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Background Inpatient portals are online platforms that allow patients to access their personal health information and monitor their health while in the acute care setting. Despite their potential to improve quality of care and empower patients and families to participate in their treatment, adoption remains low. Outpatient portal studies have shown that physician endorsement can drive patients' adoption of these systems. Insights on physicians’ perspectives on use of these platforms can help improve patient and physician satisfaction and inpatient portal uptake. Objective The purpose of this systematic review is to better understand physicians’ perspectives toward inpatient portals. Methods A systematic literature review was conducted for studies published between 1994 and November 2021 using keywords for physicians’ perspectives toward patient portals and personal health records. Databases included PubMed, MEDLINE, Web of Science, and Scopus. Articles solely focused on nonphysician clinicians or addressing only outpatient settings or shared notes were excluded from this review. Two reviewers performed title, abstract, and full-text screening independently. Bias assessment was performed using the JBI SUMARI Critical Appraisal Tool (Joanna Briggs Institute). Inductive thematic analysis was done based on themes reported by original authors. Data were synthesized using narrative synthesis and reported according to overarching themes. Results In all, 4199 articles were collected and 9 included. All but 2 of the studies were conducted in the United States. Common themes identified were communication and privacy, portal functionality and patient use, and workflow. In studies where physicians had no prior patient portal experience, concerns were expressed about communication issues created by patients’ access to laboratory results and potential impact on existing workflow. Concerns about negative communication impacts were not borne out in postimplementation studies. Conclusions Physicians perceived inpatient portals to be beneficial to patients and saw improvement in communication as a result. This is consistent with outpatient studies and highlights the need to improve training on portal use and include physicians during the design process. Health care organizations and information technology entities can take steps to increasing clinician comfort. Physician concerns involving patient portal usage and managing patient expectations also need to be addressed. With improved clinician support, initial pessimism about communication and workload issues can be overcome. Limitations of this review include the small number of pre- and postimplementation studies found. This is also not a review of perspectives on open notes, which merits separate discussion.
Background Inpatient portals are online platforms that allow patients to access their personal health information and monitor their health while in the acute care setting. Despite their potential to improve quality of care and empower patients and families to participate in their treatment, adoption remains low. Outpatient portal studies have shown that physician endorsement can drive patients' adoption of these systems. Insights on physicians’ perspectives on use of these platforms can help improve patient and physician satisfaction and inpatient portal uptake. Objective The purpose of this systematic review is to better understand physicians’ perspectives toward inpatient portals. Methods A systematic literature review was conducted for studies published between 1994 and November 2021 using keywords for physicians’ perspectives toward patient portals and personal health records. Databases included PubMed, MEDLINE, Web of Science, and Scopus. Articles solely focused on nonphysician clinicians or addressing only outpatient settings or shared notes were excluded from this review. Two reviewers performed title, abstract, and full-text screening independently. Bias assessment was performed using the JBI SUMARI Critical Appraisal Tool (Joanna Briggs Institute). Inductive thematic analysis was done based on themes reported by original authors. Data were synthesized using narrative synthesis and reported according to overarching themes. Results In all, 4199 articles were collected and 9 included. All but 2 of the studies were conducted in the United States. Common themes identified were communication and privacy, portal functionality and patient use, and workflow. In studies where physicians had no prior patient portal experience, concerns were expressed about communication issues created by patients’ access to laboratory results and potential impact on existing workflow. Concerns about negative communication impacts were not borne out in postimplementation studies. Conclusions Physicians perceived inpatient portals to be beneficial to patients and saw improvement in communication as a result. This is consistent with outpatient studies and highlights the need to improve training on portal use and include physicians during the design process. Health care organizations and information technology entities can take steps to increasing clinician comfort. Physician concerns involving patient portal usage and managing patient expectations also need to be addressed. With improved clinician support, initial pessimism about communication and workload issues can be overcome. Limitations of this review include the small number of pre- and postimplementation studies found. This is also not a review of perspectives on open notes, which merits separate discussion.
BACKGROUND Inpatient portals are online platforms that provide patients access to their personal health information and an opportunity to monitor their own health while in the acute care setting. They have the potential to improve quality of care and empower patients to participate in their treatment. These portals can also help families stay informed about their loved ones especially when they are unable to accompany at bedside due to social distancing restrictions as the COVID-19 pandemic lingers. Despite the potential benefits of inpatient portals, research has shown that patient adoption remains low. There is significant research on factors that influence patients’ use of portals, but less research exists on physicians’ perspectives on the use of these platforms. Outpatient portal studies have shown that provider endorsement drives patients' adoption of these systems. OBJECTIVE The objective of this review is to better understand provider attitudes towards this technology, specifically inpatient portals. This insight can help improve patient and physician satisfaction, uptake, and the overall quality of care. METHODS A systematic literature review, was conducted using keywords for physicians’ attitudes and perspectives towards patient portals and personal health records (PHRs). Databases included “PubMed/Medline,” “Web of Science,” and “Scopus”. RESULTS A total of 4199 articles was collected. Two reviewers performed title/abstract screening and full-text screening independently. A total of 10 articles addressing inpatient portals were included in the review. Common themes identified include communication, concerns with patient access to information on the portal, and impact on workload. Several studies also included physicians’ suggestions on portal functions. CONCLUSIONS Physicians perceived inpatient portals to be beneficial to patients and saw improvement in communication as a result. In studies where physicians had no prior experience using patient portals, concerns were expressed about privacy issues, patients’ ability to access lab results and information, and the portal’s potential impact on existing workflow. Physicians suggested that improving training on portal use and including them during the design process would encourage portal use. CLINICALTRIAL N/A
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