Matching Items (4)
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- All Subjects: Behavioral Health
- All Subjects: Informatics
- Creators: Murcko, Anita
Description
Integrating behavioral and physical health is the key to value-based care. Little is known about data sharing preferences and consent practices for individuals with behavioral health conditions. This study focuses on identifying behavioral health provider perceptions about patient data sharing practices, preferences and perceived impact on care resulting from enhanced patient control of record types during consent for data sharing.
ContributorsHiestand, Megan (Author) / Grando, Adela (Thesis director) / Murcko, Anita (Committee member) / Sharp, Richard (Committee member) / Biomedical Informatics Program (Contributor) / Barrett, The Honors College (Contributor)
Created2017-12
Description
With the recent rise in opioid overdose and death1<br/><br/>, chronic opioid therapy (COT) programs using<br/>Center of Disease Control (CDC) guidelines have been implemented across the United States8<br/>.<br/>Primary care clinicians at Mayo Clinic initiated a COT program in September of 2017, during the<br/>use of Cerner Electronic Health Record (EHR) system. Study metrics included provider<br/>satisfaction and perceptions regarding opioid prescription. Mayo Clinic transitioned its EHR<br/>system from Cerner to Epic in October 2018. This study aims to understand if provider perceptions<br/>about COT changed after the EHR transition and the reasons underlying those perceptions.
ContributorsPonnapalli, Sravya (Author) / Murcko, Anita (Thesis director) / Wallace, Mark (Committee member) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
Description
Granular information sharing allows patients to have more control over their medical records by giving them the choice of what information to share and with whom. Numerous studies have focused on patients’ perspectives, but this study focuses on the provider views of granular information sharing. Twenty-eight behavioral health providers (n=3 prescribers, n=25 non-prescribers) from two different integrated healthcare facilities participated in a 2-hour focus group and took a survey at the beginning and at the end of the focus group. The survey responses were analyzed using descriptive analysis to understand how the providers' preferences changed from the pre-study to the post-study. Most providers changed their view about granular information sharing, as 30% of providers “were OK with patients having control over who sees what information in their electronic health record”, previously 83%. Overall, health care providers had concerns that granular information sharing because they feared that it would lead to increased costs, patient safety issues involving drug-drug interactions, and poor provider-patient relationships.
ContributorsIdouraine, Nassim Charif (Author) / Grando, Adela (Thesis director) / Murcko, Anita (Committee member) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2019-12
Description
Individual control of sensitive health information is a matter of great concern to patients, practitioners, insurers and policymakers. Federal and state law generally supports consent approaches that allow patients to share all or none of their health data. However, research demonstrates that patients prefer more detailed control of their personal data sharing. In particular, little is known about data sharing preferences of patients with behavioral health conditions (BHCs). This study will explore the technical feasibility of supporting patient-driven, consent-based data access through a preliminary analysis of data collected from the My Data Choices e-consent tool. Through these findings, this research seeks to inform stakeholders about the clinical, ethical, policy, and regulatory implications of broader consent choices.
ContributorsKaing, Tina C. (Author) / Grando, Maria Adela (Thesis director) / Murcko, Anita (Committee member) / College of Health Solutions (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2020-12