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Patient-Provider Internet Portals—Patient Outcomes and Use

CIN: Computers, Informatics, Nursing: December 2011 - Volume 29 - Issue 12 - p 719-720
doi: 10.1097/NCN.0b013e3182415ae8
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GENERAL PURPOSE STATEMENT: To familiarize the nurse with a study designed to describe patient use of patient-provider Internet portals and examine associated patient outcomes.

LEARNING OBJECTIVES: After reading this article and taking this test, the nurse will be able to:

1. Describe the use of Internet portals in healthcare.

2. Identify the methodology and results of the study.

  1. The Institute of Medicine and the Office of the National Coordinator for Health Information Technology have identified the adoption of which as a crucial factor in improving the nation’s health system?
    1. information technology
    2. personal medication record
    3. standardized order sets
    4. evidence-based medicine
  2. A patient-provider Internet portal is best described as an
    1. electronic health record.
    2. patient medical record.
    3. interactive Web site.
    4. informational Web site.
  3. Research on patient-provider Internet portals demonstrates
    1. reduced screening of chronic conditions.
    2. improved communications.
    3. reduced patient safety.
    4. increased costs.
  4. Research shows that which may improve with patient access to records presented in a clear graphical manner?
    1. self-assessments
    2. compliance with treatment
    3. communications
    4. health outcomes
  5. Which trend is driving Internet portal creation?
    1. active patient participation in care
    2. passive patient participation in care
    3. reduction in healthcare services
    4. reduction in healthcare reimbursements
  6. For patients, the Internet serves as a mechanism of
    1. decision support.
    2. motivation.
    3. communication.
    4. empowerment.
  7. Approximately what percentage of adults seek online health information in the United States?
    1. 33%
    2. 50%
    3. 66%
    4. 75%
  8. Patients who participated in the study described in this article had
    1. asthma.
    2. hypertension.
    3. heart failure.
    4. diabetes.
  9. The patient-provider Internet portal used in this article allows patients to connect to their medical and financial information and to
    1. send e-mails to support groups.
    2. send e-mails to providers.
    3. view and request provider appointments.
    4. search for health information.
  10. The mean age of Internet portal users in the study was
    1. 42 years.
    2. 47 years.
    3. 52 years.
    4. 57 years.
  11. Among patients with type 2 diabetes, the mean glycosylated hemoglobin (HbA1c) for portal users was
    1. 7.19.
    2. 7.39.
    3. 7.59.
    4. 7.89.
  12. What was the mean weight of portal users?
    1. 181 lb
    2. 191 lb
    3. 201 lb
    4. 211 lb
  13. What percentage of patients with diabetes utilized the portal?
    1. 19.7%
    2. 29.7%
    3. 39.7%
    4. 49.7%
  14. Results of the study found that patient-provider Internet portals may serve as appropriate venues to deliver diabetes care, education, and
    1. research.
    2. support.
    3. provider training.
    4. communication.
  15. Results of the study found that portal use was not a significant predictor of
    1. random blood glucose levels.
    2. fasting blood glucose levels.
    3. low-density lipoprotein (LDL) and total cholesterol levels.
    4. HbA1c levels.
  16. 16. Results of the study found that portal use was a statistically significant predictor of
    1. random blood glucose levels.
    2. fasting blood glucose levels.
    3. LDL and total cholesterol levels.
    4. HbA1c levels.
  17. 17. Which best describes a diabetes portal user?
    1. young, female, nonblack
    2. older, female, black
    3. young, male, nonblack
    4. older, male, black
  18. 18. This portal may serve as a valuable setting to reach which populations?
    1. older
    2. home-bound
    3. non–English speaking
    4. diverse
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