Patient Web Portals to Improve Diabetes Outcomes: A Systematic Review

Osborn, Chandra Y.; Mayberry, Lindsay S.; Mulvaney, Shelagh A.; Hess, Rachel

doi:10.1007/s11892-010-0151-1

Cited by 164 publications

(144 citation statements)

References 42 publications

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“…Using patient portals to access one's medical information improves disease knowledge, adherence, and selfefficacy; patient-provider communication; and coordination of care (18)(19)(20)(21)(22)60,70,71). These benefits are key aspects of the chronic care model and are critical to the long-term management of CKD (13,16,72,73).…”

Section: Discussionmentioning

confidence: 99%

“…Enabling patients with CKD to easily access their medical information is a novel approach to facilitate patient engagement and activation (17). In other chronic disease settings, empowering patients in this fashion improves disease knowledge, enhances patient-provider communication, and increases adherence to treatment (18)(19)(20)(21)(22)(23).…”

Section: Introductionmentioning

confidence: 99%

“…Portals are personalized health record applications tethered to a provider's EHR. Most portals allow patients to review problem lists, laboratory results, and medications; schedule appointments; request prescription refills; and securely message their providers, thereby facilitating self-monitoring, self-care, and communication (17,(20)(21)(22)(23)27). However, differences in Internet access (i.e., the digital divide), computer literacy and Internet proficiency, as well as patient attitudes may limit portal adoption (28)(29)(30)(31).…”

Section: Introductionmentioning

confidence: 99%

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Disparities in Electronic Health Record Patient Portal Use in Nephrology Clinics

Jhamb

Cavanaugh

Bian

et al. 2015

Clinical Journal of the American Society of Nephrology

126

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Background and objectives Electronic health record (EHR) patient portals allow individuals to access their medical information with the intent of patient empowerment. However, little is known about portal use in nephrology patients. We addressed this gap by characterizing adoption of an EHR portal, assessing secular trends, and examining the association of portal adoption and BP control (,140/90 mmHg).Design, setting, participants, & measurements Patients seen between January 1, 2010, and December 31, 2012, at any of four university-affiliated nephrology offices who had at least one additional nephrology follow-up visit before June 30, 2013, were included. Sociodemographic characteristics, comorbidities, clinical measurements, and office visits were abstracted from the EHR. Neighborhood median household income was obtained from the American Community Survey 2012.Results Of 2803 patients, 1098 (39%) accessed the portal. Over 87% of users reviewed laboratory results, 85% reviewed their medical information (e.g., medical history), 85% reviewed or altered appointments, 77% reviewed medications, 65% requested medication refills, and 31% requested medical advice from their renal provider. ConclusionWhile portal adoption appears to be increasing, greater attention is needed to understand why vulnerable populations do not access it. Future research should examine barriers to the use of e-health technologies in underserved patients with CKD, interventions to address them, and their potential to improve outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Disparities in Electronic Health Record Patient Portal Use in Nephrology Clinics

Jhamb

Cavanaugh

Bian

et al. 2015

Clinical Journal of the American Society of Nephrology

126

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“…After removing duplicates and initial screening of titles and abstracts, 42 papers were retrieved for detailed evaluation. [24,25,26] which were part of another main study [6,27,28], leading to a total of 20 unique reviews [3,6,[27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44]. The overall process of review selection was …”

Section: Search Resultsmentioning

confidence: 99%

Methods to Evaluate the Effects of Internet-Based Digital Health Interventions for Citizens: Systematic Review of Reviews (Preprint)

Zanaboni¹,

Ngangue²,

Mbemba³

et al. 2018

Preprint

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“…However, the increased number of people with diabetes, low numbers of primary care providers, and increasing healthcare costs have made it harder to take care of diabetic patients. In 2001, the National Academy of Medicine presented a solution to this problem which was known as improving communication between patients with chronic disease and self-care (11).…”

Section: Introductionmentioning

confidence: 99%

Personal Electronic Health Record for Patients with Diabetes; Health Technology Assessment Protocol

Alami

Nemayande

Yousefianzadeh

et al. 2017

IMMINV

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PROTOCOLIntroduction: In recent decades, diabetes has contributed significantly to the burden of disease in developed and developing countries, due to the considerable prevalence and involvement of various age groups in the communities. Today, a variety of ways to manage and control the disease are used, one of which is the use of personal electronic health records. Recently there has been a remarkable upsurge in activity surrounding the adoption of personal electronic health records systems for patients and consumers. personal electronic health records systems are more than just static repositories for patient data; they combine data, knowledge, and software tools, which help patients to become active participants in their own care. The present study was conducted with the goal of Health Technology Assessment the impact of personal electronic health records in Patients with Diabetes. Methods and Analysis: Writing is based on PRISMA standards. This was a Health Technology Assessment study. It aimed to evaluate the technology of personal electronic health record. The scoping review was conducted to evaluate 8 dimensions (Health Problem and Current Use of the Technology, Description and technical characteristics of technology, Safety, Costs and economic evaluation, Ethical analysis, Organizational aspects, Patients and Social aspects, Legal aspects) of Personal electronic health record. This study was based on answering questions which were developed based on Health Diagnostics Technology Assessment Documents Framework and Health Technology Assessment (HTA) Core Model 3.0. A systematic review was conducted to evaluate the Clinical Effectiveness dimension of personal electronic health record in controlling diabetes. In order to gather evidences, Ovid databases, Cochrane Library, PubMed, CRD, Trip database and EMBASE, and Randomized Controlled Trial Registries, such as the Clinical Trial and Trial Registry, were searched using specific keywords and strategies. Articles are evaluated on the basis of the quality criteria of JADAD. The data is analyzed by the STATA software. Dissemination: The results of the study will be published in a peer-reviewed journal and presented at relevant conferences. Policy makers and healthcare decision-makers can use these results.

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Patient Web Portals to Improve Diabetes Outcomes: A Systematic Review

Cited by 164 publications

References 42 publications

Disparities in Electronic Health Record Patient Portal Use in Nephrology Clinics

Disparities in Electronic Health Record Patient Portal Use in Nephrology Clinics

Methods to Evaluate the Effects of Internet-Based Digital Health Interventions for Citizens: Systematic Review of Reviews (Preprint)

Personal Electronic Health Record for Patients with Diabetes; Health Technology Assessment Protocol

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