Electronic health records and patient activation – their interactive role in medication adherence

Yunfeng Shi; Veronica Fuentes-Caceres; Megan McHugh; Jessica Greene; Nina Verevkina; Lawrence Casalino; Stephen Shortell

doi:10.1007/978-3-319-29175-8_21

Electronic health records and patient activation – their interactive role in medication adherence

Yunfeng Shi^*, Veronica Fuentes-Caceres, Megan McHugh, Jessica Greene, Nina Verevkina, Lawrence Casalino, Stephen Shortell

^*Corresponding author for this work

Emergency Medicine

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution

2 Scopus citations

Abstract

We investigate the association between the use of Electronic Health Records (EHR) core functions in physician practices and medication adherence among chronically ill adults, as well as how patient activation moderates this relationship. Cross-sectional logistic regressions are conducted using data from the Aligning Forces for Quality Consumer Survey and the National Study of Small and Medium Physician Practices (2007–2009). Only 43% of the practices have a basic EHR. The use of electronic communication and connectivity is positively associated with medication adherence for patients who are highly activated, but the association is negative for less activated patients. EHR based interventions may need to be customized based on patient activation and other factors.

Original language	English (US)
Title of host publication	Smart Health - International Conference, ICSH 2015, Revised Selected Papers
Editors	Hsinchun Chen, Daniel Dajun Zeng, Xiaolong Zheng, Scott J. Leischow
Publisher	Springer Verlag
Pages	219-230
Number of pages	12
ISBN (Print)	9783319291741
DOIs	https://doi.org/10.1007/978-3-319-29175-8_21
State	Published - 2016
Event	International Conference for Smart Health, ICSH 2015 - Phoenix, United States Duration: Nov 17 2015 → Nov 18 2015

Publication series

Name	Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume	9545
ISSN (Print)	0302-9743
ISSN (Electronic)	1611-3349

Other

Other	International Conference for Smart Health, ICSH 2015
Country/Territory	United States
City	Phoenix
Period	11/17/15 → 11/18/15

Funding

AF4QCS was a random-digit-dial survey initially conducted between June 2007 and June 2008 for chronically ill adults (18 or older) in 14 communities in the AF4Q project funded by the Robert Wood Johnson Foundation (RWJF). The survey also included a comparison sample of respondents from the rest of the U.S. Overall, 8140 respondents completed the survey. The response rate is 45.8 % based on the method of Council of American Survey Research Organizations (CASRO) and 27.6 % based on the method of American Association of Public Opinion Research (AAPOR). To be included in the survey, a respondent must have visited a doctor or health care professional during the previous two years for the care of one or more of the following five conditions: diabetes, hypertension asthma, chronic heart disease and depression. AF4QCS has been used and discussed in previous studies [, ]. NSSMPP, conducted between July 2007 and March 2009, was also funded by RWJF. The survey used a nationally representative sample of small and medium physician practices with 19 or fewer physicians. 1,809 practices completed the survey and the response rate was 63.9 %. NSSMPP has also been used in previous studies [, ].

Keywords

Chronic illness
Consumer engagement
Electronic health records
Medication adherence
Patient activation
Patient behavior
Physician practice

ASJC Scopus subject areas

Theoretical Computer Science
General Computer Science

Access to Document

10.1007/978-3-319-29175-8_21

Cite this

Shi, Y., Fuentes-Caceres, V., McHugh, M., Greene, J., Verevkina, N., Casalino, L., & Shortell, S. (2016). Electronic health records and patient activation – their interactive role in medication adherence. In H. Chen, D. D. Zeng, X. Zheng, & S. J. Leischow (Eds.), Smart Health - International Conference, ICSH 2015, Revised Selected Papers (pp. 219-230). (Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics); Vol. 9545). Springer Verlag. https://doi.org/10.1007/978-3-319-29175-8_21

Shi, Yunfeng ; Fuentes-Caceres, Veronica ; McHugh, Megan et al. / Electronic health records and patient activation – their interactive role in medication adherence. Smart Health - International Conference, ICSH 2015, Revised Selected Papers. editor / Hsinchun Chen ; Daniel Dajun Zeng ; Xiaolong Zheng ; Scott J. Leischow. Springer Verlag, 2016. pp. 219-230 (Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)).

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abstract = "We investigate the association between the use of Electronic Health Records (EHR) core functions in physician practices and medication adherence among chronically ill adults, as well as how patient activation moderates this relationship. Cross-sectional logistic regressions are conducted using data from the Aligning Forces for Quality Consumer Survey and the National Study of Small and Medium Physician Practices (2007–2009). Only 43% of the practices have a basic EHR. The use of electronic communication and connectivity is positively associated with medication adherence for patients who are highly activated, but the association is negative for less activated patients. EHR based interventions may need to be customized based on patient activation and other factors.",

keywords = "Chronic illness, Consumer engagement, Electronic health records, Medication adherence, Patient activation, Patient behavior, Physician practice",

author = "Yunfeng Shi and Veronica Fuentes-Caceres and Megan McHugh and Jessica Greene and Nina Verevkina and Lawrence Casalino and Stephen Shortell",

note = "Publisher Copyright: {\textcopyright} Springer International Publishing Switzerland 2016.; International Conference for Smart Health, ICSH 2015 ; Conference date: 17-11-2015 Through 18-11-2015",

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Shi, Y, Fuentes-Caceres, V, McHugh, M, Greene, J, Verevkina, N, Casalino, L & Shortell, S 2016, Electronic health records and patient activation – their interactive role in medication adherence. in H Chen, DD Zeng, X Zheng & SJ Leischow (eds), Smart Health - International Conference, ICSH 2015, Revised Selected Papers. Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics), vol. 9545, Springer Verlag, pp. 219-230, International Conference for Smart Health, ICSH 2015, Phoenix, United States, 11/17/15. https://doi.org/10.1007/978-3-319-29175-8_21

Electronic health records and patient activation – their interactive role in medication adherence. / Shi, Yunfeng; Fuentes-Caceres, Veronica; McHugh, Megan et al.
Smart Health - International Conference, ICSH 2015, Revised Selected Papers. ed. / Hsinchun Chen; Daniel Dajun Zeng; Xiaolong Zheng; Scott J. Leischow. Springer Verlag, 2016. p. 219-230 (Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics); Vol. 9545).

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution

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T1 - Electronic health records and patient activation – their interactive role in medication adherence

AU - Shi, Yunfeng

AU - Fuentes-Caceres, Veronica

AU - McHugh, Megan

AU - Greene, Jessica

AU - Verevkina, Nina

AU - Casalino, Lawrence

AU - Shortell, Stephen

N1 - Publisher Copyright: © Springer International Publishing Switzerland 2016.

PY - 2016

Y1 - 2016

N2 - We investigate the association between the use of Electronic Health Records (EHR) core functions in physician practices and medication adherence among chronically ill adults, as well as how patient activation moderates this relationship. Cross-sectional logistic regressions are conducted using data from the Aligning Forces for Quality Consumer Survey and the National Study of Small and Medium Physician Practices (2007–2009). Only 43% of the practices have a basic EHR. The use of electronic communication and connectivity is positively associated with medication adherence for patients who are highly activated, but the association is negative for less activated patients. EHR based interventions may need to be customized based on patient activation and other factors.

AB - We investigate the association between the use of Electronic Health Records (EHR) core functions in physician practices and medication adherence among chronically ill adults, as well as how patient activation moderates this relationship. Cross-sectional logistic regressions are conducted using data from the Aligning Forces for Quality Consumer Survey and the National Study of Small and Medium Physician Practices (2007–2009). Only 43% of the practices have a basic EHR. The use of electronic communication and connectivity is positively associated with medication adherence for patients who are highly activated, but the association is negative for less activated patients. EHR based interventions may need to be customized based on patient activation and other factors.

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KW - Consumer engagement

KW - Electronic health records

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KW - Patient activation

KW - Patient behavior

KW - Physician practice

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T3 - Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)

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BT - Smart Health - International Conference, ICSH 2015, Revised Selected Papers

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ER -

Shi Y, Fuentes-Caceres V, McHugh M, Greene J, Verevkina N, Casalino L et al. Electronic health records and patient activation – their interactive role in medication adherence. In Chen H, Zeng DD, Zheng X, Leischow SJ, editors, Smart Health - International Conference, ICSH 2015, Revised Selected Papers. Springer Verlag. 2016. p. 219-230. (Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)). doi: 10.1007/978-3-319-29175-8_21

Electronic health records and patient activation – their interactive role in medication adherence

Abstract

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