Adult patient access to electronic health records

Abstract

This is a protocol for a Cochrane Review (Intervention). The objectives are as follows:To assess the effects of providing access to electronic health records (EHR) alone or with additional functionalities to adult patients on a range of patient, patient-provider and health resource consumption outcomes.The secondary objective is to compare the effects of providing EHR access alone, compared with EHR access with additional functionalities, to adult patients and to assess whether the effects differ among patient groups according to age, educational level or different status of disease (chronic or acute).

Discovering Patient Portal Features Critical to User Satisfaction: A Systematic Analysis

“…", and "Great way to contact my Dr or access my info". This matches the findings by Ammenwerth, Schnell-Inderst [19] who stated that access to information is one facet of patient satisfaction. The users also reported the ability to check test results as an important feature of MyChart.…”

“…Patient portals can lead to improvements in clinical outcomes, patient behavior, and experiences Sorondo, et al [36] Assess whether patient portals influence patients' ability for selfmanagement, improve overall health, and reduce healthcare utilization Quasiexperimental prepost study design Portals may improve access to providers and health data that lead to improvements in patients' functional status and reduce high-cost healthcare utilization, but it does not improve self-efficacy, the perception of health state, or experience with primary care practices Kruse, et al [18] Summarize results the effect of patient portals on quality, or chroniccondition outcomes, and its implications for Meaningful Use Systematic literature review Very few studies associated use of the patient portal, or its features, to improved outcomes. Other studies reported improvements in medication adherence, disease awareness, selfmanagement of disease, a decrease of office visits, and increase in quality regarding patient satisfaction and customer retention Ammenwerth, et al [19] Address the impact of electronic patient portals on patient care…”

“…Existing studies rarely analyzed a full patient portal, and only focused on specific features such as secure messaging, as well as disease management and monitoring [18]. Overall, access to information and secure messaging are probably one facet of patient satisfaction; it is, therefore, questionable whether the impact of a patient portal on patient satisfaction is measurable [19]. Thus, there is a need for further research that focuses on use of the patient portal and measures of patient satisfaction [18,20].…”

From eHealth to ePatient: The Role of Patient Portals in Fostering Patient Empowerment

“…Therefore, at the moment, a Cochrane review was started by our group to systematically evaluate the most recent evidence on the impact of patient portals on patient empowerment [19]. A still running systematic literature search identified only 12 randomized studies, most of them from the United States.…”

Primary Care Patient Records in the United Kingdom: Past, Present, and Future Research Priorities (Preprint)

“…Although one might expect online access to increase patient activation and thus improve health outcomes, less activated patients may be less likely to take advantage of online access [39] thus potentially exacerbating health inequalities. Disappointingly, reviews of the literature to date reveal a lack of evidence for the impact of online access on health outcomes [31] [32], although an up to date systematic review is underway [40].…”