Your browser doesn't support javascript.
loading
Harnessing the Electronic Health Record to Distribute Transition Services to Adolescents With Inflammatory Bowel Disease.
Huang, Jeannie S; Yueh, Ryan; Wood, Kalie; Ma, Stacy; Cruz, Rusvelda; Boyd, Nancy; Kruth, Robin; Parker, Jacob.
Afiliação
  • Huang JS; Department of Pediatrics, Rady Children's Hospital San Diego, University of California San Diego, CA.
J Pediatr Gastroenterol Nutr ; 70(2): 200-204, 2020 02.
Article em En | MEDLINE | ID: mdl-31978017
OBJECTIVES: The aim of the study was to evaluate feasibility and utility of an electronic health record (EHR) activity to assess transitional readiness, deliver services to meet individual needs, and to track patient progress. METHODS: We developed a Transition EHR activity (TEA) to track patients through a standardized process where transition readiness is annually assessed and services distributed based on need. The process assesses transition skills starting at age 12 years and sets goals through shared decision-making, delivers resources according to need, reviews patients' personal medical histories, and documents healthcare transfer to adult gastroenterology. We piloted TEA among patients with inflammatory bowel disease (IBD) ages ≥12 years. Distribution to patients was measured and tolerability assessed via patient self-report evaluations. RESULTS: Since launch, TEA has been distributed to all eligible patients (N = 53) with a median age of 16 (14,18) years (median [IQR]), 62% male, 58% white, 26% Hispanic at our weekly dedicated IBD clinic. All have performed the transition skills' self-assessment and practicum, and set transition goals with their healthcare provider. Of these individuals, 41 (77%) participated in survey feedback. On a utility rating scale of 0 (not helpful at all) to 10 (very helpful), patients reported median (IQR) utility scores of 8 (7,10) for the transition readiness assessment, 9 (7,10) for transition resources provided, and 9 (7,10) for the medical history summary. Most (91%) would recommend TEA to other patients. CONCLUSIONS: TEA standardized delivery of resources among pediatric IBD patients and was well received and friendly to clinical workflow.
Assuntos

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 11_ODS3_cobertura_universal / 1_ASSA2030 Base de dados: MEDLINE Assunto principal: Doenças Inflamatórias Intestinais / Transição para Assistência do Adulto / Gastroenterologia Tipo de estudo: Prognostic_studies Limite: Adolescent / Adult / Child / Female / Humans / Male / Middle aged Idioma: En Revista: J Pediatr Gastroenterol Nutr Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 11_ODS3_cobertura_universal / 1_ASSA2030 Base de dados: MEDLINE Assunto principal: Doenças Inflamatórias Intestinais / Transição para Assistência do Adulto / Gastroenterologia Tipo de estudo: Prognostic_studies Limite: Adolescent / Adult / Child / Female / Humans / Male / Middle aged Idioma: En Revista: J Pediatr Gastroenterol Nutr Ano de publicação: 2020 Tipo de documento: Article