Physician Perception of the Role of the Patient Portal in Pediatric Health

Bush, Ruth A.; Connelly, Cynthia D.; Pérez, Alexa; Chan, Neilson; Kuelbs, Cynthia L.; Chiang, George

doi:10.1097/jac.0000000000000175

Cited by 12 publications

(10 citation statements)

References 18 publications

(29 reference statements)

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“…Enhanced quality of care following EHR/PHR adoption was suggested [17,24,27,43,45,46,49,57,64,67,75,84,85,107,111,112,115,128,131,133,135,146,150,153]. A randomized trial suggested a significantly lower prevalence in all-cause 30-day readmissions in patients who adopted PHR as compared to non-adopters [88].…”

Section: Quality Of Carementioning

confidence: 99%

“…Better communication between patients and providers was reported as a benefit following the implementation of EHRs/PHRs [32,34,38,42,44,69,86,87,102,134,146,147,153]. Physicians recognized the value of being able to share patient-centered information with patients using EHRs [34,143], while clinicians perceived that new communication channels such as messaging through EHRs should improve communication between patients and providers [45].…”

Section: Communicationmentioning

confidence: 99%

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Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content

Tsai

Eghdam

Davoody

et al. 2020

Life

101

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Despite the great advances in the field of electronic health records (EHRs) over the past 25 years, implementation and adoption challenges persist, and the benefits realized remain below expectations. This scoping review aimed to present current knowledge about the effects of EHR implementation and the barriers to EHR adoption and use. A literature search was conducted in PubMed, Web of Science, IEEE Xplore Digital Library and ACM Digital Library for studies published between January 2005 and May 2020. In total, 7641 studies were identified of which 142 met the criteria and attained the consensus of all researchers on inclusion. Most studies (n = 91) were published between 2017 and 2019 and 81 studies had the United States as the country of origin. Both positive and negative effects of EHR implementation were identified, relating to clinical work, data and information, patient care and economic impact. Resource constraints, poor/insufficient training and technical/educational support for users, as well as poor literacy and skills in technology were the identified barriers to adoption and use that occurred frequently. Although this review did not conduct a quality analysis of the included papers, the lack of uniformity in the use of EHR definitions and detailed contextual information concerning the study settings could be observed.

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Section: Quality Of Carementioning

confidence: 99%

Section: Communicationmentioning

confidence: 99%

Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content

Tsai

Eghdam

Davoody

et al. 2020

Life

101

View full text Add to dashboard Cite

show abstract

“…Another concern was the workflow impact due to portal implementation. In one study, participating providers indicated that the portal implementation did not have a negative impact on their salary; however, 43% of the same participants believed that the portal increased their workload [ 41 ]. Similar findings were presented by Cajander et al [ 42 ], as the nurses in the study described how patients called and sent messages for the same question, which led to increased workload because of duplication of services.…”

Section: Resultsmentioning

confidence: 99%

Capturing the Impact of Patient Portals Based on the Quadruple Aim and Benefits Evaluation Frameworks: Scoping Review

2020

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Background Despite extensive and continuing research in the area of patient portals, measuring the impact of patient portals remains a convoluted process. Objective This study aims to explore what is known about patient portal evaluations and to provide recommendations for future endeavors. The focus is on mapping the measures used to assess the impact of patient portals on the dimensions of the Quadruple Aim (QA) framework and the Canada Health Infoway’s Benefits Evaluation (BE) framework. Methods A scoping review was conducted using the methodological framework of Arksey and O’Malley. Reporting was guided by the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) extension for scoping reviews. A systematic and comprehensive search was conducted using the Ovid platform, and the following databases were searched: Ovid MEDLINE (R) ALL (including epub ahead of print, in-process, and other nonindexed citations), EMBASE, and PsycINFO. CINAHL on the EBSCO platform and Web of Science were searched for studies published between March 2015 and June 2020. A systematic gray literature search was conducted using the Google search engine. Extracted data were tabulated based on a coding template developed to categorize the literature into themes and areas of interest. Results A total of 96 studies were included for data extraction. The studies were categorized based on the QA dimensions, with strict adherence to the definitions for each dimension. From the patients’ perspective, it was determined that most evaluations focused on benefits and barriers to access, access to test results, medication adherence, condition management, medical notes, and secure messaging. From the population perspective, the evaluations focused on the increase in population outreach, decrease in disparities related to access to care services, and improvement in quality of care. From the health care workforce perspective, the evaluations focused on the impact of patients accessing medical records, impact on workflow, impact of bidirectional secure messaging, and virtual care. From the health system perspective, the evaluations focused on decreases in no-show appointments, impact on office visits and telephone calls, impact on admission and readmission rates and emergency department visits, and impact on health care use. Overall, 77 peer-reviewed studies were mapped on the expanded version of the BE framework. The mapping was performed using subdimensions to create a more precise representation of the areas that are currently explored when studying patient portals. Most of the studies evaluated more than one subdimension. Conclusions The QA and BE frameworks provide guidance in identifying gaps in the current literature by providing a way to show how an impact was assessed. This study highlights the need to appropriately plan how the impact will be assessed and how the findings will be translated into effective adaptations.

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“… Alt-text: Unlabelled box In a study of pediatricians practicing in a large medical facility, 43% believed the portal increased their workload overall, but 80% found it led to a reduction in telephone calls and valued the ability to send messages to patients any time of day/night. 29 In addition, clinicians believe written instructions may be easier to interpret and remember than oral instructions. 29 Patient portals may further be used to improve communication regarding care goals and indications for hospitalizations.…”

Section: Benefits Of Using Patient Portalsmentioning

confidence: 99%

Patient portals for the adolescent and young adult population: Benefits, risks and guidance for use

Lee

Holland-Hall

2021

Current Problems in Pediatric and Adolescent Health Care

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Physician Perception of the Role of the Patient Portal in Pediatric Health

Cited by 12 publications

References 18 publications

Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content

Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content

Capturing the Impact of Patient Portals Based on the Quadruple Aim and Benefits Evaluation Frameworks: Scoping Review

Patient portals for the adolescent and young adult population: Benefits, risks and guidance for use

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