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Please write 450 word reply to the following case study. Must have two peer reviewed sources and one bible integration. The two sources are seperate from the biblical verse. Instructions for original post are here: Visit the National Center for Biotechnology Information (NCBI) website and read the article “The Impact of Health Literacy on a Patient’s Decision to Adopt a Personal Health Record.” Provide a summary of your findings and any insights you have gained in the review of the information. Article can be found at this website: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3510648/
Reply will be written to this study:
Health Literacy Impact on the Use of Personal Health Records and Patient Portals
With healthcare reimbursement changing to a fee-for-value system, patients’ role in healthcare is ever so important. Physicians rely on patients to have an active role in their health to succeed in a value-based system. Coordination of care is one mechanism in which this is achieved. It is defined as “using that health information in proactive, effective, and cost-efficient ways across the care management resources for all the stakeholders in the care continuity process” (Shanholtzer & Ozanich, 2016, p. 263). For patients to be active participants in their care coordination, they need a method to access and record their health journey. Two of these methods are a personal health record (PHR) and a patient portal.
Patient Health Record
A PHR is “an electronic application through which patients can maintain and manage their health information (and that of others for whom they are authorized) in a private, secure, and confidential environment” (The Office of the National Coordinator for Health Information Technology (ONC), n.d., para 1). PHR is a non-legal record developed and maintained by the patient in either paper, web-based, or software-based formats (Shanholtzer & Ozanich, 2016). The information in these records is dependent on what the patient understands and considers pertinent, for example, physician visits, dates of surgeries, diagnosis, medication profile, allergies, and results of monitored data for chronic diseases.
Patient Portal
The patient portal is a “secure online website that gives patients convenient, 24-hour access to personal health information from anywhere with an Internet connection” (ONC, n.d., para 1). Patient portals are legal health records created and maintained by healthcare professionals or organizations. These records are tethered with the patient’s electronic health records (EHR) and contain lab and test results, physician visits, discharge summaries, medications, and allergies. Some patient portals offer the ability to communicate with the physician, make appointments, and request medication refills (Shanholtzer & Ozanich, 2016).
Health Literacy Impact
The use and accuracy of PHRs and patient portals depend on the patient’s knowledge and understanding of their health information, otherwise known as health literacy. Health literacy definition is “the degree to which individuals have the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions” (Noblin et al., 2012, p. 1). Low health literacy leads to decreased patient participation, poor health outcomes, and increased costs (Mackert, 2016). Socioeconomic factors impacting health literacy include education, income, race, spoken language, and visual and hearing impairments (Noblin et al., 2012).
Studies have shown that health literacy is a significant aspect for patients to use patient portals and PHRs properly. Noblin et al. (2012) found that the perceived level of health literacy was the number one factor affecting patients’ adaptation to using PHR. Age, education, or income level were insignificant influences (Noblin et al., 2012). Another study by Davis et al. (2015) found “that both health literacy and educational attainment appeared to have a significant effect on the likelihood of being registered for a patient portal” (p. 1876). Their study did not support the health literacy impact on the use of the portal after the patient has registered (Davis et al., 2015). Davis et al. concluded that hospital personnel could influence the impact of these barriers by educating and assisting patients with patient portal registration during their inpatient hospital stay. Both studies support that healthcare providers and organizations need to understand and take a proactive approach to address the development and use of PHR and patient portals based on the health literacy levels of the population they serve.
Conclusion
With today’s technology, patients have the resources to take a more active role in managing their health. These PHR and patient portals are only helpful if the patient utilizes and understands the available information, but these tools can be overwhelming. Healthcare providers and organizations must develop educational programs and tools to overcome barriers such as health literacy. As I researched the importance of overcoming these barriers in managing our population’s health, I pondered on the role that God has given us in sharing His glory. As found in 2 Timothy 2:22-26:
Flee the evil desires of youth and pursue righteousness, faith, love, and peace, along with those who call on the Lord out of a pure heart. Don’t have anything to do with foolish and stupid arguments, because you know they produce quarrels. And the Lord’s servant must not be quarrelsome but must be kind to everyone, able to teach, not resentful. Opponents must be gently instructed, in the hope that God will grant them repentance leading them to a knowledge of the truth, and that they will come to their senses and escape from the trap of the devil, who has taken them captive to do his will (New Life Version, n.d.).
Being resourceful and persistent in a respectful manner will bring success in helping our patients to achieve more controlled health outcomes.

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