Implementation of a New Kiosk Technology for Blood Pressure Management in a Family Medicine Clinic: from the WWAMI Region Practice and Research Network
Identifieur interne : 000F83 ( Main/Exploration ); précédent : 000F82; suivant : 000F84Implementation of a New Kiosk Technology for Blood Pressure Management in a Family Medicine Clinic: from the WWAMI Region Practice and Research Network
Auteurs : Chia-Fang Chung ; Sean A. Munson ; Matthew J. Thompson ; Laura-Mae Baldwin ; Jeffrey Kaplan ; Randall Cline ; Beverly B. GreenSource :
- Journal of the American Board of Family Medicine : JABFM [ 1557-2625 ] ; 2016.
Abstract
Using a self-service kiosk to measure blood pressure (BP) has the potential to increase patients’ awareness of their BP control and free up medical assistant (MA) time. The objective of this study was to evaluate BP kiosk acceptability and usability, as well as its effects on the workflow of patient BP self-measurement in a primary care clinic.
We used qualitative and quantitative assessments of kiosk implementation via meetings with clinic leaders, focus groups with clinic providers and staff, observations of kiosk users, and surveys of kiosk users at 2 and 8 months.
Most patients were comfortable using the kiosk (82% at 2 months, 87% at 8 months). Initial provider concerns included accuracy, but most gained confidence after comparing it with other monitors and reviewing the literature supporting its accuracy. Patients and providers saw many benefits: easier BP checks, increased patient engagement, and saved MA time for other tasks. The clinic addressed early concerns (eg, infection control, confusing instructions, perceived loss of personal touch). Most patients (86%) supported the clinic continuing to use the kiosks.
Providers, staff, and patients adapted to the use of BP kiosks, providing value by engaging patients in their own care and saving MA time. The clinic decided to keep the self-service kiosk after the pilot period.
Url:
DOI: 10.3122/jabfm.2016.05.160096
PubMed: 27613795
PubMed Central: 5065060
Affiliations:
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Thompson</name></author><author><name sortKey="Baldwin, Laura Mae" sort="Baldwin, Laura Mae" uniqKey="Baldwin L" first="Laura-Mae" last="Baldwin">Laura-Mae Baldwin</name></author><author><name sortKey="Kaplan, Jeffrey" sort="Kaplan, Jeffrey" uniqKey="Kaplan J" first="Jeffrey" last="Kaplan">Jeffrey Kaplan</name></author><author><name sortKey="Cline, Randall" sort="Cline, Randall" uniqKey="Cline R" first="Randall" last="Cline">Randall Cline</name></author><author><name sortKey="Green, Beverly B" sort="Green, Beverly B" uniqKey="Green B" first="Beverly B." last="Green">Beverly B. Green</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27613795</idno><idno type="pmc">5065060</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5065060</idno><idno type="RBID">PMC:5065060</idno><idno type="doi">10.3122/jabfm.2016.05.160096</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">003515</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003515</idno><idno type="wicri:Area/Pmc/Curation">003514</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003514</idno><idno type="wicri:Area/Pmc/Checkpoint">000896</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000896</idno><idno type="wicri:Area/Ncbi/Merge">008787</idno><idno type="wicri:Area/Ncbi/Curation">008787</idno><idno type="wicri:Area/Ncbi/Checkpoint">008787</idno><idno type="wicri:doubleKey">1557-2625:2016:Chung C:implementation:of:a</idno><idno type="wicri:Area/Main/Merge">000F85</idno><idno type="wicri:Area/Main/Curation">000F83</idno><idno type="wicri:Area/Main/Exploration">000F83</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Implementation of a New Kiosk Technology for Blood Pressure Management in a Family Medicine Clinic: from the WWAMI Region Practice and Research Network</title><author><name sortKey="Chung, Chia Fang" sort="Chung, Chia Fang" uniqKey="Chung C" first="Chia-Fang" last="Chung">Chia-Fang Chung</name></author><author><name sortKey="Munson, Sean A" sort="Munson, Sean A" uniqKey="Munson S" first="Sean A." last="Munson">Sean A. Munson</name></author><author><name sortKey="Thompson, Matthew J" sort="Thompson, Matthew J" uniqKey="Thompson M" first="Matthew J." last="Thompson">Matthew J. Thompson</name></author><author><name sortKey="Baldwin, Laura Mae" sort="Baldwin, Laura Mae" uniqKey="Baldwin L" first="Laura-Mae" last="Baldwin">Laura-Mae Baldwin</name></author><author><name sortKey="Kaplan, Jeffrey" sort="Kaplan, Jeffrey" uniqKey="Kaplan J" first="Jeffrey" last="Kaplan">Jeffrey Kaplan</name></author><author><name sortKey="Cline, Randall" sort="Cline, Randall" uniqKey="Cline R" first="Randall" last="Cline">Randall Cline</name></author><author><name sortKey="Green, Beverly B" sort="Green, Beverly B" uniqKey="Green B" first="Beverly B." last="Green">Beverly B. Green</name></author></analytic><series><title level="j">Journal of the American Board of Family Medicine : JABFM</title><idno type="ISSN">1557-2625</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">Using a self-service kiosk to measure blood pressure (BP) has the potential to increase patients’ awareness of their BP control and free up medical assistant (MA) time. The objective of this study was to evaluate BP kiosk acceptability and usability, as well as its effects on the workflow of patient BP self-measurement in a primary care clinic.</p></sec><sec id="S2"><title>Methods</title><p id="P2">We used qualitative and quantitative assessments of kiosk implementation via meetings with clinic leaders, focus groups with clinic providers and staff, observations of kiosk users, and surveys of kiosk users at 2 and 8 months.</p></sec><sec id="S3"><title>Results</title><p id="P3">Most patients were comfortable using the kiosk (82% at 2 months, 87% at 8 months). Initial provider concerns included accuracy, but most gained confidence after comparing it with other monitors and reviewing the literature supporting its accuracy. Patients and providers saw many benefits: easier BP checks, increased patient engagement, and saved MA time for other tasks. The clinic addressed early concerns (eg, infection control, confusing instructions, perceived loss of personal touch). Most patients (86%) supported the clinic continuing to use the kiosks.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Providers, staff, and patients adapted to the use of BP kiosks, providing value by engaging patients in their own care and saving MA time. The clinic decided to keep the self-service kiosk after the pilot period.</p></sec></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Baldwin, Laura Mae" sort="Baldwin, Laura Mae" uniqKey="Baldwin L" first="Laura-Mae" last="Baldwin">Laura-Mae Baldwin</name><name sortKey="Chung, Chia Fang" sort="Chung, Chia Fang" uniqKey="Chung C" first="Chia-Fang" last="Chung">Chia-Fang Chung</name><name sortKey="Cline, Randall" sort="Cline, Randall" uniqKey="Cline R" first="Randall" last="Cline">Randall Cline</name><name sortKey="Green, Beverly B" sort="Green, Beverly B" uniqKey="Green B" first="Beverly B." last="Green">Beverly B. Green</name><name sortKey="Kaplan, Jeffrey" sort="Kaplan, Jeffrey" uniqKey="Kaplan J" first="Jeffrey" last="Kaplan">Jeffrey Kaplan</name><name sortKey="Munson, Sean A" sort="Munson, Sean A" uniqKey="Munson S" first="Sean A." last="Munson">Sean A. 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