Benchmarking usability of patient portals in Estonia, Finland, Norway, and Sweden

Kujala, Sari; Simola, Saija; Wang, Bo; Soone, Hedvig; Hagström, Josefin; Bärkås, Annika; Hörhammer, Iiris; Cajander, Åsa; Johansen Fagerlund, Asbjørn; Kane, Bridget; Kharko, Anna; Kristiansen, Eli; Moll, Jonas; Rexphepi, Hanife; Hägglund, Maria; Johansen, Monika A.

doi:10.1016/j.ijmedinf.2023.105302

Cited by 2 publications

(2 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We identified 3687 eligible patients, of whom 48% were female (table 1). 9) Pre-school (2)(3)(4) 640 (17) Early childhood (5)(6)(7)(8)(9)(10) 1423 (39) Late childhood (11)(12)(13)(14)(15) 1293 ( The median age of the patient cohort was 8 years (interquartile range, IQR 4 to 12, range 0 to 18 years). There were a diverse range of eye conditions, including inflammatory ocular disease (796, 22%), cataract (342, 9%), and glaucoma (132, 4%).…”

Section: Resultsmentioning

confidence: 99%

“…3 Increasingly, these barriers are being addressed in the attempt to improve patient care and experience. [4][5][6][7] The positive impact on patient outcomes and experience seen following EHR implementation can be weakest for those individuals in their country's more vulnerable socioeconomic strata. 3,8,9 There is a real risk that the increasing use of patient portals widens existing socioeconomic and demographic inequalities in health outcomes or access to healthcare.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Socioeconomic and demographic patterning of family uptake of a paediatric electronic patient portal innovation

Solebo,

Horvat-Gitsels,

Twomey

et al. 2024

Preprint

View full text Add to dashboard Cite

Introduction Patient portals allowing access to electronic health care records and services can inform and empower, but may widen existing sociodemographic inequities. We aimed to describe associations between activation of a paediatric patient portal and patient race/ethnicity, socioeconomic status and markers of previous engagement with health care. Methods A retrospective single site cross-sectional study was undertaken to examine patient portal adoption amongst families of children receiving care for chronic or complex disorders within the United Kingdom. Descriptive and multivariable regression analysis was undertaken to describe associations between predictors (Race/Ethnicity, age, socio-economic deprivation status based on family residence, and previous non-attendance to outpatient consultations) and outcome. Results A sample of 3687 children, representative of the diverse ‘real world’ patient population, was identified. Of these 37% (1364) were from a White British background, 71% (2631) had English as the primary family spoken language (PSL), 14% (532) lived in areas of high deprivation, and 17% (643) had high (>33%) rates of non-attendance. The families of 73% (2682) had activated the portal. In adjusted analyses, English as a PSL (adjusted odds ratio [aOR] 1.98, 95% confidence interval 1.66-2.36) was positively associated with portal activation, whilst families from British Black African backgrounds (aOR 0.58, 0.44-0.77), those living in areas of deprivation (aOR 0.81, 0.67-0.98) or with high rates of non-attendance (aOR 0.32, 0.27-0.39) were less likely to use the portal. Conclusions Socio-economic deprivation, race/ethnicity and previous low engagement with health care services are potentially key drivers of widening inequity in access to health care following the implementation of patient portals, a digital health innovation intended to inform and empower patients. Health care providers should be aware that innovative human-driven engagement approaches, targeted towards under-served communities, are needed to ensure equitable access to high quality patient-centred care.

show abstract