Abstract
The use of Web portals has several benefits. They have been proven to enhance communication between patients and health care professionals, allow patients to play a more active role in their own treatment and self-management, increase self-efficiency. Doctors can access patients‘ medical data and give recommendations to the patients. Some evidence of positive outcomes has been reported including improved clinical indicators and reduced health service use, as well as enhanced feelings of security and increased satisfaction with health and social care services. However, a number of studies have demonstrated that these types of solutions often fail to be successfully implemented and adopted within routine healthcare. The goal of the study was to analyze attitude of tuberculosis patients and doctors and identify perceived opportunities and barriers to operate a Web portal. The perceptions of 30 tuberculosis patients and 18 doctors (10 general practitioners and 8 phthisiatricians) from Tomsk, Russia were collected through semi-structured interviews. The responses were analyzed using grounded theory and thematic analysis, in order to understand the participants’ opinions and attitudes towards accepting tuberculosis web-portal in the treatment and rehabilitation process. We have recognized core topics that represented the participants’ responses. These core topics indicated that most respondents mentioned “the potential of tuberculosis web-portal to establish a better communication between doctors and patients” and “the increased health status of the patients” as the most valuable outcomes of adopting the tool. Both doctors and patients also expressed their opinions on the usability of the solutions, with no significant concerns reported about its usability. The main barrier we identified was different expectations of doctors and patients: doctors expected that the portal would decrease the amount of paper work and will help them to quickly react in acute cases, however, the patients were disappointed that the portal did not allow them to be able to reach doctors on the 24/7 basis and have a consultation whenever they felt they needed it. Finally, our findings disclosed that participants appreciated the perceived clinical utility of the portal, which could further have an influence on their intention to use it. The findings from our reported study in the area of tuberculosis treatment and rehabilitation suggested that the participants generally accepted the introduction of web-portal for the purpose of reporting health status and getting recommendation from the doctors as an alternative to the traditional doctor visits.
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References
Anker, S.D., Koehler, F., and Abraham, W.T., Telemedicine and remote management of patients with heart failure. Lancet. 378:731–739, 2011.
Clegg, A., Brown, T., Engels, D., Griffin, P., and Simonds, D., Telemedicine in a rural community hospital for remote wound care consultations. J. Wound Ostomy Continence Nurs. 38:301–304, 2011.
Domingo, M., Lupon, J., Gonzalez, B., Crespo, E., Lopez, R., Ramos, A., Urrutia, A., Pera, G., Verdu, J.M., and Bayes-Genis, A., Evaluation of a telemedicine system for heart failure patients: feasibility, acceptance rate, satisfaction and changes in patient behavior: results from the CARME (CAtalan remote management evaluation) study. Eur. J. Cardiovasc. Nurs. 11:410–418, 2012.
Kopanitsa, G., Development of a web portal using open source information visualization libraries. Stud. Health Technol. Inform. 221:123, 2016.
Kopanitsa, G., Evaluation study for an ISO 13606 archetype based medical data visualization method. J. Med. Syst. 39:82, 2015.
Kopanitsa, G., Veseli, H., and Yampolsky, V., Development, implementation and evaluation of an information model for archetype based user responsive medical data visualization. J. Biomed. Inform. 55:196–205, 2015.
Armfield, N.R., Edirippulige, S., Caffery, L.J., Bradford, N.K., Grey, J.W., and Smith, A.C., Telemedicine--a bibliometric and content analysis of 17,932 publication records. Int. J. Med. Inform. 83:715–725, 2014.
Schulz, T.R., Richards, M., Gasko, H., Lohrey, J., Hibbert, M.E., and Biggs, B.A., Telehealth: experience of the first 120 consultations delivered from a new refugee telehealth clinic. Intern. Med. J. 44:981–985, 2014.
MacNeill, V., Sanders, C., Fitzpatrick, R., Hendy, J., Barlow, J., Knapp, M., Rogers, A., Bardsley, M., and Newman, S.P., Experiences of front-line health professionals in the delivery of telehealth: a qualitative study. Br. J. Gen. Pract. 64:e401–e407, 2014.
Loth, F.L., Sztankay, M., Giesinger, J.M., Rumpold, G., and Holzner, B., Development of a web-based quality of life portal for breast cancer patients. Value Health. 18:A473, 2015.
Bjanes, T.K., and Westin, A.A., A web portal for therapeutic drug monitoring. Tidsskr. Nor. Laegeforen. 135:635–636, 2015.
Lakshmanan, A., Leeman, K.T., Brodsky, D., and Parad, R., Evaluation of a web-based portal to improve resident education by neonatology fellows. Med. Educ. Online. 19:24403, 2014.
Grant, R.W., Wald, J.S., Poon, E.G., Schnipper, J.L., Gandhi, T.K., Volk, L.A., and Middleton, B., Design and implementation of a web-based patient portal linked to an ambulatory care electronic health record: patient gateway for diabetes collaborative care. Diabetes Technol. Ther. 8:576–586, 2006.
Wiederhold, B.K., mHealth apps empower individuals. Cyberpsychol. Behav. Soc. Netw. 18:429–430, 2015.
Plossnig, M., Kabak, Y., Lamprinos, I., Pabst, A., Hildebrand, C., and Mantwill, S., EMPOWER--pathways for supporting the self-management of diabetes patients. Stud. Health Technol. Inform. 212:159–166, 2015.
Pearson, J.B., Turgoose, J., and Hargrave, J., Empower: access to medicine - working towards early access. Rev. Recent Clin. Trials. 10:44–46, 2015.
Mantwill, S., Fiordelli, M., Ludolph, R., and Schulz, P.J., EMPOWER-support of patient empowerment by an intelligent self-management pathway for patients: study protocol. BMC Med. Inform. Decis. Mak. 15:18, 2015.
Kuijpers, W., Groen, W.G., Loos, R., Oldenburg, H.S., Wouters, M.W., Aaronson, N.K., and van Harten, W.H., An interactive portal to empower cancer survivors: a qualitative study on user expectations. Support Care Cancer. 23:2535–2542, 2015.
Amante, D.J., Hogan, T.P., Pagoto, S.L., and English, T.M., A systematic review of electronic portal usage among patients with diabetes. Diabetes Technol. Ther. 16:784–793, 2014.
Ammenwerth, E., Schnell-Inderst, P., and Hoerbst, A., Patient empowerment by electronic health records: first results of a systematic review on the benefit of patient portals. Stud. Health Technol. Inform. 165:63–67, 2011.
Cahill, J.E., Gilbert, M.R., and Armstrong, T.S., Personal health records as portal to the electronic medical record. J. Neurooncol. 117:1–6, 2014.
Finkelstein, S.M., Speedie, S.M., Zhou, X., Potthoff, S., and Ratner, E.R., Perception, satisfaction and utilization of the VALUE home telehealth service. J. Telemed. Telecare. 17:288–292, 2011.
Kopanitsa, G., Evaluation study for a multi-user oriented medical data visualization method. Stud. Health Technol. Inform. 200:158–160, 2014.
Kopanitsa, G., Evaluating study for a multiuser oriented medical data visualization method. Stud. Health Technol. Inform. 197:123, 2014.
Kopanitsa, G., Hildebrand, C., Stausberg, J., and Englmeier, K.H., Visualization of medical data based on EHR standards. Methods Inf. Med. 52:43–50, 2013.
Kopanitsa, G., Tsvetkova, Z., and Veseli, H., Analysis of metrics for the usability evaluation of EHR management systems. Stud. Health Technol. Inform. 180:358–362, 2012.
Kopanitsa, G., Tsvetkova, Z., and Veseli, H., Analysis of metrics for the usability evaluation of electronic health record systems. Stud. Health Technol. Inform. 174:129–133, 2012.
Capozza, K., Woolsey, S., Georgsson, M., Black, J., Bello, N., Lence, C., Oostema, S., and North, C., Going mobile with diabetes support: a randomized study of a text message-based personalized behavioral intervention for type 2 diabetes self-care. Diabetes Spectr. 28:83–91, 2015.
Massoudi, B.L., Olmsted, M.G., Zhang, Y., Carpenter, R.A., Barlow, C.E., and Huber, R., A web-based intervention to support increased physical activity among at-risk adults. J. Biomed. Inform. 43:S41–S45, 2010.
Renton, T., Tang, H., Ennis, N., Cusimano, M.D., Bhalerao, S., Schweizer, T.A., and Topolovec-Vranic, J., Web-based intervention programs for depression: a scoping review and evaluation. J. Med. Internet Res. 16:e209, 2014.
Nakajima, I., and Chida, S., Telehealth in the Pacific: current status and analysis report (1999-2000). J. Med. Syst. 24:321–331, 2000.
Zaidan, B.B., Haiqi, A., Zaidan, A.A., Abdulnabi, M., Kiah, M.L., and Muzamel, H., A security framework for nationwide health information exchange based on telehealth strategy. J. Med. Syst. 39:51, 2015.
Yablonskii, P.K., Vizel, A.A., Galkin, V.B., and Shulgina, M.V., Tuberculosis in Russia. Its history and its status today. Am. J. Respir. Crit. Care Med. 191:372–376, 2015.
Kopanitsa, G., Standard based multiclient medical data visualization. Stud. Health Technol. Inform. 180:199–203, 2012.
Kopanitsa, G., and Taranik, M., Applying open source data visualization tools to standard based medical data. Stud. Health Technol. Inform. 200:155–157, 2014.
Semenov, I., and Kopanitsa, G., Implementation of a decision support system for interpretation of laboratory tests for patients. Stud. Health Technol. Inform. 221:79–83, 2016.
Veseli, H., Kopanitsa, G., and Demski, H., Standardized EHR interoperability - preliminary results of a German pilot project using the archetype methodology. Stud. Health Technol. Inform. 180:646–650, 2012.
Chakraborty, C., Gupta, B., Ghosh, S.K., Das, D.K., and Chakraborty, C., Telemedicine supported chronic wound tissue prediction using classification approaches. J. Med. Syst. 40:68, 2016.
Lin, C.F., Mobile telemedicine: a survey study. J. Med. Syst. 36:511–520, 2012.
Zailani, S., Gilani, M.S., Nikbin, D., and Iranmanesh, M., Determinants of telemedicine acceptance in selected public hospitals in Malaysia: clinical perspective. J. Med. Syst. 38:111, 2014.
Pohontsch, N., Meyer T: [cognitive interviewing - a tool to develop and validate questionnaires]. Rehabilitation (Stuttg). 54:53–59, 2015.
Lovell JL: How parents process child health and nutrition information: a grounded theory model. Appetite 2015.
Chapman, A.L., Hadfield, M., and Chapman, C.J., Qualitative research in healthcare: an introduction to grounded theory using thematic analysis. J. R. Coll. Physicians Edinb. 45:201–205, 2015.
Grounded Theory, A Practical Guide Birks Melanie and Mills Jane Grounded Theory: A Practical Guide 208 pages pound 26.99 Sage 9781446295786 1446295788 [Formula: see text]. Nurs. Stand. 30:28, 2015.
Buchanan, H., Jelsma, J., and Siegfried, N., Measuring evidence-based practice knowledge and skills in occupational therapy-a brief instrument. BMC Med. Educ. 15:191, 2015.
Merton, R.K., Thematic analysis in science: notes on Holton's concept. Science. 188:335–338, 1975.
Bajracharya AS, Crotty BH, Kowaloff HB, Safran C, Slack WV, Improving health care proxy documentation using a web-based interview through a patient portal. J. Am. Med. Inform. Assoc. 2015.
Ronda, M.C., Dijkhorst-Oei, L.T., and Rutten, G.E., Correction: Patients' experiences with and attitudes towards a diabetes patient web portal. PLoS One. 10:e0133572, 2015.
Hanberger, L., Ludvigsson, J., and Nordfeldt, S., Use of a web 2.0 portal to improve education and communication in young patients with families: randomized controlled trial. J. Med. Internet Res. 15:e175, 2013.
Nordfeldt, S., Angarne-Lindberg, T., and Bertero, C., To use or not to use--practitioners' perceptions of an open web portal for young patients with diabetes. J. Med. Internet Res. 14:e154, 2012.
Ford, D.V., Jones, K.H., Middleton, R.M., Lockhart-Jones, H., Maramba, I.D., Noble, G.J., Osborne, L.A., and Lyons, R.A., The feasibility of collecting information from people with multiple sclerosis for the UK MS register via a web portal: characterising a cohort of people with MS. BMC Med. Inform. Decis. Mak. 12:73, 2012.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Written informed consent was obtained from all participants for being included in the study.
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The research was funded by the Grant of a Russian President #АААА-А16–116120810057-8.
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This article is part of the Topical Collection on Patient Facing Systems
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Kopanitsa, G. A Qualitative Study of the Barriers and Opportunities for Adoption of Web-Portals for Doctors and Patients in Russia. J Med Syst 41, 62 (2017). https://doi.org/10.1007/s10916-017-0713-8
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DOI: https://doi.org/10.1007/s10916-017-0713-8