%0 Journal Article
%@ 1438-8871
%I Gunther Eysenbach
%V 6
%N 2
%P e12
%T Providing a Web-based Online Medical Record with Electronic Communication Capabilities to Patients With Congestive Heart Failure: Randomized Trial
%A Ross,Stephen E
%A Moore,Laurie A
%A Earnest,Mark A
%A Wittevrongel,Loretta
%A Lin,Chen-Tan
%+ AOP/Internal Medicine, Mailstop F729, P.O. Box 6510, Aurora CO 80010, USA, +1 720 848 2341, Steve.Ross@uchsc.edu
%K Heart Failure
%K Congestive
%K Patient Participation
%K Patient Advocacy
%K Patient Compliance
%K Internet
%K Randomized Controlled Trial
%K Electronic Communication
%K Electronic Health Record
%D 2004
%7 14.5.2004
%9 Original Paper
%J J Med Internet Res
%G English
%X Background: It is possible to provide patients with secure access to their medical records using the Internet. Such access may assist patients in the self-management of chronic diseases such as heart failure. Objective: To assess how a patient-accessible online medical record affects patient care and clinic operations. The SPPARO (System Providing Access to Records Online) software consisted of a web-based electronic medical record, an educational guide, and a messaging system enabling electronic communication between the patient and staff. Methods: A randomized controlled trial was conducted in a specialty practice for patients with heart failure. Surveys assessing doctor-patient communication, adherence, and health status were conducted at baseline, 6 months, and 1 year. Use of the system, message volume, utilization of clinical services, and mortality were monitored. Results: One hundred and seven patients were enrolled (54 intervention and 53 controls). At 12 months, the intervention group was not found to be superior in self-efficacy (KCCQ self-efficacy score 91 vs. 85, p=0.08), but was superior in general adherence (MOS compliance score 85 vs. 78, p=0.01). A trend was observed for better satisfaction with doctor-patient communication. The intervention group had more emergency department visits (20 vs. 8, p=0.03), but these visits were not temporally related to use of the online medical record. There were no adverse effects from use of the system. Conclusions: Providing patients with congestive heart failure access to an online medical record was feasible and improved adherence. An effect on health status could not be demonstrated in this pilot study. 
%M 15249261
%R 10.2196/jmir.6.2.e12
%U http://www.jmir.org/2004/2/e12/
%U https://doi.org/10.2196/jmir.6.2.e12
%U http://www.ncbi.nlm.nih.gov/pubmed/15249261