A Comparison of Electronic Patient-Portal Use Among Patients with Resident and Attending Primary Care Providers

Chan, Brian; Lyles, Courtney R.; Kaplan, Celia P.; Lam, Rosemary; Karliner, Leah

doi:10.1007/s11606-018-4637-x

Cited by 15 publications

(17 citation statements)

References 27 publications

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“…It is known that electronic patient portals improved clinical care beyond the office visit, 5 despite this fact our results are consistent with Chan et al findings demonstrating low patient-portal use in our population. 6 The utilization of Mobile applications is associated with increased cancer knowledge 8 and provides real-time feedback. 9 Similarly, telemedicine via videoconference is equal in patient satisfaction and perceived quality of care.…”

Section: Discussionmentioning

confidence: 99%

“…5 When utilized effectively patient portals can empower patients to access medical records and interact with their care teams although Chan et al demonstrated low portal use in their patient populations, highlighting its infancy as a communication tool. 6 Linde et al examined the effectiveness of one-way text messages and found that they did not improve the attendance rate to follow up among patients with cervical cancer. 7 The desire to increase cancer knowledge was associated with a higher likelihood of utilizing a mobile application (OR 261.53;95% CI:10.13-6748.71).…”

Section: Introductionmentioning

confidence: 99%

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<p>Optimizing the Communication with Cancer Patients During the COVID-19 Pandemic: Patient Perspectives</p>

Tashkandi¹,

Baabdullah²,

Zeeneldin³

et al. 2020

PPA

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Background: During curfew, patients are self-isolated at home and worried. Patient-doctor interactions may be disrupted and therefore need to be replaced by alternative effective communication methods. Purpose: To describe the preferences of cancer patients with respect to communication methods and the use of patient-accessible electronic health records (PAEHRs). To record the impact on cancer patients during the COVID-19 pandemic and the knowledge and attitude of the patients towards it. Patients and Methods: We created a self-administered electronic survey that was piloted and evaluated for its clinical relevance. Using convenient sampling methods, we surveyed the cancer patients in our Oncology Center. Results: We received 385 responses between April 15 and April 30, 2020. The preferred method for communication was a phone call with a 92% response rate followed by the electronic patient portal, mobile application, telemedicine and text message in 75%, 76%, 73%, and 72%, respectively. The majority (97%) preferred the use of PAEHRs for appointments, 95% for drug delivery and to view laboratory tests, and 92% in requesting medical reports. In our survey, 22% of patients with cancer reported that their medical cancer care had not been affected by COVID-19. They reported that trusted sources of information during COVID-19 included the Ministry of Health with 98% and doctors with 94%. Sixtyone percent know that they are more susceptible to COVID-19 infection and 91% of respondents supported the notion of digital transformation in the caring of cancer patients. Conclusion: Our study revealed a general acceptance of patients to telecommunication as substitute to in-person interaction with their physicians. Interaction between cancer patients and health care providers should not be disrupted but should be augmented with more effective platforms to improve health care outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

<p>Optimizing the Communication with Cancer Patients During the COVID-19 Pandemic: Patient Perspectives</p>

Tashkandi¹,

Baabdullah²,

Zeeneldin³

et al. 2020

PPA

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“…The study designs were grouped into six categories according to the characteristics of the articles. Overall, 17 were descriptive quantitative studies [8,[16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31], two were descriptive mixed-methods studies [32,33], 14 were observational hypothesis testing studies [20,[34][35][36][37][38][39][40][41][42][43][44][45][46], seven were descriptive qualitative studies [47][48][49][50][51][52][53], five were interventional studies, other than randomized controlled trials (RCTs) [54][55][56][57][58], and three were RCTs [59][60][61].…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…On the other hand, younger patients were also the major users in disease/specialty-specific cohorts [32,35,46]. A total of 19 studies mentioned the origin and ethnicity of users [8,18,25,27,[30][31][32]34,[37][38][39][42][43][44][45][46]52,58]. White patients were usually the most likely to use the portals described in the different studies [18,27,[30][31][32]37,38,43,45,52].…”

Section: Unspecified Patient Portal United Statesmentioning

confidence: 99%

The Impact of Digital Patient Portals on Health Outcomes, System Efficiency, and Patient Attitudes: Updated Systematic Literature Review

Carini¹,

Villani²,

Pezzullo³

et al. 2021

J Med Internet Res

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Background Patient portals are becoming increasingly popular worldwide even though their impact on individual health and health system efficiency is still unclear. Objective The aim of this systematic review was to summarize evidence on the impact of patient portals on health outcomes and health care efficiency, and to examine user characteristics, attitudes, and satisfaction. Methods We searched the PubMed and Web of Science databases for articles published from January 1, 2013, to October 31, 2019. Eligible studies were primary studies reporting on the impact of patient portal adoption in relation to health outcomes, health care efficiency, and patient attitudes and satisfaction. We excluded studies where portals were not accessible for patients and pilot studies, with the exception of articles evaluating patient attitudes. Results Overall, 3456 records were screened, and 47 articles were included. Among them, 11 studies addressed health outcomes reporting positive results, such as better monitoring of health status, improved patient-doctor interaction, and improved quality of care. Fifteen studies evaluated the impact of digital patient portals on the utilization of health services with mixed results. Patient characteristics were described in 32 studies, and it was reported that the utilization rate usually increases with age and female gender. Finally, 30 studies described attitudes and defined the main barriers (concerns about privacy and data security, and lack of time) and facilitators (access to clinical data and laboratory results) to the use of a portal. Conclusions Evidence regarding health outcomes is generally favorable, and patient portals have the potential to enhance the doctor-patient relationship, improve health status awareness, and increase adherence to therapy. It is still unclear whether the use of patient portals improves health service utilization and efficiency.

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“…These VHR best practices have not been established in the literature [ 9 ]. Previous research has shown primary care physician’s familiarity and comfort with the electronic patient-portal influence portal use [ 33 ]. These previous findings are in alignment with our findings that teams want to know what VHR patients have access to and how they use it.…”

Section: Discussionmentioning

confidence: 99%

Proactive integrated virtual healthcare resource use in primary care

Haun

Cotner

Melillo

et al. 2021

BMC Health Serv Res

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Background Proactive integrated virtual healthcare resource (VHR) use can improve efficiency, maximize resource capacity for delivering optimal coordinated care and improve patient outcomes. Proactive integrated VHR use is vital for delivering high quality care. Our objectives were to identify proactive integrated VHR use among primary care teams, best practices and targeted implementation strategies to promote proactive integrated VHR use. Methods This is a mixed-method descriptive study. We employed a community-based participatory approach to collect data and the Consolidated Framework for Implementation Research to analyze and contextualize findings. A cross-sectional sample of primary care team members (n = 65) from a Department of Veterans Affairs medical center participated in focus groups, follow-up interviews (n = 16), and respond to self-report surveys. Operational subject matter experts (n = 15) participated in informant interviews. Results Survey data described current use and factors that influenced singular VHR use and were convergent with qualitative findings. Focus group and interview data described no evidence of proactive integrated VHR use. Differences and similarities were identified between both utilization groups, such as facilitators and barriers, recommendations, patient education and preferred implementation strategies. All groups reported issues around VHR availability knowledge and access and functionality. Participants identified the need for best practices that are specific to care tasks and performance measures. Expert informant interviews identified a list of VHR tools that could be proactively integrated across the healthcare continuum. Conclusions Health systems are leveraging technologies to proactively integrate VHR to maximize information exchange, clinical decision support and patient engagement. VHR is critical during global pandemics, such as COVID-19, to maintain access to care coordination and delivery while abiding by public health recommendations. Though recent requirements for reducing contact create an intrinsic motivation, cultural change through education and best practices of proactive integrated use across the healthcare continuum is needed to create a culture of VHR super users.

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A Comparison of Electronic Patient-Portal Use Among Patients with Resident and Attending Primary Care Providers

Cited by 15 publications

References 27 publications

<p>Optimizing the Communication with Cancer Patients During the COVID-19 Pandemic: Patient Perspectives</p>

<p>Optimizing the Communication with Cancer Patients During the COVID-19 Pandemic: Patient Perspectives</p>

The Impact of Digital Patient Portals on Health Outcomes, System Efficiency, and Patient Attitudes: Updated Systematic Literature Review

Proactive integrated virtual healthcare resource use in primary care

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