Association between Patient Portal use and Office Visits

Silver, Reginald; Subramaniam, Chandrasekar; Stylianou, Antonis C.

doi:10.1007/s10916-021-01749-0

Cited by 4 publications

(3 citation statements)

References 27 publications

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“…An added benefit to alerting and encouraging individuals who would be more likely to use the patient portal is that a positive experience with a patient portal would lead to continued use of the patient portal and other services. 42,43 The findings of this study should be viewed through the lens of several limitations. First, the sample was limited to individuals residing in a region of the country willing to respond to the survey.…”

Section: Discussionmentioning

confidence: 93%

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The association between information technology sophistication and patient portal use: A cross sectional study in Eastern North Carolina

Asagbra

Burch

Chivela

2023

Health Informatics J

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Even with the extolled benefits of patient portals, there has been some challenges to ensuring patient portal use. This study examines if a patient’s level of information technology (IT) sophistication, defined as the degree of use of diverse information technologies by an individual, is associated with their use of a patient portal. Patients previous experience and exposure to other similar technologies like desktop computer, laptop, internet, smart phone, or social media explains their willingness to use information technology for their health. Data on a cross-sectional survey of 565 individuals in Eastern NC was available for analysis. Multinomial regression analyses revealed that IT sophistication is important in determining whether patients will use a patient portal. It specifies that patients with low IT sophistication compared to those with high IT sophistication were more likely to have never activated their patient portals (RRR = 2.2155, p < 0.009), or to have activated but never used a patient portal (RRR = 3.5869, p < 0.010). The findings of this study should aid healthcare leaders as they strive to improve patient engagement. They should continue to promote the benefits of the patient portal and consider offering personalized support programs for patients with low IT sophistication.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

The association between information technology sophistication and patient portal use: A cross sectional study in Eastern North Carolina

Asagbra

Burch

Chivela

2023

Health Informatics J

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“… 57 Steitz and colleagues noted that the highest portal use was seen in the first 3 years of life, 23 which may be related to the number of well-child visits recommended from ages 0–4 23 , 59 in outpatient settings. 60 Another explanation for this trend could be a potential shift from portal use by a proxy towards self-patient portal use, which has been noted to increase significantly for patients aged 14 and above. 23 Other researchers have highlighted how parent proxy access can spark online health information seeking behavior among adolescent patients, 32 with adolescents reporting increased interest in using patient portals 61 as they age and transition into adult care.…”

Section: Discussionmentioning

confidence: 99%

Proxy use of patient portals on behalf of children: Federally Qualified Health Centers as a case study

Dang,

Chavez,

Pham

et al. 2024

DIGITAL HEALTH

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Objective This study examined the proxy use of patient portals for children in a large Federally Qualified Health Centers (FQHC) network in Texas. Methods We used de-identified individual-level data of patients, 0–18 years, who had 1+ visits between December 2018 and November 2020. Logistic regression was used to examine patient-, clinic-, and geographic-level factors associated with portal usage by an assumed proxy (i.e. parent or guardian). Results The proxy portal usage rate increased from 28% in the pre-pandemic months (November 2018–February 2020) to 34% in the pandemic months (March–Nov 2020). Compared to patients 0–5 years, patients aged 6 to 18 years had lower odds of portal usage (6–10 OR: 0.77, p < 0.001; 11–14 OR: 0.62, p < 0.001; 15–18 OR: 0.51, p < 0.001). Minoritized groups had significantly lower odds of portal usage when compared to their non-Hispanic White counterparts (non-Hispanic Black OR: 0.78, p < 0.001; Hispanic OR 0.63, p < 0.001; Asian OR: 0.69, p < 0.001). Having one chronic condition was associated with portal usage (OR: 1.57, p < 0.001); however, there were no significant differences in portal usage between those with none or multiple chronic conditions. Portal usage also varied by service lines, with obstetrics and gynecology (OR: 1.84, p < 0.001) and behavioral health (OR 1.82, p < 0.001) having the highest odds of usage when compared to pediatrics. Having a telemedicine visit was the strongest predictor of portal usage (OR: 2.30, p < 0.001), while residence in zip codes with poor broadband internet access was associated with lower odds of portal usage (OR: 0.97, p < 0.001). Conclusion While others have reported portal usage rates as high as 64% in pediatric settings, our analysis suggests proxy portal usage rates of 30% in pediatric FQHC settings, with race/ethnicity, age group, and chronic disease status being significant drivers of portal non-usage. These findings highlight the need for appropriate and responsive health information technology approaches for vulnerable populations receiving care in low-resource settings.

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Prototyping and testing an accessible e-health patient portal designed to include patients with/without vision or hearing impairments

Farhan

Razmak

2023

Health Technol.

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Association between Patient Portal use and Office Visits

Cited by 4 publications

References 27 publications

The association between information technology sophistication and patient portal use: A cross sectional study in Eastern North Carolina

The association between information technology sophistication and patient portal use: A cross sectional study in Eastern North Carolina

Proxy use of patient portals on behalf of children: Federally Qualified Health Centers as a case study

Prototyping and testing an accessible e-health patient portal designed to include patients with/without vision or hearing impairments

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