Patient Portal Functionalities and Patient Outcomes Among Patients With Diabetes: Systematic Review

Alturkistani, Abrar; Qavi, Ambar; Anyanwu, Philip Emeka; Greenfield, Geva; Greaves, Felix; Costelloe, Céire

doi:10.2196/18976

Cited by 26 publications

(31 citation statements)

References 35 publications

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“…22,42,48 Convenient access to portal self-management tools through a mobile device could significantly improve diabetes management. 70,71 The findings show an increase in patient adherence to medication schedules and advice provided by clinical staff, once patients have access to their EHRs. 39,42,48,72…”

Section: Minorsmentioning

confidence: 95%

Impact of patient access to their electronic health record: systematic review

Tapuria

Porat

Kalra

et al. 2021

Informatics for Health and Social Care

116

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Patient access to their own electronic health records (EHRs) is likely to become an integral part of healthcare systems worldwide. It has the potential to decrease the healthcare provision costs, improve access to healthcare data, self-care, quality of care, and health and patient-centered outcomes. This systematic literature review is aimed at identifying the impact in terms of benefits and issues that have so far been demonstrated by providing patients access to their own EHRs, via providers' secure patient portals from primary healthcare centers and hospitals. Searches were conducted in PubMed, MEDLINE, CINHAL, and Google scholar. Over 2000 papers were screened and were filtered based on duplicates, then by reading the titles and finally based on their abstracts or full text. In total, 74 papers were retained, analyzed, and summarized. Papers were included if providing patient access to their own EHRs was the primary intervention used in the study and its impact or outcome was evaluated. The search technique used to identify relevant literature for this paper involved input from five experts. While findings from 54 of the 74 papers showed positive outcome or benefits of patient access to their EHRs via patient portals, 10 papers have highlighted concerns, 8 papers have highlighted both and 2 have highlighted absence of negative outcomes. The benefits range from re-assurance, reduced anxiety, positive impact on consultations, better doctor-patient relationship, increased awareness and adherence to medication, and improved patient outcomes (e.g., improving blood pressure and glycemic control in a range of study populations). In addition, patient access to their health information was found to improve self-reported levels of engagement or activation related to self-management, enhanced knowledge, and improve recovery scores, and organizational efficiencies in a tertiary level mental health care facility. However, three studies did not find any statistically significant effect of patient portals on health outcomes. The main concerns have been around security, privacy and confidentiality of the health records, and the anxiety it may cause amongst patients. This literature review identified some benefits, concerns, and attitudes demonstrated by providing patients' access to their own EHRs. This access is often part of government strategies when developing patient-centric self-management elements of a sustainable healthcare system. The findings of this review will give healthcare providers a framework to analyze the benefits offered by promoting patient access to EHRs and decide on the best approach for their own specialties and clinical setup. A robust cost-benefit evaluation of such initiatives along with its impact on major stakeholders within the healthcare system would be essential in KEYWORDS Electronic healthcare record; literature review; patient access; benefits; access to EHRs; patient portals CONTACT Archana Tapuria

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Section: Minorsmentioning

confidence: 95%

Impact of patient access to their electronic health record: systematic review

Tapuria

Porat

Kalra

et al. 2021

Informatics for Health and Social Care

116

View full text Add to dashboard Cite

show abstract

“…The main functionalities described in this review, such as health records, administrative records, medication management, communication, appointment management, education, and self-health monitoring, have also been described in previous reviews [ 9 - 12 ]. Most of these reviews [ 9 , 11 , 12 ] focus more on discussing the functionality of PHRs related to improving health service delivery. Only Genitsaridi et al [ 10 ] discussed supporting functionalities such as access control to be included in requirements on the PHR.…”

Section: Discussionmentioning

confidence: 99%

“…Figure 10 describes the integrated PHR architecture based on the result of this review. The main functionalities described in this review, such as health records, administrative records, medication management, communication, appointment management, education, and self-health monitoring, have also been described in previous reviews [9][10][11][12]. Most of these reviews [9,11,12] focus more on discussing the functionality of PHRs related to improving health service delivery.…”

Section: Principal Findingsmentioning

confidence: 99%

“…Previous studies have provided data types and functionalities of PHRs [ 9 ] and a guide to evaluate PHR functionalities [ 10 ]. Some studies reviewed PHRs used for chronic diseases, which include discussions about their functionalities [ 11 , 12 ]. However, these studies focused only on PHRs in the United States and developed countries [ 9 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…Some studies reviewed PHRs used for chronic diseases, which include discussions about their functionalities [ 11 , 12 ]. However, these studies focused only on PHRs in the United States and developed countries [ 9 , 11 , 12 ]. Moreover, previous studies have also discussed technological issues in implementing or using PHRs, such as data quality [ 13 ], personalization [ 14 ], privacy [ 13 , 15 ], and usability [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Functionalities and Issues in the Implementation of Personal Health Records: Systematic Review

Harahap¹,

Handayani²,

Hidayanto³

2021

J Med Internet Res

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Background Functionalities of personal health record (PHR) are evolving, and continued discussions about PHR functionalities need to be performed to keep it up-to-date. Technological issues such as nonfunctional requirements should also be discussed in the implementation of PHR. Objective This study systematically reviewed the main functionalities and issues in implementing the PHR. Methods This systematic review was conducted using Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. The search is performed using the online databases Scopus, ScienceDirect, IEEE, MEDLINE, CINAHL, and PubMed for English journal articles and conference proceedings published between 2015 and 2020. Results A total of 105 articles were selected in the review. Seven function categories were identified in this review, which is grouped into basic and advanced functions. Health records and administrative records were grouped into basic functions. Medication management, communication, appointment management, education, and self-health monitoring were grouped into advanced functions. The issues found in this study include interoperability, security and privacy, usability, data quality, and personalization. Conclusions In addition to PHR basic and advanced functions, other supporting functionalities may also need to be developed based on the issues identified in this study. This paper provides an integrated PHR architectural model that describes the functional requirements and data sources of PHRs.

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Chronic Disease Self-Management

Straub

Thekkekandam

2023

Chronic Illness Care

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Patient Portal Functionalities and Patient Outcomes Among Patients With Diabetes: Systematic Review

Cited by 26 publications

References 35 publications

Impact of patient access to their electronic health record: systematic review

Impact of patient access to their electronic health record: systematic review

Functionalities and Issues in the Implementation of Personal Health Records: Systematic Review

Chronic Disease Self-Management

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