Challenges When Engaging Diabetic Patients and Their Clinicians in Using E-Health Technologies to Improve Clinical Outcomes

  • Brian Edward Dixon
  • Abdulrahman Mohammed Jabour
  • Erin O’Kelly Phillips
  • David G. Marrero
Part of the Lecture Notes in Computer Science book series (LNCS, volume 8515)


Diabetes mellitus (DM) is a chronic disease affecting more than 285 people worldwide and the fourth leading cause of death. Increasing evidence suggests that many DM patients have poor adherence with prescribed medication therapies, impacting clinical outcomes. Patients’ barriers to medication adherence and the extent to which barriers contribute to poor outcomes, however, are not routinely assessed. We designed a dashboard for an electronic health record system to integrate DM disease and medication data, including patient-reported barriers to adherence. The dashboard was pilot tested at multiple ambulatory clinics to examine whether integrated electronic tools can support patient-centered decision-making processes involving complex medication regimens for DM and other chronic diseases. During pilot testing, we encountered several challenges when engaging patients and clinicians in using the dashboard as well as a portal used to gather self-reported psychosocial information directly from patients. In this paper we explore those challenges and suggest methods for better supporting the adoption and use of e-health technologies to improve care delivery processes as well as health outcomes for populations like diabetic patients.


Medication Adherence Type 2 Diabetes Mellitus Computerized Medical Records Systems Personal Health Records Physician-Patient Relations Drug Monitoring Patient-Centered Care 


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Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Brian Edward Dixon
    • 1
    • 2
    • 3
  • Abdulrahman Mohammed Jabour
    • 1
  • Erin O’Kelly Phillips
    • 4
  • David G. Marrero
    • 4
    • 5
  1. 1.Department of BioHealth Informatics, School of Informatics and ComputingIndiana UniversityIndianapolisUSA
  2. 2.Center for Biomedical InformaticsRegenstrief InstituteIndianapolisUSA
  3. 3.Center for Health Information and Communications, Department of Veterans AffairsVeterans Health Administration, Health Services Research and Development ServiceIndianapolisUSA
  4. 4.Diabetes Translational Research Center, School of MedicineIndiana UniversityIndianapolisUSA
  5. 5.Department of Endocrinology, School of MedicineIndiana UniversityIndianapolisUSA

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