Older Adults’ Perception of Costs and Benefits of Web-Based and Mobile PHR Technologies: A Focus Group Approach

Patient Portal Use and Experience Among Older Adults: Systematic Review

“…The sample size of the papers ranged from 16 participants in a user study to 231,082 participants in a survey. Six papers focused on patient portals [ 9 , 10 , 18 - 21 ], 8 papers focused on ePHRs [ 22 - 29 ], and 2 papers looked at other similar systems, specifically a personal health application and the Swedish medication registry [ 30 , 31 ]. Half (8/17) of the papers evaluated patient portals or ePHR systems overall [ 9 , 18 - 20 , 23 , 24 , 26 , 29 ]; others focused on specific features such as messaging systems [ 25 ] or medication management tools [ 22 , 23 , 30 , 31 ].…”

“…All of the papers met the criteria “Interpret the data and an answer to the study question,” and almost all (14 of 17) met the criteria “Description of the outcome measure or evaluation criteria.” The last two criteria were more varied. There were 7 papers that did not provide enough detail about a system and its functionalities [ 17 - 19 , 21 , 22 , 29 , 30 ]. For example, Sack et al (2011) [ 29 ] evaluated PHR technologies using Web and mobile-based Google Health.…”

“…There were 7 papers that did not provide enough detail about a system and its functionalities [ 17 - 19 , 21 , 22 , 29 , 30 ]. For example, Sack et al (2011) [ 29 ] evaluated PHR technologies using Web and mobile-based Google Health. In discussing the technologies, they did not provide details about the features or functions of the system beyond it being Web or mobile-based.…”

“…There were several papers that evaluated participants’ use of patient portals, ePHRs, or Web-based health management tools [ 9 , 10 , 17 - 21 , 24 , 26 , 27 , 29 , 31 ]. Participants reported an overall satisfaction with the system they used [ 25 , 24 ].…”

“…In addition to participants’ satisfaction with the system, they reported that the system was useful and it improved the quality of the health care they received [ 24 , 26 ]. Sack et al (2011) [ 29 ] conducted focus groups to evaluate mobile PHRs versus Web-based PHRs. They used a cost (negative comments) versus benefit (positive comments) analysis as a strategy to interpret their findings.…”