Patient Portals

Griffin, Ashley C; Skinner, Asheley Cockrell; Thornhill, Jonathan; Weinberger, Morris

doi:10.4338/aci-2016-01-ra-0003

Cited by 111 publications

(71 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…EHR patient portals represent an option to increase patient access to their medical information, providing an alternative to slower or more labor-intensive methods such as regular mail, in-person visits, or telephone calls. [ 7 8 9 10 11 12 13 14 15 16 17 ] Access to diagnostic test results is one of the most popular features of EHR patient portals. [ 18 20 ] Understanding patterns of EHR patient portal use can be helpful to healthcare providers, hospital administrators, information technology personnel, and patients.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Variation in Results Release and Patient Portal Access to Diagnostic Test Results at an Academic Medical Center

Krasowski

Grieme

Cassady

et al. 2017

Journal of Pathology Informatics

View full text Add to dashboard Cite

Background:Electronic health records (EHRs) are commonplace in industrialized countries. Many hospitals are granting their patients access to their medical information through online patient portals. In this report, we describe a retrospective analysis of patient access to diagnostic test results released through the patient portal (MyChart; Epic, Inc.) at a state academic medical center.Methods:We analyzed 6 months of data for anatomic pathology, clinical laboratory, and radiology test results to evaluate variations in results release (automated vs. manual) and subsequent patient access to the institutional patient portal. During this period, diagnostic test results were released for all patient encounters including inpatient units, outpatient clinics, and the emergency department.Results:Manual results release by providers before automated release time occurred most commonly in the outpatient setting. The highest rates of access of diagnostic test results occurred for outpatients (about 30% overall view rate), females (two times or more compared to males in nearly every age bracket), and 20–45-year-old. Access rates of diagnostic tests in the emergency department or inpatient units were <10% across all populations. Access of diagnostic test results was very low for 12–17-year-old, likely influenced by institutional policies limiting parental proxy access within this pediatric age range. Approximately 20% of outpatient laboratory results were viewed by patients within 8 h of release from the EHR to the patient portal and 10% within 2 h of release.Conclusions:Patient accessing of diagnostic test results were generally higher for females, outpatients, and 20–45-year-old. Approximately, 20% of outpatient results were viewed quickly by patients after release to the EHR.

show abstract

Section: Discussionmentioning

confidence: 99%

“…[ 10 11 ] Depending on institutional policies, patient portals can allow patients access to a wide variety of personal health information such as clinical notes, laboratory results, radiology reports, immunization records, and medication history. [ 8 12 13 14 15 16 17 ]…”

Section: Introductionmentioning

confidence: 99%

Variation in Results Release and Patient Portal Access to Diagnostic Test Results at an Academic Medical Center

Krasowski

Grieme

Cassady

et al. 2017

Journal of Pathology Informatics

View full text Add to dashboard Cite

show abstract

“…Type of practice's marketing strategies 1 128 1 promotional materials or clinicians Hospital location 1 86 1 Adoption rate of EHRs by the organisation 1 115 1…”

Section: Human-technology Interaction Factorsmentioning

confidence: 99%

Factors that affect the use of electronic personal health records among patients: A systematic review

Abd‐Alrazaq

Bewick

Farragher

et al. 2019

International Journal of Medical Informatics

110

View full text Add to dashboard Cite

ReuseThis article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs (CC BY-NC-ND) licence. This licence only allows you to download this work and share it with others as long as you credit the authors, but you can't change the article in any way or use it commercially. More information and the full terms of the licence here: https://creativecommons.org/licenses/ TakedownIf you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing eprints@whiterose.ac.uk including the URL of the record and the reason for the withdrawal request. AbstractBackground: Electronic personal health records (ePHRs) are web-based tools that enable patients to access parts of their medical records and other services. In spite of the potential benefits of using ePHRs, their adoption rates remain very low. The lack of use of ePHRs among patients leads to implementation failures of these systems. Many studies have been conducted to examine the factors that influence patients' use of ePHRs, and they need to be synthesised in a meaningful way.Objective: The current study aimed to systematically review the evidence regarding factors that influence patients' use of ePHRs.Methods: The search included: 42 bibliographic databases (e.g. Medline, Embase, CINHAL, and PsycINFO), hand searching, checking reference lists of the included studies and relevant reviews, contacting experts, and searching two general web engines. Study selection, data extraction, and study quality assessment were carried out by two reviewers independently. The quality of studies was appraised using the Mixed Methods Appraisal Tool. The extracted data were synthesised narratively according to the outcome: intention to use, subjective measures of use, and objective measures of use. The identified factors were categorised into groups based on Or and Karsh's conceptual framework.Results: Of 5225 citations retrieved, 97 studies were relevant to this review. These studies examined more than 150 different factors: 59 related to intention to use, 52 regarding subjectively-measured use, and 105 related to objectively-measured use. The current review was able to draw definitive conclusions regarding the effect of only 18 factors. Of these, only three factors have been investigated in connection with every outcome, which are: perceived usefulness, privacy and security concerns, and internet access. Conclusion: Of the numerous factors examined by the included studies, this review concluded the effect of 18 factors: 13 personal factors (e.g. gender, ethnicity, and income), four humantechnology factors (e.g. perceived usefulness and ease of use), and one organisational factor (facilitating conditions). These factors should be taken into account by stakeholders for the successful implementation of these systems. For example, patients should be assured that the system is secure and no one can access their records without their permission in order to decrease their concerns about the privacy and security. Fur...

show abstract

“…Fewer than one-third of patients report having logged into their patient portal accounts in the past year [ 18 , 19 ]. Similar to analyses of electronic health records (EHRs), these primary surveys found that measures related to health disparities, including lower educational attainment, older age, minority group membership, and living in rural communities were associated with lower patient portal utilization [ 16 , 19 ]. Furthermore, Peacock and colleagues [ 18 ] found that health care providers were less likely to offer patient portal access to minority patients than white patients.…”

Section: Introductionmentioning

confidence: 99%

Patient Portal Utilization Among Ethnically Diverse Low Income Older Adults: Observational Study

Arcury¹,

Quandt²,

Sandberg³

et al. 2017

JMIR Med Inform

130

View full text Add to dashboard Cite

BackgroundPatient portals can improve patient communication with providers, provide patients with greater health information access, and help improve patient decision making, if they are used. Because research on factors facilitating and limiting patient portal utilization has not been conceptually based, no leverage points have been indicated for improving utilization.ObjectiveThe primary objective for this analysis was to use a conceptual framework to determine potentially modifiable factors affecting patient portal utilization by older adults (aged 55 years and older) who receive care at clinics that serve low income and ethnically diverse communities. The secondary objective was to delineate how patient portal utilization is associated with perceived usefulness and usability.MethodsPatients from one urban and two rural clinics serving low income patients were recruited and completed interviewer-administered questionnaires on patient portal utilization.ResultsA total of 200 ethnically diverse patients completed questionnaires, of which 41 (20.5%) patients reported utilizing portals. Education, social support, and frequent Internet utilization improve the odds of patient portal utilization; receiving health care at a rural clinic decreases the odds of portal utilization.ConclusionsLeverage points to address disparities in patient portal utilization include providing training for older adults in patient portal utilization, involving spouses or other care partners in this training, and making information technology access available at public places in rural and urban communities.

show abstract

Patient Portals

Cited by 111 publications

References 24 publications

Variation in Results Release and Patient Portal Access to Diagnostic Test Results at an Academic Medical Center

Variation in Results Release and Patient Portal Access to Diagnostic Test Results at an Academic Medical Center

Factors that affect the use of electronic personal health records among patients: A systematic review

Patient Portal Utilization Among Ethnically Diverse Low Income Older Adults: Observational Study

Contact Info

Product

Resources

About