Internet Access and Patient Portal Readiness Among Patients in a Group of Inner-City Safety-Net Practices

Sanders, Mechelle; Winters, Paul; Fortuna, Robert J.; Mendoza, Michael; Berliant, Marc N.; Clark, Linda; Fiscella, Kevin

doi:10.1097/jac.0b013e31829702f9

Cited by 35 publications

(25 citation statements)

References 3 publications

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“…In a recent study that examined underserved patients’ readiness towards patient portal use, Sanders et al found that the majority of the patients did have Internet access and were interested in using a patient portal as a way to manage their care [50]. However, they identified that among those who reported barriers to using the Internet, these were due to interests, know-how, and costs [50]. Because most people have access to computers and the Internet, the challenge of adopting and using these technologies becomes more prevalent, as illustrated in our study.…”

Section: Discussionmentioning

confidence: 99%

What Influences Patient Participation in an Online Forum for Weight Loss Surgery? A Qualitative Case Study

Das¹,

Faxvaag²

2014

Interact J Med Res

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BackgroundMany patients who undergo weight loss (bariatric) surgery seek information and social support in online discussion forums, but the vast amount of available information raises concerns about the impact of such information. A secure online discussion forum was developed and offered to bariatric surgery patients. The forum was moderated and allowed contact with peers and health care professionals.ObjectiveThe purposes of this study were to explore how individuals undergoing bariatric surgery used the moderated discussion forum and to better understand what influenced their participation in the forum.MethodsThe study was designed as an explorative case study. We conducted participant observation of the discussion forum over a time period of approximately six months. For further insight, we carried out in-depth semistructured interviews with seven patients who had access to the forum. We analyzed the material inductively, using content and thematic analysis.ResultsThe patients used the forum as an arena in which to interact with peers and providers, as well as to provide and achieve informational and social support. The analysis suggests that there are three major themes that influenced participation in the online discussion forum: (1) the participant’s motivation to seek information, advice, and guidance, (2) the need for social support and networking among peers, and (3) concerns regarding self-disclosure.ConclusionsThe findings of this study imply that a moderated discussion forum for bariatric surgery patients has potential for use in a therapeutic context. The discussion forum fulfilled the informational and support needs of the bariatric surgery patients and was particularly useful for those who excluded themselves from the traditional program and experienced barriers to expressing their own needs. Even though our findings imply that the patients benefitted from using the forum regardless of their active or passive participation, restraining factors, such as considerations regarding self-disclosure, must be further investigated to prevent certain users from being precluded from participation.

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Section: Discussionmentioning

confidence: 99%

What Influences Patient Participation in an Online Forum for Weight Loss Surgery? A Qualitative Case Study

Das¹,

Faxvaag²

2014

Interact J Med Res

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“…However, determinants of portal adoption are likely to include patient comfort and proficiency with use of the Internet, experiences with Internet applications, available features, anticipated benefits, provider enthusiasm, patient engagement/activation, health literacy, communication preferences, and trust in the provider and health system (18,28,(33)(34)(35)55,58,62,65,66). By anticipating digital deficiencies in older adults and underserved populations, healthcare organizations can develop onsite and remote training activities to enhance uptake of these new technologies (18,21,(67)(68)(69). Organizations should also consider developing freely available, user-friendly applications that extend access to smartphones early in the rollout period.…”

Section: Discussionmentioning

confidence: 99%

Disparities in Electronic Health Record Patient Portal Use in Nephrology Clinics

Jhamb

Cavanaugh

Bian

et al. 2015

Clinical Journal of the American Society of Nephrology

126

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Background and objectives Electronic health record (EHR) patient portals allow individuals to access their medical information with the intent of patient empowerment. However, little is known about portal use in nephrology patients. We addressed this gap by characterizing adoption of an EHR portal, assessing secular trends, and examining the association of portal adoption and BP control (,140/90 mmHg).Design, setting, participants, & measurements Patients seen between January 1, 2010, and December 31, 2012, at any of four university-affiliated nephrology offices who had at least one additional nephrology follow-up visit before June 30, 2013, were included. Sociodemographic characteristics, comorbidities, clinical measurements, and office visits were abstracted from the EHR. Neighborhood median household income was obtained from the American Community Survey 2012.Results Of 2803 patients, 1098 (39%) accessed the portal. Over 87% of users reviewed laboratory results, 85% reviewed their medical information (e.g., medical history), 85% reviewed or altered appointments, 77% reviewed medications, 65% requested medication refills, and 31% requested medical advice from their renal provider. ConclusionWhile portal adoption appears to be increasing, greater attention is needed to understand why vulnerable populations do not access it. Future research should examine barriers to the use of e-health technologies in underserved patients with CKD, interventions to address them, and their potential to improve outcomes.

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“…Some studies in this area merely concluded that usage among underserved population is low due to lack of Internet access [14] while other studies found that even with sufficient access to Internet, logging into patient portals and using it was significantly lower among minority groups [1,11]. These studies speculated that it could be due to lack of sufficient training, poor health literacy, lack of time and poor e-health literacy.…”

Section: Patient Portal Readiness (Ppr) Among the Underservedmentioning

confidence: 99%

“…Among the underserved, access to Internet have been steadily increasing (Pew reports), however, one study [14] found that current Internet access was the most important predictor of patient portal use. It should also be noted that patient portal usage has been low among the general population as well.…”

Section: Internet Access and The Use Of Internet For Health Informatimentioning

confidence: 99%

Patient Portal Readiness (PPR) among the Underserved: Impact of PHIM Activities, Health Information Seeking, and Patient Attitudes towards Record Keeping

Nambisan

2015

2015 48th Hawaii International Conference on System Sciences

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Patient portals are increasingly becoming a solution for healthcare providers to provide patients with access to parts of their medical records such as lab results as well as to offer services such as customized educational materials, appointment scheduling, etc. However, the use of patient portals is still very low [1] especially among the underserved population. The objective of this study is to develop an understanding of the factors that may impact patient portal readiness among the underserved population. We consider three main factors that will impact Patient Portal Readiness (PPR): (a) PHIM (Personal Health Information Management) activities; (b) attitude towards keeping personal health record, and (c) access to and use of Internet for health information seeking. Findings from a survey of 132 patients of free clinics in northern Virginia support the study hypotheses related to the impact of the above three factors on PPR. Implications for research and practice are discussed. . 1530-1605/15 $31.00

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Internet Access and Patient Portal Readiness Among Patients in a Group of Inner-City Safety-Net Practices

Cited by 35 publications

References 3 publications

What Influences Patient Participation in an Online Forum for Weight Loss Surgery? A Qualitative Case Study

What Influences Patient Participation in an Online Forum for Weight Loss Surgery? A Qualitative Case Study

Disparities in Electronic Health Record Patient Portal Use in Nephrology Clinics

Patient Portal Readiness (PPR) among the Underserved: Impact of PHIM Activities, Health Information Seeking, and Patient Attitudes towards Record Keeping

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