A tablet computer application for patients to participate in their hospital care.

Building on our institution's commercial electronic health record and custom personal health record Web portal, we developed a tablet computer application to provide interactive information to hospital patients. Using Apple iPad devices, the prototype application was provided to five patients in a cardiology step-down unit. We conducted detailed interviews to assess patients' knowledge of their inpatient care, as well as their perceptions of the usefulness of the application. While patients exhibited varying levels of comfort with using the tablet computer, they were highly enthusiastic about the application's ability to supply health information such as their inpatient medication histories and photographs of their care providers. Additional research is warranted to assess the benefit such applications may have for addressing inpatient information needs, enhancing patient-provider communication and improving patient satisfaction.

[1]  Daniel M. Stein,et al.  Content Overlap in Nurse and Physician Handoff Artifacts and the Potential Role of Electronic Health Records: a Systematic Review Nih Public Access , 2022 .

[2]  Desney S. Tan,et al.  Physician Attitudes about Patient-Facing Information Displays at an Urban Emergency Department. , 2010, AMIA ... Annual Symposium proceedings. AMIA Symposium.

[3]  Neil R. Smalheiser,et al.  Proceedings of the 1st ACM International Health Informatics Symposium , 2010, IHI 2010.

[4]  Desney S. Tan,et al.  Identifying opportunities for inpatient-centric technology , 2010, IHI.

[5]  Joann G. Elmore,et al.  Open Notes: Doctors and Patients Signing On , 2010, Annals of Internal Medicine.

[6]  Desney S. Tan,et al.  Designing patient-centric information displays for hospitals , 2010, CHI.

[7]  Ethan Cumbler,et al.  Lack of patient knowledge regarding hospital medications. , 2009, Journal of hospital medicine.

[8]  Kevin J O'Leary,et al.  Hospitalized patients' understanding of their plan of care. , 2010, Mayo Clinic proceedings.

[9]  Timothy Bickmore,et al.  Taking the time to care: empowering low health literacy hospital patients with virtual nurse agents , 2009, CHI.

[10]  Herbert S. Lin,et al.  Computational Technology for Effective Health Care: Immediate Steps and Strategic Directions , 2009 .

[11]  P. Ganz Psychological and social aspects of breast cancer. , 2008, Oncology.

[12]  Jairo N. Fuertes,et al.  The physician-patient working alliance. , 2007, Patient education and counseling.

[13]  D. Bronson,et al.  The impact of shared medical records on smoking awareness and behavior in ambulatory care , 2007, Journal of General Internal Medicine.

[14]  Suzanne Bakken,et al.  Development, validation, and use of English and Spanish versions of the telemedicine satisfaction and usefulness questionnaire. , 2006, Journal of the American Medical Informatics Association : JAMIA.

[15]  D. Evon,et al.  Planning helps, behavioral disengagement does not: coping and depression in the spouses of heart transplant candidates , 2005, Clinical transplantation.

[16]  Elizabeth Dugan,et al.  How patients' trust relates to their involvement in medical care. , 2005, The Journal of family practice.

[17]  L. G. Pawlson,et al.  Measuring patients' trust in physicians when assessing quality of care. , 2004, Health affairs.

[18]  Kevin J. Leonard,et al.  Application of Information Technology: Overcoming Structural Constraints to Patient Utilization of Electronic Medical Records: A Critical Review and Proposal for an Evaluation Framework , 2004, J. Am. Medical Informatics Assoc..

[19]  E. Marcuse,et al.  Teaching Professionalism to Residents , 2003, Academic medicine : journal of the Association of American Medical Colleges.

[20]  Peter D. Stetson,et al.  Perceived Information Needs and Communication Difficulties of Inpatient Physicians and Nurses , 2002, J. Am. Medical Informatics Assoc..

[21]  Kayla N. Cytryn,et al.  The Collaborative Health Care Team: The Role of Individual and Group Expertise , 2000, Teaching and learning in medicine.

[22]  S. Hotz,et al.  Psychologic distress among spouses of patients undergoing cardiac rehabilitation. , 2000, Heart & lung : the journal of critical care.

[23]  M. Somerfield,et al.  Can 40 seconds of compassion reduce patient anxiety? , 1999, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[24]  Paul C. Tang,et al.  Informing patients: a guide for providing patient health information. , 1998, Journal of the American Medical Informatics Association : JAMIA.

[25]  Marc Berg,et al.  Considerations for sociotechnical design: experiences with an electronic patient record in a clinical context , 1998, Int. J. Medical Informatics.

[26]  Barbara Gandek,et al.  Patient and Visit Characteristics Related to Physicians' Participatory Decision-Making Style: Results from the Medical Outcomes Study , 1995, Medical care.

[27]  L. Degner,et al.  Relationship between preferences for decisional control and illness information among women with breast cancer: a quantitative and qualitative analysis. , 1994, Social science & medicine.

[28]  S H Kaplan,et al.  Patients' participation in medical care: effects on blood sugar control and quality of life in diabetes. , 1988, Journal of general internal medicine.

[29]  Bronson Dl,et al.  Patient education through record sharing. , 1978 .