Patient portal use and hospital outcomes

Dumitrascu, Adrian; Burton, M. Caroline; Dawson, Nancy L.; Thomas, Colleen S.; Nordan, Lisa; Greig, Hope E; Aljabri, Duaa; Naessens, James M.

doi:10.1093/jamia/ocx149

Cited by 36 publications

(46 citation statements)

References 24 publications

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“…Over half of our inpatient oncology population voluntarily adopted the portal before hospital admission and 27% actively used the portal during the stay. Dumitrascu et al found that of 44.2% patients who had a portal account at the time of admission, only 20.8% accessed the portal during their stay [ 48 ]. Davis et al found that of 34.4% registered portal patients, 23.4% used it while hospitalized [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

“…A Continuity of Care Document, a complete summary of patient current health status and history, is also available to view, download, or forward to physicians at other hospitals. Additional information on MCF patient portal is documented elsewhere [ 48 ]. Although the portal is designed for outpatients, some functions are applicable to inpatient health information needs during the hospital stay.…”

Section: Methodsmentioning

confidence: 99%

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Patient portal adoption and use by hospitalized cancer patients: a retrospective study of its impact on adverse events, utilization, and patient satisfaction

Aljabri

Dumitrascu

Burton

et al. 2018

BMC Med Inform Decis Mak

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BackgroundPortal use has been studied among outpatients, but its utility and impact on inpatients is unclear. This study describes portal adoption and use among hospitalized cancer patients and investigates associations with selected safety, utilization, and satisfaction measures.MethodsA retrospective review of 4594 adult hospitalized cancer patients was conducted between 2012 and 2014 at Mayo Clinic in Jacksonville, Florida, comparing portal adopters, who registered for a portal account prior to hospitalization, with nonadopters. Adopters were classified by their portal activity during hospitalization as active or inactive inpatient users. Univariate and several logistic and linear regression models were used for analysis.ResultsOf total patients, 2352 (51.2%) were portal adopters, and of them, 632 (26.8%) were active inpatient users. Portal adoption was associated with patients who were young, female, married, with higher income, and had more frequent hospitalizations (P < .05). Active inpatient use was associated with patients who were young, married, nonlocals, with higher disease severity, and were hospitalized for medical treatment (P < .05). In univariate analyses, self-management knowledge scores were higher among adopters vs nonadopters (84.3 and 80.0, respectively; P = .01) and among active vs inactive inpatient users (87.0 and 83.3, respectively; P = .04). In regression models adjusted for age and disease severity, the association between portal behaviors and majority of measures were not significant (P > .05).ConclusionsOver half of our cancer inpatients adopted a portal prior to hospitalization, with increased adoption associated with predisposing and enabling determinants (eg: age, sex, marital status, income), and increased inpatient use associated with need (eg: nonlocal residence and disease severity). Additional research and greater effort to expand the portal functionality is needed to impact inpatient outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Patient portal adoption and use by hospitalized cancer patients: a retrospective study of its impact on adverse events, utilization, and patient satisfaction

Aljabri

Dumitrascu

Burton

et al. 2018

BMC Med Inform Decis Mak

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“…A study conducted at Mayo Clinic in Florida reported no differences in 30day hospital readmissions between a group provided with an inpatient portal and a propensity score matched cohort (P ¼ 0.13). 54 Further research should explore the potential impact of inpatient portals on readmission, as well as the influence of potential effect modifiers such as relationship with healthcare providers or socioeconomic status.…”

Section: Discussionmentioning

confidence: 99%

“…The finding that younger participants were more likely to use the inpatient portal was consistent with previous research. 54 Another limitation was that we did not assess cognitive status that may have impacted the study beyond an initial screening using the Mini-Mental Status Examination. With respect to analyzing hospital readmissions, we did not have access to hospitalization records outside of our hospital system.…”

Section: Limitationsmentioning

confidence: 99%

Engaging hospitalized patients with personalized health information: a randomized trial of an inpatient portal

Creber

Grossman

Ryan

et al. 2018

Journal of the American Medical Informatics Association

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Objective To determine the effects of an inpatient portal intervention on patient activation, patient satisfaction, patient engagement with health information, and 30-day hospital readmissions. Methods and Materials From March 2014 to May 2017, we enrolled 426 English- or Spanish-speaking patients from 2 cardiac medical-surgical units at an urban academic medical center. Patients were randomized to 1 of 3 groups: 1) usual care, 2) tablet with general Internet access (tablet-only), and 3) tablet with an inpatient portal. The primary study outcome was patient activation (Patient Activation Measure-13). Secondary outcomes included all-cause readmission within 30 days, patient satisfaction, and patient engagement with health information. Results There was no evidence of a difference in patient activation among patients assigned to the inpatient portal intervention compared to usual care or the tablet-only group. Patients in the inpatient portal group had lower 30-day hospital readmissions (5.5% vs. 12.9% tablet-only and 13.5% usual care; P = 0.044). There was evidence of a difference in patient engagement with health information between the inpatient portal and tablet-only group, including looking up health information online (89.6% vs. 51.8%; P < 0.001). Healthcare providers reported that patients found the portal useful and that the portal did not negatively impact healthcare delivery. Conclusions Access to an inpatient portal did not significantly improve patient activation, but it was associated with looking up health information online and with a lower 30-day hospital readmission rate. These results illustrate benefit of providing hospitalized patients with real-time access to their electronic health record data while in the hospital. Trial Registration ClinicalTrials.gov Identifier: NCT01970852.

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“…Overall, access to information and secure messaging are probably one facet of patient satisfaction; it is, therefore, questionable whether the impact of a patient portal on patient satisfaction is measurable [19]. Thus, there is a need for further research that focuses on use of the patient portal and measures of patient satisfaction [18,20].…”

Section: Introductionmentioning

confidence: 99%

Discovering Patient Portal Features Critical to User Satisfaction: A Systematic Analysis

Wahbeh

Al-Ramahi

Noteboom

et al. 2019

Proceedings of the Annual Hawaii International Conference on System Sciences

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Patient portals are consumer-centric tools that can strengthen consumers' ability to actively manage their own health and healthcare. The incorporation of patient portals provides the promise to deliver quality, low costs services to the patient population. However, patient portal adoption in large part is based on patient satisfaction. In pertaining literature, little is known about which portal features are associated with higher patient satisfaction. In this article, we extend existing literature by discovering features related to patient portal user satisfaction based on a systematic analysis of user feedback. Using MyChart, a mobile patient portal, we use text mining, N-Gram-based approach, to discover satisfaction features from online user reviews. We then demonstrate the performance of the features selected in predicting user satisfaction using different classifiers. Overall, the results extend existing research and highlight opportunities to improve and to enhance the design of current basic portals to improve users' satisfaction and adherence.

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Patient portal use and hospital outcomes

Cited by 36 publications

References 24 publications

Patient portal adoption and use by hospitalized cancer patients: a retrospective study of its impact on adverse events, utilization, and patient satisfaction

Patient portal adoption and use by hospitalized cancer patients: a retrospective study of its impact on adverse events, utilization, and patient satisfaction

Engaging hospitalized patients with personalized health information: a randomized trial of an inpatient portal

Discovering Patient Portal Features Critical to User Satisfaction: A Systematic Analysis

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