Chronic Conditions

An untapped potential in primary care: semi-structured interviews with clinicians on how patient portals will work for caregivers in the safety net.

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Use of theory to guide development and application of sensor technologies in nursing.

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Advancing the use of patient-reported outcomes in practice: understanding challenges, opportunities, and the potential of health information technology.

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Implementing Personalized Cross-Sector Transitional Care Management to Promote Care Continuity, Reduce Low-Value Utilization, and Reduce the Burden of Treatment for High-Need, High-Cost Patients

Description: 

This research will integrate cross-sector care alerts and interoperable personalized care planning into the existing Coordinating Transitions Intervention (CTI) tool and evaluate the impact of the revised tool on patient burden, care team collaboration, and utilization value for high-need, high-cost patients.

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Project Dates: 
April 1, 2021 to March 31, 2026

Connected personas: Translating the complexity of older adult personal health information management for designers of health information technologies.

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Homecare nurses' decision-making during admission care planning.

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Digitalization of patient information process from hospital to community (home) care nurses: International perspectives.

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Knowledge elicitation of homecare admission decision making processes via focus group, member checking and data visualization.

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Home care admission information: What nurses need and what nurses have. A mixed methods study.

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Incorporating home healthcare nurses' admission information needs to inform data standards.

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