PEOPLE PUZZLES

      JoLyn Enterprises

     USING THE INTERNET TO FACILITATE COMMUNICATION

    BETWEEN PATIENTS & PROVIDERS :  A PILOT PROJECT

    Lynda Trommelen

    Presentation made at the Institute for International Research in Toronto , April 1998

    Goals for the Session

    ·     Getting Started - Identifying Emerging Needs

    ·      Where to begin - 1st steps

    ·      Bridging the provider / patient communication gaps

    ·       Resources, costs and potential roadblocks

    ·       Lessons learned - future directions

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    CHARACTERISTICS OF THE PILOT SITE

    ·    An outpatient teaching hospital that acts as a main entry point for the region.

    ·       1,053 patients per day come for: clinic appointments,  diagnostic appointments, emergency department visits,  day surgery procedures with a projection that this will increase to 562,663 visits / year by 2003 

    ·       What is "Ambulatory Care?" - Patients are assessed, diagnosed, treated and then return home rather than staying overnight in a hospital

    ·       New Needs Emerged from the Transition of the Hospital to an Ambulatory Care Centre: fewer staff, shorter contact time, need for pre-visit preparation, ability to respond to diverse learning styles, timely information, accessibility and cost

    ·       Communication of Information for patients, families  and providers must be up to date, consistent, easily accessible and understood, responsive to different learning needs.

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    WHERE TO BEGIN

    What is currently working?  

    • Existing resources

      • Over 65 patient information brochures were developed, continuously evaluated and in current use.

    • Good development process

      • The design team included - content experts, an educator and media expert

      • All materials were piloted with user groups providing feedback

      • Each resource was evaluated and revised as required

      • Process involved ongoing monitoring

    • Expertise in technology and instructional design

      • Multi-media was used to respond to various learning needs and user requirements

      • Various formats for delivery were compared

      • A growing shift towards media based formats for learning and self-study  was observed

    • Environment that supported innovation.

      • Internet use was growing and there encouragement and support to try new approaches

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    BRIDGING THE COMMUNICATION GAP BETWEEN PATIENTS, FAMILIES AND PROVIDERS 

    Internet technology offers many advantages  :

    • Most physicians and providers have access

    • Internet use and access is growing in the general population

    • Information can be easily updated and accessed

    • Consistent information can be widely shared

    • Many excellent site already exist

    Important Considerations in Designing the Web Site:

    For Users:
    • Must be user friendly
    • Quick access to information
    • Information must be easily understood
    • Opportunity for feedback should be included
    • Interaction with the site should stimulate learning 
    For Providers:
    • Focus on the user needs and any limitations they may have
    • Easy to maintain and update
    • Provide appropriate links to other sites where relevant
    • Educational focus
    • Continuously monitor and evaluate use

    Use of an Adult Learning Approach :

    Resources were designed with consideration of all learning styles. Click here for diagrams.

    Stages in Web Site Development

    • Main page - provided general information and easy access to all sections of the site
    • Patient Education  Resources formed a major section of the web and were categorized for quick and easy access
    • Plans were made to develop on-line interactive programs in several areas of patient education
    • Links were included to other relevant sites (eg: support organizations etc.)
    • Pilot projects were developed in various formats - internet based, CD-ROMs etc.

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    Looking to the Future - Lessons Learned

    Reaction of Health Care Educators / Providers

    • Cautious
    • Concern over curriculum issues and patient compliance
    • Growing respect for addressing different learning styles
    • Difficulty accepting that patients could learn effectively in new ways

    Current Status

    • Focus is on the transition to an Ambulatory facility
    • Many planned projects are "on hold" 
    • Trials are planned for the future with a return to greater stability

    Future Trials & Evaluation

    • Educators in health units have expressed interest in pilot projects
    • Family physicians have shown interest
    • Patients and family continually increase their use of the web site and express interest in new resources and online dialogue with health care providers

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    Updated 07/15/08      Copyright JoLyn Enterprises 1997