Analysis of Employee Patient Portal Use and Electronic Health Record Access at an Academic Medical Center

Sulieman, Lina; Steitz, Bryan D.; Rosenbloom, S. Trent

doi:10.1055/s-0040-1713412

Cited by 10 publications

(9 citation statements)

References 35 publications

(24 reference statements)

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“…More crucially, previous studies have demonstrated that reaching out may be a sign that a patient or family member uncovered an important safety issue or needed to clarify something important about their care, so this might indicate a sign of increased patient engagement. 10,11 There were several significant limitations in our study. First, the sample size was small with only a 20% response rate in a single institution.…”

Section: Discussionmentioning

confidence: 92%

The Value of OpenNotes for Pediatric Patients, Their Families and Impact on the Patient–Physician Relationship

et al. 2021

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Background OpenNotes, the sharing of medical notes via a patient portal, has been extensively studied in adults but not in pediatric populations. This has been a contributing factor in the slower adoption of OpenNotes by children's hospitals. The 21st Century Cures Act Final Rule has mandated the sharing of clinical notes electronically to all patients and as health systems prepare to comply, some concerns remain particularly with OpenNotes for pediatric populations. Objectives After a gradual implementation of OpenNotes at an academic pediatric center, we sought to better understand how pediatric patients and families perceived OpenNotes. This article presents the detailed steps of this informatics-led rollout and patient survey results with a focus on pediatric-specific concerns. Methods We adapted a previous OpenNotes survey used for adult populations to a pediatric outpatient setting (with parents of children <12 years old). The survey was sent to patients and families via a notification email sent as a standard practice after a clinic visit, in English or Spanish. Results Approximately 7% of patients/families with access to OpenNotes read the note during the study period, and 159 (20%) of those patients responded to the survey. Of the survey respondents, 141 (89%) of patients and families understood their notes; 126 (80%) found the notes always or usually accurate; 24 (15%) contacted their clinicians after reading a note; and 153 (97%) patients/families felt the same or better about their doctor after reading the note. Conclusion Although limited by relatively low survey response rate, OpenNotes was well-received by parents of pediatric patients without untoward consequences. The main concerns pediatricians raise about OpenNotes proved to not be issues in the pediatric population. Our results demonstrate clear benefits to adoption of OpenNotes. This provides reassurance that the transition to sharing notes with pediatric patients can be successful and value additive.

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Section: Discussionmentioning

confidence: 92%

The Value of OpenNotes for Pediatric Patients, Their Families and Impact on the Patient–Physician Relationship

et al. 2021

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“…On the other hand, frequent patient portal users were perhaps more likely to use a greater number of patient portal functions partly because they became familiar with their patient portal, or because they had a higher level of technological or health literacy which allowed them to become proficient patient portal users. [38][39][40][41] Future studies could help ascertain whether technological literacy and patient portal use frequency are associated with increased patient engagement and perhaps better patient selfmanagement.…”

Section: Discussionmentioning

confidence: 99%

Patient Portals: Useful for Whom and for What? A Cross-Sectional Analysis of National Survey Data

et al. 2021

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Background Patients who use patient portals may be more engaged and empowered in their care; however, differences in who accesses patient portals remain. The characteristics of who uses patient portals more frequently and who perceives them as useful may also differ, as well as which functions people use. Objective We assessed the characteristics of patient portal users to examine who uses them more frequently and who perceives them as useful. In addition, we wanted to see if those who use them more frequently or perceive them to be more useful use different functions or more functions of patient portals. Methods Pooled cross-sectional data from 2017 to 2018 Health Information National Trends Survey (HINTS) were used. Ordinal regression models were developed to assess frequency of use and perceived usefulness by demographics, and multivariable logistic regression models were used to examine the association between the use of 10 patient portal functions and frequency of use and perceived usefulness of patient portals. Results The odds of using patient portals more frequently were higher among those with Bachelor's degrees, incomes between $35,000 and $75,000, and those with two or more chronic conditions. Respondents with three or more chronic conditions had higher odds of rating patient portals as useful. Those who used their patient portal 10 or more times in the past year had higher odds of using all functions except for viewing test results compared with those who used their patient portal one to two times per year. Those who rated patient portals as “very useful” had higher odds of using seven of the functions compared with those who rated them “not very”/“not at all useful.” Conclusion It is important to continue to assess usefulness, frequency of use, and overall patient portal function use to identify opportunities to increase patient engagement with patient portals.

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“…Nevertheless, many expressed keen interest in obtaining more health information and details of their medical records. This demand is persistent among patients across various studies [53][54][55], therefore, promising future success of portal implementation and adoption.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of experiences and attitudes of patients towards patient portal enabled access to their health information or medical records – A Qualitative Study

Kuppanda

Jenkins

2022

Preprint

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The demand for patient centred care and patient engagement in their healthcare has driven patient portal introduction. The widespread adoption and use of patient portals, however, has been a rather slow process in the United Kingdom (UK). Hence, a limited number of studies have explored patient perceptions and experiences of general portal use which forms a foundation for successful implementation of a portal. This study, therefore, focuses on the experiences and attitudes of patients regarding use of patient portals and access to their health information. It further explores various factors perceived by patients that may influence portal use and uptake. These patient experiences were gathered through semi-structured interviews of 13 participants and the data collected was subjected to analysis using the grounded theory approach. The overall findings from this study highlights positive patient perceptions of portal use. Nevertheless, it demonstrates various areas of improvement essential to ensure successful implementation and acceptance of patient portals in the future.

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Analysis of Employee Patient Portal Use and Electronic Health Record Access at an Academic Medical Center

Cited by 10 publications

References 35 publications

The Value of OpenNotes for Pediatric Patients, Their Families and Impact on the Patient–Physician Relationship

The Value of OpenNotes for Pediatric Patients, Their Families and Impact on the Patient–Physician Relationship

Patient Portals: Useful for Whom and for What? A Cross-Sectional Analysis of National Survey Data

Evaluation of experiences and attitudes of patients towards patient portal enabled access to their health information or medical records – A Qualitative Study

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