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Cited by 282

The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.

Providing a Web-based Online Medical Record with Electronic Communication Capabilities to Patients With Congestive Heart Failure: Randomized Trial

Open access
Ross, Stephen E, Moore, Laurie A, Earnest, Mark A, Wittevrongel, Loretta, Lin, Chen-Tan·2004·Journal of Medical Internet Research
DOI 10.2196/jmir.6.2.e12
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Abstract

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.

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Metadata

Authors
Ross, S. E., Moore, L. A., Earnest, M. A., Wittevrongel, L., & Lin, C.-T.
Venue
Journal of Medical Internet Research
Publisher
JMIR Publications Inc.
Published
2004-05-14
Volume
6
Issue
2
Pages
e12
ISSN
1438-8871 (ISSN-L)
DOI
10.2196/jmir.6.2.e12
OpenAlex
W1986444930
Cited by
282
References
3
FWCI
25.08
Type
journal article
Language
en
Open access
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CoChat. (2026). Citation check: Providing a Web-based Online Medical Record with Electronic Communication Capabilities to Patients With Congestive Heart Failure: Randomized Trial. https://app.cochat.ai/papers/10.2196/jmir.6.2.e12
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Ross, S. E., Moore, L. A., Earnest, M. A., Wittevrongel, L., & Lin, C.-T. (2004). Providing a Web-based Online Medical Record with Electronic Communication Capabilities to Patients With Congestive Heart Failure: Randomized Trial. Journal of Medical Internet Research. https://doi.org/10.2196/jmir.6.2.e12

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