Survey of consumer informatics for palliation and hospice care.

Authors:  Milton Corn; David H Gustafson; Linda M Harris; Jean S Kutner; Ann E McFarren; Aziza T Shad
Journal:  Am J Prev Med       Date:  2011-05       Impact factor: 5.043

  1 in total

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