Predictors and Intensity of Online Access to Electronic Medical Records Among Patients With Cancer

Gerber, David E.; Laccetti, Andrew L.; Chen, Beibei; Yan, Jingsheng; Cai, Jennifer; Gates, Samantha; Xie, Yang; Lee, Simon J. Craddock

doi:10.1200/jop.2013.001347

Cited by 89 publications

(100 citation statements)

References 20 publications

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“…HIT engagement is more common among certain demographic groups. High educational attainment [8][9][10], female gender [7,9,11], individuals with chronic health conditions such as cancer or caregivers for those with a chronic condition [12][13][14], and higher income [15] were predictors of HIT engagement. Older adults (65 years of age and older) are less likely to engage in HIT activities [15][16][17][18], including accessing personal health records electronically [16].…”

Section: Introductionmentioning

confidence: 99%

Implications of social media use on health information technology engagement: Data from HINTS 4 cycle 3

Jackson

Chou

Coa

et al. 2016

Behav. Med. Pract. Policy Res.

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Little is known about the association between Internet/ social media use and health information technology (HIT) engagement. This study examines patterns of social media use and HIT engagement in the U.S.A. using data from the 2013 Health Information National Trends Survey (N = 3,164). Specifically, predictors of two HIT activities (i.e., communicating with a healthcare provider using the Internet or email and tracking personal health information electronically) are examined. Persons who were females, higher education, non-Hispanic others, having a regular healthcare provider, and ages 35-44 were more likely to participate in HIT activities. After controlling for sociodemographics and health correlates, social media use was significantly associated with HIT engagement. To our knowledge, this is one of the first studies to systematically examine the use and relationships across multiple types of health-related online media. KEYWORDSInternet access, Social media use, Health information technology engagement, Communication inequalities INTRODUCTION Health information technology (HIT) has the potential to be a vital tool for individuals' management of health and healthcare needs. Commonly used HIT activities include accessing electronic health records (EHR), transferring health information between patients and their healthcare providers through a secure electronic messaging system, and using e-Health tools like wearable mobile health devices to monitor health status. Engagement of HIT activities (e.g., accessing and tracking personal health information electronically to monitor one's healthcare) has been relatively low in comparison to social media use for health information purposes. However, an increasing percentage of U.S. adults are using social media to obtain information and possibly building digital literacy skills that prime them to engage with HIT. Current social media use trends suggest increased levels of digital literacy and health information activities, which may imply an individuals' likelihood for HIT engagement. Understanding patterns of social media use (both general use and health specific use) in the U.S. population and the association between social

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Section: Introductionmentioning

confidence: 99%

Implications of social media use on health information technology engagement: Data from HINTS 4 cycle 3

Jackson

Chou

Coa

et al. 2016

Behav. Med. Pract. Policy Res.

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“…In an earlier study, we demonstrated a near five-fold increase in the number of patients enrolled, with a 10-fold increase in total patient account log-ins, suggesting that patients and their caregivers use this technology more than twice as much as they did in the recent past. 10 Compared with other populations, we found that patients with cancer used electronic portals far more frequently-12 times that of urology patients and more than four times that of families of children cared for in a congenital heart disease program. 9,12 The considerable increase in portal use by both patients and staff likely reflects multiple factors: increased use of electronic text-based communication at a societal level; increased comfort with electronic communication, resulting in use of additional features; and change in institutional electronic health record policy resulting in availability of additional portal functions over time.…”

Section: Discussionmentioning

confidence: 60%

“…10 Compared with nononcology populations, these patients used the electronic portal four to 10 times more frequently. [10][11][12] How this growth in electronic communication has affected oncology practices is not clear. Within the field of oncology, use of such technology raises particular concerns.…”

Section: Introductionmentioning

confidence: 99%

Increase in Cancer Center Staff Effort Related to Electronic Patient Portal Use

Laccetti

Chen

Cai

et al. 2016

JOP

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SUMMARY ANSWER: Cancer center staff electronic patient portal activities have increased approximately 10-fold over a recent 3-year period. Nursing staff account for the majority of this effort. WHAT WE DID:We identified and characterized cancer center providers and clinic staff who performed electronic activities related to MyChart, our institution's personal health records portal, from 2009 to 2014. Total MyChart actions and messages received were quantified and characterized according to type, timing, and staff category. We applied descriptive statistics to nurses, who exhibited the greatest use of MyChart. Mean and median action/message counts for individual nurses were calculated for 2011 and 2014 and compared using t tests (assessing for a significant increase in actions and messages during this time frame). Mean and median action/message counts were also compared between clinical divisions (medical oncology, radiation oncology, and surgical oncology) using t tests. WHAT WE FOUND:In our analysis, 289 employees performed 740,613 MyChart actions and received 117,799 messages. Seventy-seven percent of actions were performed by nurses, 11% by ancillary staff, 6% by midlevel providers, 5% by physicians, and 1% by clerical/managerial staff. On average, 6.3 staff MyChart actions were performed per patient-initiated message. In 2014, nurses performed an average of 3,838 MyChart actions and received an average of 589 messages compared with 591 actions and 87 messages in 2011 (P , .001). Sixteen percent of all actions occurred outside clinic hours. BIAS, CONFOUNDING FACTOR(S), DRAWBACKS:Although we present a quantitative analysis of staff portal use, as defined by numbers of actions and messages, we are not able to determine the amount of time employees devoted to these tasks or the impact on clinic work flow. Due to inherent limitations within the available data tables, we were unable to capture messages initiated de novo by providers, only those received from patients. Finally, generalizability of our findings may be limited by the study cohort, as patients seeking care at NCI-designated comprehensive centers may differ from the broader population by race, geographic location, and socioeconomic status. REAL-LIFE IMPLICATIONS:Given the disease severity, longitudinal course, and data intensive practice of oncology, understanding how patients and providers use electronic portals is key to practice quality and safety. While this technology has been implemented widely in the last decade, few studies have directly examined the impact of electronic patient portals on cancer care providers. In the present analysis, we identified a dramatic and sustained increase in staff use of an electronic patient portal at an NCI-designated comprehensive cancer center. Most of this work falls to nurses, and a substantial proportion occurs outside clinic hours. Future research into the impact of this technology on staff and patient satisfaction, utilization of other healthcare resources, practice finances, and clinical outcomes will be e...

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“…How often caregivers within pediatric oncology utilize the portal for result acquisition, whether there are patterns in how they do so over time, or how those patterns correlate with anxiety remains to be determined. Additionally, many studies have reported disparities in adult portal uses with users tending to be white, younger, more educated, and with higher incomes . Whether disparities in use are consistent, or even exaggerated, within pediatric oncology is unknown.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, many studies have reported disparities in adult portal uses with users tending to be white, younger, more educated, and with higher incomes. 19,[35][36][37][38] Whether disparities in use are consistent, or even exaggerated, within pediatric oncology is unknown.…”

Section: Discussionmentioning

confidence: 99%

Are on‐line patient portals meeting test result preferences of caregivers of children with cancer? A qualitative exploration

Schultz

Alderfer

2018

Pediatric Blood & Cancer

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Predictors and Intensity of Online Access to Electronic Medical Records Among Patients With Cancer

Abstract: Introduction: Electronic portals are secure Web-based

Cited by 89 publications

References 20 publications

Implications of social media use on health information technology engagement: Data from HINTS 4 cycle 3

Implications of social media use on health information technology engagement: Data from HINTS 4 cycle 3

Increase in Cancer Center Staff Effort Related to Electronic Patient Portal Use

Are on‐line patient portals meeting test result preferences of caregivers of children with cancer? A qualitative exploration

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