Enabling Patient Portals to Access Primary Care Medical Records: Maximizing Collaboration in Care Between Patients and Providers

Gorfinkel, Iris; Lexchin, Joel

doi:10.12927/hcpol.2019.25859

Cited by 4 publications

(2 citation statements)

References 8 publications

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“…A qualitative study of 29 users of MyChart suggests that interoperability between record systems can improve user experience with online portals� 9 Users may be discouraged to view their information online if they need to access different portals for a full view of their health data� 9,63 Limited interoperability between health systems in Canada could be a challenge when sharing radiology reports, especially when including images� 9,14,64 Health Equity Considerations…”

Section: Interoperabilitymentioning

confidence: 99%

Individuals’ Access to Medical Imaging Results via Patient Portals

CADTH¹

2023

cjht

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Patient portals allow users to access, manage, and share their health information online. Patient portals are available in 6 provinces: Alberta, British Columbia, Saskatchewan, Ontario, Prince Edward Island, and Quebec. Patient portals in Canada are implemented at the provincial, regional, or clinic level of the health care system, and vary in the health data and features that are shared with users. Medical imaging reports are shared on portals in Alberta, Ontario, Quebec, and Saskatchewan. In Saskatchewan and Alberta, reports are available immediately, whereas Quebec has a 30-day embargo period. Ontario has an intention to enable patient portals to share medical images from provincial diagnostic imaging repositories in the future. A tailored approach may be considered when timing the release of medical imaging results due to concerns related to patient anxiety, especially for individuals waiting for diagnostic results of potentially life-threatening or serious conditions. Radiologists can use lay language in their reports and provide users with reliable sources of information to increase understanding of complex results. They may develop or take advantage of existing patient-friendly templates for sharing results on portals.

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Section: Interoperabilitymentioning

confidence: 99%

Individuals’ Access to Medical Imaging Results via Patient Portals

CADTH¹

2023

cjht

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“…Electronic patient portals are online applications that allow patients access to their own health information, a form of asynchronous virtual care. There has been a great deal of recent interest in patient portals, accompanied by increasing technology adoption by both clinicians and patients [1][2][3]. The COVID-19 pandemic has also highlighted the importance of virtual care, an area already identified as a national health care priority [4].…”

Section: Introductionmentioning

confidence: 99%

The Impact of an Electronic Portal on Patient Encounters in Primary Care: Interrupted Time-Series Analysis

Ferguson¹,

Fraser²,

Tuna³

et al. 2023

JMIR Med Inform

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Background Electronic patient portals are online applications that allow patients access to their own health information, a form of asynchronous virtual care. The long-term impact of portals on the use of traditional primary care services is unclear, but it is an important question at this juncture, when portals are being incorporated into many primary care practices. Objective We sought to investigate how an electronic patient portal affected the use of traditional, synchronous primary care services over a much longer time period than any existing studies and to assess the impact of portal messaging on clinicians’ workload. Methods We conducted a propensity-score–matched, open-cohort, interrupted time-series evaluation of a primary care portal from its implementation in 2010. We extracted information from the electronic medical record regarding age, sex, education, income, family health team enrollment, diagnoses at index date, and number of medications prescribed in the previous year. We also extracted the annual number of encounters for up to 8 years before and after the index date and provider time spent on secure messaging through the portal. Results A total of 7247 eligible portal patients and 7647 eligible potential controls were identified, with 3696 patients matched one to one. We found that portal registration was associated with an increase in the number of certain traditional encounters over the time period surrounding portal registration. Following the index year, there was a significant jump in annual number of visits to physicians in the portal arm (0.42 more visits/year vs control, P<.001) but not for visits to nurse practitioners and physician assistants. The annual number of calls to the practice triage nurses also showed a greater increase in the portal arm compared to the control arm after the index year (an additional 0.10 calls, P=.006). The average provider time spent on portal-related work was 5.7 minutes per patient per year. Conclusions We found that portal registration was associated with a subsequent increase in the number of some traditional encounters and an increase in clerical workload for providers. Portals have enormous potential to truly engage patients as partners in their own health care, but their impact on use of traditional health care services and clerical burden must also be considered when they are incorporated into primary care.

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Intrusion Of Technology Ushering a New Concept from the Perspective of Promoting Patient- Centered-Care.

Dasgupta

2023

Preprint

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The intrusion of technology in healthcare has ushered in a transformative era in the delivery of patient-centered care. This paper explores the multifaceted impact of technology from the perspective of promoting patient-centered care. As digital health tools, telehealth platforms, and innovative solutions continue to evolve, they present both opportunities and challenges for healthcare providers and patients alike. The adoption of technology has the potential to empower patients, enhance their engagement in healthcare decision-making, and improve access to medical information. However, it also raises concerns about privacy, data security, and the digital divide. This paper delves into the various dimensions of technology's influence on patient-centered care, including patient empowerment, shared decision-making, and the role of healthcare practitioners in this digital landscape. It also discusses the intersection of technology and patient advocacy, highlighting the potential for technology-enabled patient as an organization concept to advocate for patients' rights and needs. The paper emphasizes the importance of addressing these technological changes in healthcare policy and regulation to ensure that they align with the principles of patient-centered care. In conclusion, the intrusion of technology in healthcare is reshaping the patient-provider relationship and the delivery of care, offering immense promise for patient-centered care while necessitating thoughtful consideration of ethical, privacy, and accessibility concerns in this evolving landscape.

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Enabling Patient Portals to Access Primary Care Medical Records: Maximizing Collaboration in Care Between Patients and Providers

Cited by 4 publications

References 8 publications

Individuals’ Access to Medical Imaging Results via Patient Portals

Individuals’ Access to Medical Imaging Results via Patient Portals

The Impact of an Electronic Portal on Patient Encounters in Primary Care: Interrupted Time-Series Analysis

Intrusion Of Technology Ushering a New Concept from the Perspective of Promoting Patient- Centered-Care.

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