Health Information Rx Pilot
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Transcript of Health Information Rx Pilot
Health Information Rx Pilot Health Information Rx Pilot
National Library of Medicine
American College of Physicians Foundation
December 17, 2003
Project GoalsProject Goals
• Educate and support physicians in referring their patients to MEDLINEplus for health information Increase physician awareness Support referral process by providing
resource materials
• Test Information Rx in IA and GA
Project GoalsProject Goals
• Evaluate change in physician awareness resource materials use of MEDLINEplus by patients
ApproachApproach
Project materials• Centerpiece is customized Rx pad• Posters, bookmarks, patient card
Letter and response card Mailing to librarians Evaluation
• Special urls to topic pages• Email address for patient feedback• Pre and Post-project questionnaires
Health Information PrescriptionHealth Information PrescriptionPartners: American College of PhysiciansAmerican Society of Internal Medicine Foundation
Prescription PadPrescription Pad
ParticipantsParticipants
• 517 physicians 398 Georgia 119 Iowa
• Launches March/April
Health Information Rx Pre-Pilot Health Information Rx Pre-Pilot Email UseEmail Use
44%
21%
35%
No and won't start
No but might start
Yes
n = 525
Do you currently communicate with your patient via email?
Patient Education Pre-Pilot Patient Education Pre-Pilot Resources UsedResources Used
27%
54%
89%
58%
32%
ACP-ASIM Pamphlets
Internet Sites
Pharm Mfg Pamphets
Practice Developed Materials
Education Organization Pamphlets
n = 511
Which of the following types of patient education resources do you use in your office?
Health Information Rx Pre-Pilot Health Information Rx Pre-Pilot Website ReferralsWebsite Referrals
1.00%
13%
21%
19%
27%
33%
44%
45%
48%
3%
14%
CDC
NIH
Local Hospital Websites
ACP Online
Arthritis Foundation
MEDLINEplus
Mayo Clinic
Amer Cancer Soc
Amer Heart Assn
Amer Diabetes Assn
WebMD
n = 308
To which of the following Internet sites do you refer your patients?
Websites to Which Patients Are Referred: Websites to Which Patients Are Referred: Percent Ranked 1Percent Ranked 1stst or 2 or 2ndnd Out of 5 Out of 5
Post-PilotPost-Pilot
10%
4%
6%
7%
12%
54%
5%
5%
9%
9%
9%
23%
16%
3%
3%
2%
3%
2%
5%
2%
Other
Local hospital sites
Arthritis Foundation
Amer Cancer Soc
Mayo
AHA
ACP Online
Amer Diabetes Assoc
WebMD
MEDLINEplus
Ranked 1st
Ranked 2nd
n = 216
70%
35%
16%
15%
14%
7%
5%
5%
8%
15%
Change in Number of Patient Change in Number of Patient Referrals to Internet Referrals to Internet
No Change46%
Increased54%
Decreased0%
n = 210
Since participating in Information Rx Pilot, has the percentage of patients you refer to the Internetfor information increased, decreased, or not changed?
Reasons Patients Are Reasons Patients Are Not Referred to InternetNot Referred to Internet
5%
6%
16%
31%
35%
55%
61%
74%
3%
7%
19%
29%
19%
18%
71%
84%
Other
Might reduce compliance
Too much time to explain
Might increase anxiety
Unreliable websites
Lack appropriate websites
Lack cognitive skill
No computer access
Post (n=201)
Pre (n=521)
Please indicate your reasons for not referring patients to the Internet for health information.
Perceived Benefits of Referring Perceived Benefits of Referring Patients to MEDLINEplusPatients to MEDLINEplus
19%
22%
35%
37%
42%
43%
54%
No perceivedbenefits
Reduce Anxiety
Reduce time onpt education
Encouragecompliance
Improvecommunication
Explain difficultconcepts
Promote patientself-efficacy
In what ways has your practice benefited by your referring patients to MEDLINEplus?
n = 196
Agreement that MEDLINEplusAgreement that MEDLINEplus “Improves Patient Understanding of “Improves Patient Understanding of
Difficult Concepts/Procedures”Difficult Concepts/Procedures”
4%
33%
9%
54%
0%
Strongly Disagree
Disagree
Neither agree nordisagree
Agree
Strongly Agree
MEDLINEplus improves a patient’s understanding of difficult concepts and procedures
n = 210
Incidence of Referring Patients to Public Incidence of Referring Patients to Public Library for Health InformationLibrary for Health Information
No73%
Yes27%
Do you refer your patients to the local library for health information?
n = 208
12%
41%
46%
Not at all
Somewhat
Very Much So
Would it increase your willingness to refer patients to MEDLINEplus if local libraries provided free access to the Internet … and assistance in locating health information?
n = 209
Impact of Local Library Support on Impact of Local Library Support on Willingness to Refer Patients to Willingness to Refer Patients to
MEDLINEplusMEDLINEplus
Health Information Referral Pilot Health Information Referral Pilot Resource UseResource Use
17%
39%
59%
26%
45%
MEDLINEplus CD
Health RecordCards
Bookmarks
Examining RoomPosters
InformationPrescription Pads
n = 216
Which of the following resources have you used?
Additional Physician FeedbackAdditional Physician Feedback
• Focus discussions in GA Very positive Site easy to use Simplify Rx pad Basic info about site for patients Need email reminders Advertise directly to patients
Additional Physician FeedbackAdditional Physician Feedback
• Telephone interviews Rated program 4.4 on 5 point scale Rx pad most used item Suggestions for improvement indicate
more education needed Want email reminders
Patient FeedbackPatient Feedback
• Survey on ACP site Few filled out; unanimous praise
• URL counts small
• Exploring other ways to get feedback
Next Steps?Next Steps?
• Expand to Virginia in January
• Revise materials
• More patient feedback
• Media
• Involve libraries
• More information and periodic email reminders