Glycemic Control Associated with Secure Patient-Provider Messaging Within a Shared Electronic Medical Record: A Longitudinal Analysis

Details

• Personal Author:
  Haneuse SJ ; Harris LT ; Koepsell TD ; Martin DP ; Ralston JD
• Description:
  OBJECTIVE: To study differences in glycemic control and HbA1c testing associated with use of secure electronic patient-provider messaging. We hypothesized that messaging use would be associated with better glycemic control and a higher rate of adherence to HbA1c testing recommendations. RESEARCH DESIGN AND METHODS: Retrospective observational study of secure messaging at Group Health, a large nonprofit health care system. Our analysis included adults with diabetes who had registered for access to a shared electronic medical record (SMR) between 2003 and 2006. We fit log-linear regression models, using generalized estimating equations, to estimate the adjusted rate ratio of meeting three indicators of glycemic control (HbA1c <7%, HbA1c <8%, and HbA1c >9%) and HbA1c testing adherence by level of previous messaging use. Multiple imputation and inverse probability weights were used to account for missing data. RESULTS: During the study period, 6,301 adults with diabetes registered for access to the SMR. Of these individuals, 74% used messaging at least once during that time. Frequent use of messaging during the previous calendar quarter was associated with a higher rate of good glycemic control (HbA1c <7%: rate ratio, 1.26 95% CI, 1.15-1.37) and a higher rate testing adherence (1.20 1.15-1.25). CONCLUSIONS: Among SMR users, recent and frequent messaging use was associated with better glycemic control and a higher rate of HbA1c testing adherence. These results suggest that secure messaging may facilitate important processes of care and help some patients to achieve or maintain adequate glycemic control. Description provided by NIOSH
• Subjects:
  • Blood
  • Communication
  • Delivery of Health Care
  • Health Promotion
  • Hematologic Diseases
  • Occupational Health
  • Safety
• Keywords:
  • Blood sugar disorders
  • Communication research
  • Medical care
  • Electronic health records
  • Health communications
• ISSN:
  0149-5992
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1 ; OSHA Region 10 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  36
• Issue:
  9
• NIOSHTIC Number:
  nn:20056634
• Citation:
  Diabetes Care 2013 Sep; 36(9):2726-2733
• Contact Point Address:
  Lynne T. Harris, PHD, Department of Health Services, University of Washington School of Public Health, Seattle, Washington
• Email:
  lynneharris@outlook.com
• Federal Fiscal Year:
  2013
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Diabetes Care
• End Date:
  20250630
• Download URL:
  https://stacks.cdc.gov/view/cdc/214197/cdc_214197_DS1.pdf
• File Type:
  [PDF - 137.51 KB]
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:fc34c81c9782b002b73ed762f9c7d26c4b0544f83e73c4f4c9e373a25ee623b70a938f90565e3c436fc779d624c4554b7f4055db464c26ea4863adf56dca6be1