Electronic Health Record Patient Portals in CKD and Hypertension Management

Mendu, Mallika L.; Waikar, Sushrut S.

doi:10.2215/cjn.10070915

Cited by 4 publications

(6 citation statements)

References 18 publications

(20 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The patient portal (portal) is a secure online Web site that provides patients with 24-hour access to medical information and scheduling tools via the electronic health record (EHR). [1][2][3][4] These tools have been supported by financial incentives provided by the Centers for Medicaid and Medicare Services (CMS) via the Health Information Technology for Economic and Clinical Health (HITECH) Act's Meaningful Use program and, as a result, are generally available in large-and medium-sized hospitals in the United States. [5][6][7] The purpose of this access is to empower patients and promote health self-management by providing patients with access to health information, appointment scheduling, bill payment, and secure communication with their health providers outside of face-to-face encounters.…”

Section: Background and Significance Patient Portal Purposementioning

confidence: 99%

“…Patient portals continue to be underutilized. 1,2,5,8,9,[13][14][15][16] Limited portal familiarity, lack of technological knowledge, low health literacy, and minimal provider endorsement have been linked to low activation, while users are more likely to have more education and more likely to be internet users. 9,13,14,[17][18][19][20] Among adult users, personal characteristics such as race/ethnicity, age, gender, education, primary language, and caregiving role influence portal activation; prior studies show that patients of minority race/ethnicity and non-primary English speakers were less likely to activate a portal account.…”

Section: Portal Utilization Barriersmentioning

confidence: 99%

See 1 more Smart Citation

Providing Access: Differences in Pediatric Portal Activation Begin at Patient Check-in

et al. 2019

View full text Add to dashboard Cite

Background The patient portal interface with individual electronic health records (EHR) was introduced as a tool to enhance participatory medicine. Recent studies suggest adults from racial and ethnic minorities as well as non-English speakers face disproportionate barriers to adoption; however, little data are available for pediatric patients. Objective The purpose of this study was to examine patient portal offers and activation patterns among pediatric urology patients at two geographically diverse tertiary pediatric hospitals. Methods Retrospective analysis of 2011 to 2016 electronic portal audit records was conducted among patients aged 18 and younger with at least one outpatient urology clinic visit at two tertiary academic pediatric hospitals and their affiliated networks. Differences in utilization among parents/caregivers and adolescents were examined using multivariate analysis. Results Of 44,608 individuals seen in a participating urology department during the study period, 21,815 (48.9%) were offered a code for patient portal activation; of these, 8,605 (19.3% of total eligible individuals) activated portal access. Logistic regression demonstrated associations between an offer and site (p < 0.001), being female (p < 0.001), being Asian or white (p < 0.05), being non-Hispanic (p < 0.001), and reporting English as preferred language (p < 0.001). Activating patient portal access was associated with site (p < 0.001), being Asian or white (p < 0.001), and reporting English as preferred language (p < 0.001). Conclusion This study found that demographic variations in portal began with demographic differences in which patients were offered an activation code. Fewer than half of those given an access code activated their account. Preferred language, race/ethnicity, and clinic location were associated with likelihood of portal activation. Although patients are increasingly expected to schedule appointments, manage correspondence, request prescription refills, obtain authorizations and referrals, and communicate with the medical team using the portal, this study suggests that in the pediatric specialty setting many patients and caregivers are not offered the opportunity to access these tools.

show abstract

Section: Background and Significance Patient Portal Purposementioning

confidence: 99%

Section: Portal Utilization Barriersmentioning

confidence: 99%

Providing Access: Differences in Pediatric Portal Activation Begin at Patient Check-in

et al. 2019

View full text Add to dashboard Cite

show abstract

“…The disparity in technology access and inability to adopt a growing technological approach to clinical practice puts these individuals at increased risk for poor clinical outcomes. 3 …”

Section: Discussionmentioning

confidence: 99%

“…1 , 2 The patient portal is a secure online website providing patients 24 h access to the EHR, designed to facilitate patient engagement, increase self-management, improve patient and health provider communication outside of face-to-face visits, increase patient satisfaction from care received, and result in better clinical outcomes. 3–5 Patient portals allow individuals to send secure messages to clinical staff, view their health records (e.g., diagnoses, laboratory results, and medications list), schedule appointments, request prescription refills, and manage bills. 6 …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Internet Access Influences Community Clinic Portal Use

et al. 2018

View full text Add to dashboard Cite

Purpose: To assess whether individuals attending a community clinic had the necessary Internet access and experience to use the patient portal, while examining covariates of education, income, and self-perception of health with past and anticipated portal use.Methods: Adults attending an urban, community primary care clinic were invited to participate in a brief survey assessing current Internet access and use, past portal use, and anticipated future portal use. Survey responses were analyzed using descriptive and multivariate statistics.Results: One hundred fifteen participants ranging in age from 18 to 84 years (mean 42.1, standard deviation 17.1) completed the survey; 6 (5%) in Spanish. Thirty-five (30%) self-identified as Latino; 12 (10%) as Asian; and 20 (17%) as other. Almost 80% reported their health as good or better. Although 38% reported some college and 47% reported being college graduates, 60% reported household incomes were <$50,000. Most (87%) used the Internet for >1 year. Fewer than half (42%) had past portal use, with significant differences associated with weekly Internet use (Fisher's exact=9.59; p=0.02) and smart phone access (Fisher's exact=6.15; p=0.02). Computer Internet access was significantly associated with income (Fisher's exact=16.91; p<0.001). Logistic regression identified that computer Internet access was a significant predictor (odds ratio 9.9 (95% confidence interval: 1.7–58.8) of future portal use, controlling for smart phone use, health status, gender, and age.Conclusions: Among this highly educated but lower economic sample, computer Internet access and smart phone access were associated with past portal use and anticipated future use.

show abstract