ABSTRACT
The objective of this paper is to describe the implementation and use of context aware information in Spanish from MedlinePlus embedded in a Patient Portal. Personalized information can help patients solve problems, make treatment decisions, gain confidence in their ability to care for themselves and communicate with providers. To integrate MedlinePlus information in our institutional PHR we used the HL7 Context-Aware Knowledge Retrieval Standard, also known as the Infobutton Standard. After analysing one year of use, patients accessed MedlinePlus information in Spanish in a similar rate to other personalized information generated locally. Infobuttons associated to laboratory test results were used in approximately 10% of patients portal sessions when reviewing lab results.
Subject(s)
Electronic Health Records/organization & administration , Health Records, Personal , Medical Record Linkage/methods , MedlinePlus/methods , Patient Education as Topic/organization & administration , Patient Participation/methods , User-Computer Interface , Argentina , Natural Language Processing , Patient Access to Records , Spain , Systems Integration , Vocabulary, ControlledABSTRACT
OBJECTIVE: To explore the potential of a community-based health information outreach project to overcome problems associated with health literacy in low-income Hispanic communities along the Texas-Mexico border. METHODS: Using a train-the-trainer approach, community outreach workers known as promotoras were trained by a health information outreach team to search English and Spanish versions of MedlinePlus. These 15 promotoras submitted written examples on a weekly basis of the topics they helped residents explore on MedlinePlus and the ways in which the residents used the information. These weekly reports, along with verbal interviews with promotoras and others in the communities, allowed development of a database of 161 incidents ("stories") demonstrating how community residents used MedlinePlus. These stories were thematically analyzed to explore how the program benefited participants. RESULTS: The database of stories included examples of community residents becoming better informed about their illnesses, resolving to visit doctors, making decisions about recommended treatments, reducing their anxiety about health conditions, committing to healthy or preventive behavior, and assisting family members. CONCLUSION: With the help of paraprofessionals like promotoras, community-based health information outreach projects may improve the ability of community residents to understand their health conditions and to participate actively in their health care.
Subject(s)
Community Health Services/statistics & numerical data , Computer-Assisted Instruction/methods , Health Knowledge, Attitudes, Practice , Hispanic or Latino/education , MedlinePlus/statistics & numerical data , Community Participation/statistics & numerical data , Community-Institutional Relations , Consumer Behavior/statistics & numerical data , Educational Status , Female , Focus Groups , Humans , Information Storage and Retrieval/methods , Male , Mexico , Professional Role , Program Evaluation , TexasABSTRACT
We evaluated the access of MedlinePlus in Spanish-speaking countries from 2000 to 2006. There is a progressively increasing usage of MedlinePlus by Spanish-speakers enhanced by the introduction of MedlinePlus en español. This high use reflects the active role of patients as consumers of health information seen worldwide and illustrates the importance of developing trustworthy health Websites for consumers in their native language.