Personalized medical information card for adults with 22q11.2 deletion syndrome: An initiative to improve communication between patients and healthcare providers.

BACKGROUND Many individuals with intellectual disabilities and their caregivers struggle to provide accurate and complete information to healthcare providers. METHOD The present authors provided personal medical information cards (PMICs) containing contact and medical information to 52 Canadian adults with 22q11.2 deletion syndrome, a genetic condition associated with intellectual disability. The authors invited them and/or their caregivers to complete a user satisfaction survey concerning usage of the card. RESULTS Forty-eight (92%) patients or their caregivers completed the survey. Twenty-two (46%) respondents used the PMIC over a median of 8 months during encounters with doctors and other professionals, and a majority of these used it more than once. Users reported finding the PMIC "very helpful" (86%) or "helpful" (14%), providing necessary information, speeding up interactions with professionals and helping avoid repeat storytelling. CONCLUSION Providing a PMIC to individuals with intellectual disabilities and their caregivers could help improve patient safety and assist in advocacy.

[1]  A. Bassett,et al.  A genetic model for multimorbidity in young adults , 2019, Genetics in Medicine.

[2]  E. Zackai,et al.  Elucidating the diagnostic odyssey of 22q11.2 deletion syndrome , 2018, American journal of medical genetics. Part A.

[3]  R. Payne The epidemiology of polypharmacy. , 2016, Clinical medicine.

[4]  F. Davidoff,et al.  SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process , 2015, BMJ Quality & Safety.

[5]  Brian Chung,et al.  Practical guidelines for managing adults with 22q11.2 deletion syndrome , 2015, Genetics in Medicine.

[6]  Carmel Doyle,et al.  Developing an information leaflet on 22q11.2 deletion syndrome for parents to use with professionals during healthcare encounters. , 2014, Journal for specialists in pediatric nursing : JSPN.

[7]  K. Devriendt,et al.  Practical guidelines for managing patients with 22q11.2 deletion syndrome. , 2011, The Journal of pediatrics.

[8]  Jason Young,et al.  The perception of medical professionals and medical students on the usefulness of an emergency medical card and a continuity of care report in enhancing continuity of care , 2011, Int. J. Medical Informatics.

[9]  R S Evans,et al.  Patient-perceived usefulness of an emergency medical card and a continuity-of-care report in enhancing the quality of care. , 2011, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[10]  E. Vichinsky,et al.  Chart Card: feasibility of a tool for improving emergency department care in sickle cell disease. , 2010, Journal of the National Medical Association.

[11]  A. Pearlman,et al.  Measuring up. , 2009, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[12]  D. Taylor,et al.  Health smart cards: differing perceptions of emergency department patients and staff. , 2009, Australian health review : a publication of the Australian Hospital Association.

[13]  A. Majeed,et al.  Comorbidity, healthcare utilisation and process of care measures in patients with congenital heart disease in the UK: cross-sectional, population-based study with case–control analysis , 2007, Heart.

[14]  R. Weksberg,et al.  Molecular characterization of deletion breakpoints in adults with 22q11 deletion syndrome , 2007, Human Genetics.

[15]  Susan Pinker,et al.  Quebec puts smart-card technology on health care back burner , 2002 .

[16]  Peter J. Scambler,et al.  22q11.2 deletion syndrome. , 2015, Nature reviews. Disease primers.

[17]  Geylani Kardas,et al.  Design and implementation of a smart card based healthcare information system , 2006, Comput. Methods Programs Biomed..