| Literature DB >> 30595147 |
Hillary D Lum1, Adreanne Brungardt2, Sarah R Jordan2, Phoutdavone Phimphasone-Brady3, Lisa M Schilling4, Chen-Tan Lin5, Jean S Kutner4.
Abstract
BACKGROUND: Electronic health record-based portal tools may help patients engage in advance care planning (ACP). We designed and implemented portal-based ACP tools to enable patients to create a medical durable power of attorney (MDPOA). MEASURES: MDPOA documentation and System Usability Scale were assessed. INTERVENTION: Stakeholder-informed portal-based ACP tools include an electronic MDPOA form, patient educational webpage, online messaging, and patient access to completed advance directives. OUTCOMES: A total of 2814 patients used the tools over 15 months. Patients had a mean age 45 years (17-98 years) and 69% were women. Eighty-nine percent completed an MDPOA form, 2% called or sent online messages, and 8% viewed the MDPOA form but did not complete it. The tools were rated highly usable. CONCLUSIONS/LESSONS LEARNED: Patients demonstrated willingness to use the portal to complete an MDPOA and rated the new ACP tools as highly usable. Future work will optimize population-based outreach strategies to engage patients in ACP through the portal. Published by Elsevier Inc.Entities:
Keywords: Advance care planning; advance directive; electronic health record; health information technology; patient portal; surrogate decision maker
Mesh：
Year: 2018 PMID： 30595147 PMCID： PMC6314208 DOI： 10.1016/j.jpainsymman.2018.10.500
Source DB: PubMed Journal: J Pain Symptom Manage ISSN： 0885-3924 Impact factor: 3.612