Academic Journal
Factors impacting electronic patient-generated data use in safety-net systems: a qualitative study.
| Τίτλος: | Factors impacting electronic patient-generated data use in safety-net systems: a qualitative study. |
|---|---|
| Συγγραφείς: | Khoong EC; Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, United States.; Division of Clinical Informatics and Digital Transformation, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, United States.; Action Research Center for Health Equity, University of California, San Francisco, San Francisco, CA 94110, United States., Wong J; Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, United States.; Action Research Center for Health Equity, University of California, San Francisco, San Francisco, CA 94110, United States., Garcia F; Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, United States.; Action Research Center for Health Equity, University of California, San Francisco, San Francisco, CA 94110, United States., Olazo K; Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, United States.; Action Research Center for Health Equity, University of California, San Francisco, San Francisco, CA 94110, United States., Miles M; Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, United States., Zeng B; Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, United States., Lyles CR; Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, United States.; Action Research Center for Health Equity, University of California, San Francisco, San Francisco, CA 94110, United States.; Center for Healthcare Policy and Research, University of California, Davis, Davis, CA 95817, United States., Sarkar U; Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, United States.; Division of Clinical Informatics and Digital Transformation, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, United States.; Action Research Center for Health Equity, University of California, San Francisco, San Francisco, CA 94110, United States. |
| Πηγή: | Journal of the American Medical Informatics Association : JAMIA [J Am Med Inform Assoc] 2025 Aug 01; Vol. 32 (8), pp. 1276-1285. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Oxford University Press Country of Publication: England NLM ID: 9430800 Publication Model: Print Cited Medium: Internet ISSN: 1527-974X (Electronic) Linking ISSN: 10675027 NLM ISO Abbreviation: J Am Med Inform Assoc Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2015- : Oxford : Oxford University Press Original Publication: Philadelphia, PA : Hanley & Belfus, c1993- |
| Ιατρικοί όροι (MeSH): | Safety-net Providers* , Attitude of Health Personnel* , Patient Generated Health Data* , Electronic Health Records* , Attitude to Computers*, Humans ; Qualitative Research ; Female ; Male ; California ; Middle Aged ; Adult ; Interviews as Topic ; Aged ; Professional-Patient Relations |
| Περίληψη: | Objective: To characterize patient and clinician perceived barriers and facilitators to using electronic patient-generated data (PGD) in safety-net systems. Materials and Methods: We conducted 43 semi-structured interviews (18 clinicians and 25 patients) and observed 15 patient-clinician interactions. Clinical observations were conducted in an integrated urban safety-net system. Patients who spoke English, Spanish, or Cantonese were recruited from this system. Pharmacists, nurses, and clinicians treating chronic diseases were sampled from multiple California safety-net systems. Interview guides were developed based on the Consolidated Framework for Implementation Research (CFIR) and the Behavior Change Wheel (BCW). We conducted thematic analysis through a combination of inductive and deductive coding. Results: Themes most frequently identified by both clinicians and patients as impacting electronic PGD use were capability-related (knowledge about collecting and using PGD), motivation-related (preference for data sharing; attitude toward digital tools and learning how to use them; the importance of measuring the outcome for health; privacy; and patient-clinician relationship), and opportunity-related (social support). Non-English speakers expressed concerns about inconveniencing others. Clinicians also identified additional opportunity-related themes (resource availability; implementation process; external incentives). Discussion: Despite the growth in electronic PGD and its potential to improve chronic disease care and outcomes, implementation in safety-net systems would benefit from consideration of capability, motivation, and opportunity-related barriers. Conclusion: PGD is an increasingly vital part of clinical care. If implementation is pursued without concurrently addressing factors at the patient, clinician, health system, and policy levels, barriers to adoption will persist, especially in under-resourced settings. (© The Author(s) 2025. Published by Oxford University Press on behalf of the American Medical Informatics Association.) |
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| Grant Information: | R01HL159372 United States GF NIH HHS; P30DK092924 United States DK NIDDK NIH HHS; K23HL157750 United States GF NIH HHS; K24 CA212294 United States CA NCI NIH HHS; R01 HL159372 United States HL NHLBI NIH HHS; P30 DK092924 United States DK NIDDK NIH HHS; National Heart Lung and Blood Institute; K24CA212294 United States GF NIH HHS; K24CA212294 United States CA NCI NIH HHS; K23 HL157750 United States HL NHLBI NIH HHS |
| Contributed Indexing: | Keywords: implementation science; patient-generated health data; qualitative research; safety-net providers |
| Entry Date(s): | Date Created: 20250528 Date Completed: 20250721 Latest Revision: 20260925 |
| Update Code: | 20260925 |
| PubMed Central ID: | PMC12277684 |
| DOI: | 10.1093/jamia/ocaf079 |
| PMID: | 40434406 |
| Βάση Δεδομένων: | MEDLINE |
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