Industry Insight

Online Portals Could Improve Health for Adolescents

Study after study shows teens prefer texting, social media, and e-mail to verbal communication. The question is, if teens could communicate with their doctors and receive test results more easily through electronic means, would they? And would it improve their health care?

In an effort to improve communication with adolescent patients and provide a more confidential forum for test results and care, University of Florida (UF) Health researchers recently tested use of an electronic patient portal for adolescents. The researchers found adolescent patients, those between 12 and 18, used the portal at the same rate as parents of younger children, who can manage their children’s health care online until age 12 when adolescents receive private access to their health portal. The findings of the study were published in the Journal of Adolescent Health.

“Our traditional methods of communicating with adolescents are inadequate,” says Lindsay A. Thompson, MD, an associate professor of pediatrics and health outcomes and policy in the UF College of Medicine. “We need a better way to communicate, especially when confidentiality is a concern. A lot of institutions across the country are struggling with how to do this.”

UF Health researchers tested teens’ use of the portal over a 2½ year period, comparing their usage patterns with those of parents of children 11 and younger. During that time, adolescents showed the same “click-thru” patterns as parents of younger patients and were just as likely to enroll in the portal and review lab tests and medications as were these parents. Adolescents were less likely to send messages to their providers; only 37% of adolescents sent private messages compared with 84% of parents of younger children, but researchers were pleased with the number of messages teens sent.

An electronic patient portal offers numerous benefits to adolescents, starting with increased confidentiality. Because adolescents still live with parents and guardians, calling with results for sensitive tests, such as those for sexually transmitted diseases, can be problematic for health care providers, who could unknowingly break confidentiality if a parent is listening. Any breach in confidentiality is illegal under Florida law, as it is in most states, even for children under the age of 18.

Thompson said starting around age 11, generalists and pediatricians begin asking parents to leave their children’s appointments so that the physicians can begin asking questions that may be sensitive. With certain tests and medications, such as refills for birth control pills, some adolescents won’t participate unless they are assured of confidentiality, Thompson says.

“We understand how uncomfortable and new it is, having part of an appointment without a parent,” Thompson says. “But not only is it legally correct, it’s also a good learning experience for teens.”

Accessing their own portal and communicating with physicians directly helps prepare adolescents for managing their own health care as adults. Using such a system could also help pave the way for better health care in young adulthood, Thompson says.

“Learning to ask a question and process the response in an e-mail format that is protected is ideal, because in this day and age, that is how teens seek information anyway,” Thompson says. “I think one of the biggest barriers to transition to adult services is figuring out how to access preventive care. Young adults don’t see their physicians for preventive care as often as they should and this could improve that.”

In the age of “helicopter” parenting, one might suspect that parents would be resistant to teens managing their own care online, but this was not the case, Thompson says. Parents, she says, seem to understand how important it is for their adolescents to begin to gain the skills needed to communicate with doctors. Also, parents can still make appointments for their children. They just need to call to do so instead of making an appointment online as they might for themselves or their younger children.

Moving forward, UF Health researchers hope to expand the portal, perhaps making it more visually appealing to adolescents and increasing their ability to access and search for health information confidentially. They also hope to use it as a way to reach adolescents about health risks, such as the use of e-cigarettes, and to encourage them to come in for routine checkups.

Research from the Pew Research Center shows that 92% of teens say they go online daily and more than one-half report texting as their preferred method of communication, with social media the second most preferred form.

“If we can do (a portal) the right way, we can put it in a format as attractive as social media,” Thompson says. “We need to have focus groups with teens themselves to find out what would work. Using this could be a fun, exciting way to get teens to pay attention to health.”

— Source: University of Florida Health

NCORD Launches Globally Accessible Medical Record System

NCORD Healthcare, a health care technology firm, announces the launch of its eHealthCard online platform in the United States. Already proven in India, Southeast Asia, and the Middle East, eHealthCard is a cloud-based platform that allows storage and download of medical records from anywhere on the globe. eHealthCard has been developed in compliance with the latest American and international HITECH and HIPAA Acts, and HL7 standards.

“eHealthCard provides a safe and secure environment to store, preserve, and download medical records,” explains Neelesh Kanade, CEO of NCORD. “Providing this type of accessibility to patients and health care service providers for routine and emergency procedures enables a quicker and more accurate diagnosis, resulting in better medical care anywhere in the world. Our vision is to create a global “LIVEWIRE” that connects patients, families, hospitals, research institutes, alternative therapies, and holistic approaches for a global network of comprehensive healing.”

Login details are provided on the back of the eHealthCard. If users are admitted to the hospital alone and unable to speak, doctors can log in and obtain all necessary medical records. A message is immediately sent to the person listed as the patient’s emergency contact with the contact information of the admitting doctor and hospital.

Benefits to medical providers include the following:

• availability of medical records;
• ability to obtain critical medical information from unresponsive patient;
• improved communication and information sharing among health care professionals, physicians, hospitals, labs, and pharmacies;
• accurate data collection, facilitating the evolution from treatment-based medicine to preventive medicine;
• reduction of time for diagnosis and analysis;
• reduced paperwork; and
• ability to track longer-term medical cases.

Benefits to patients include the following:

• ability to carry medical records anytime, anywhere;
• reduction in diagnosis time;
• availability of vital information for primary treatment, such as blood group and medical history;
• remote access to health data in case of any emergency;
• multiregional, multilingual, and multiplatform applications;
• access to innovative advancements in technology, health care, and research;
• privacy to preventive and holistic health care information;
• global connectivity;
• connection with family in all emergency situations;
• use of a mobile app; and
• connection with insurance providers for accurate and faster procedures.

Benefits to insurance companies include the following:

• easy claim processing;
• reduced fraud claims; and
• reduced conflicts between hospitals and insurance companies.

eHealthCard incorporates the latest ICD-10 standards, data security, and authentication filters for highly secure data exchange, and includes secure password protected PDF export of EMR with ISO standards and TIA-942 Tier 3 international standard security.

NCORD is in talks with prominent US insurance carriers regarding integration of their system. eHealthCard currently works with United Healthcare.