A National Survey of Parent Perspectives on Use of Patient Portals for Their Children’s Health Care

Clark, Sarah J.; Costello, Lauren E.; Gebremariam, Achamyeleh; Dombkowski, Kevin J.

doi:10.4338/aci-2014-10-ra-0098

Cited by 29 publications

(15 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In literature, there is some skepticism about the influence of a patient portal on the security and privacy of health data and the total costs of health care [ 13 , 41 , 42 ]. People are mostly interested in test results, medication schemes, immunization records, and a history of medical visits and procedures [ 21 , 43 ]. These findings are consistent with ours, where about three-quarters of respondents believed that a patient portal could improve the doctor-patient communication, the understanding and sense of control of their health, and the quality of care.…”

Section: Discussionmentioning

confidence: 99%

Designing a Patient Portal for Patient-Centered Care: Cross-Sectional Survey

Bulck¹,

Hermens²,

Slegers³

et al. 2018

J Med Internet Res

View full text Add to dashboard Cite

BackgroundIn recent literature, patient portals are considered as important tools for the delivery of patient-centered care. To date, it is not clear how patients would conceptualize a patient portal and which health information needs they have when doing so.ObjectiveThis study aimed (1) to investigate health information needs, expectations, and attitudes toward a patient portal and (2) to assess whether determinants, such as patient characteristics, health literacy, and empowerment status, can predict two different variables, namely the importance people attribute to obtaining health information when using a patient portal and the expectations concerning personal health care when using a patient portal.MethodsWe conducted a cross-sectional survey of the Flemish population on what patients prefer to know about their digital health data and their expectations and attitudes toward using a patient portal to access their electronic health record. People were invited to participate in the survey through newsletters, social media, and magazines. We used a questionnaire including demographics, health characteristics, health literacy, patient empowerment, and patient portal characteristics.ResultsWe received 433 completed surveys. The health information needs included features such as being notified when one’s health changes (371/396, 93.7%), being notified when physical parameters increase to dangerous levels (370/395, 93.7%), observing connections between one’s symptoms or diseases or biological parameters (339/398, 85.2%), viewing the evolution of one’s health in function of time (333/394, 84.5%), and viewing information about the expected effect of treatment (349/395, 88.4%). Almost 90% (369/412) of respondents were interested in using a patient portal. Determinants of patients’ attachment for obtaining health information on a patient portal were (1) age between 45 and 54 years (P=.05); (2) neutral (P=.03) or interested attitude (P=.008) toward shared decision making; and (3) commitment to question physicians’ decisions (P=.03, R2=0.122). Determinants of patients’ expectations on improved health care by accessing a patient portal were (1) lower education level (P=.04); (2) neutral (P=.03) or interested attitude (P=.008) toward shared decision making; and (3) problems in understanding health information (P=.04; R2=0.106).ConclusionsThe interest in using a patient portal is considerable in Flanders. People would like to receive alerts or some form of communication from a patient portal in case they need to act to manage their health. Determinants such as education, attached importance to shared decision making, difficulties in finding relevant health information, and the attached importance in questioning the decisions of physicians need to be considered in the design of a patient portal.

show abstract

Section: Discussionmentioning

confidence: 99%

Designing a Patient Portal for Patient-Centered Care: Cross-Sectional Survey

Bulck¹,

Hermens²,

Slegers³

et al. 2018

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…Parents have expressed interest in viewing vaccination records as part of a PHR. 116 , 117 At least one study has demonstrated an increase in influenza vaccination in adults through the use of PHR-based alerts. 118 …”

Section: Introductionmentioning

confidence: 99%

The use of technology to promote vaccination: A social ecological model based framework

Kolff

Scott

Stockwell

2018

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

Vaccinations are an important and effective cornerstone of preventive medical care. Growing technologic capabilities and use by both patients and providers present critical opportunities to leverage these tools to improve vaccination rates and public health. We propose the Social Ecological Model as a useful theoretical framework to identify areas in which technology has been or may be leveraged to target undervaccination across the individual, interpersonal, organizational, community, and society levels and the ways in which these levels interact.

show abstract

“…One national survey found that only 59% of those eligible enrolled in a portal. 2 Absence of perceived need, lack of time, and ignorance of availability are the reasons reported in this survey. Unfamiliarity with portal usage is also a common concern and sociodemographic disparities were reported in signing up and activation 3 of such patient portals.…”

Section: Introductionmentioning

confidence: 87%

Increasing Patient Portal Activation in a Pediatric Subspecialty Clinic

Ratliff-Schaub

Valleru

2017

Pediatric Quality &Amp; Safety

View full text Add to dashboard Cite

Background:Online patient portals are not widely used, despite their advantages for efficient communication, especially for patients with chronic conditions. A hospital-based group practice of Developmental-Behavioral Pediatricians initiated this quality improvement (QI) project with a goal to increase the percentage of patients with an active MyChart (Epic Systems Corporation’s patient portal) account and ultimately improve efficiency of communication between families and clinical staff.Methods:Using QI methodology, we identified staff commitment, workflow issues, and family awareness as gaps and implemented progressive Plan, Do, Study, Act cycles aimed at developing standard processes for activating families on MyChart. We tracked our project measures with statistical process control methodology and sustained our progress with improving awareness and regular feedback.Results:Patient portal activations increased from 1.8% to 30% in a 6-month time period. Highly successful interventions included development and implementation of a standard process for activation, staff education to ensure comfort and commitment, having families opt out instead of opt in, and completed activation of accounts before families leaving clinic.Conclusions:Patient portal activation can be significantly increased through systematic application of QI methodology to address staff training and workflow in a busy subspecialty clinic. Engagement of operations staff and completion of the activation process while the family is still in clinic seemed to be effective in getting families activated in MyChart. It is possible to improve patient portal activation with minimal impact to workflow.

show abstract

A National Survey of Parent Perspectives on Use of Patient Portals for Their Children’s Health Care

Cited by 29 publications

References 17 publications

Designing a Patient Portal for Patient-Centered Care: Cross-Sectional Survey

Designing a Patient Portal for Patient-Centered Care: Cross-Sectional Survey

The use of technology to promote vaccination: A social ecological model based framework

Increasing Patient Portal Activation in a Pediatric Subspecialty Clinic

Contact Info

Product

Resources

About