Secure messaging and diabetes management: experiences and perspectives of patient portal users

Wade-Vuturo, Ashley E; Mayberry, Lindsay S.; Osborn, Chandra Y.

doi:10.1136/amiajnl-2012-001253

Cited by 185 publications

(203 citation statements)

References 25 publications

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“…Unfortunately, our study design precluded an assessment of potential barriers and facilitators to portal use. 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).…”

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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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

View full text Add to dashboard Cite

show abstract

“…research has focused on one or a few of the SDM elements and not on the complete process. Articles in the review focused, by way of differing PHR architectural and functional designs, on such topics as the provision of alerts for the identification of a decision-making opportunity [36], patient access to health information and educational resources to support informed decision-making [50], provision of decision support tools to aid the patient with informed choice[ [22], [38], [45], or varying communications functionality to support online patient-provider interactions for decision-making [53].…”

Section: Sdm Via Phr Gapmentioning

confidence: 99%

Shared decision-making using personal health record technology: a scoping review at the crossroads

Davis

Roudsari

Raworth

et al. 2017

Journal of the American Medical Informatics Association

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ObjectiveThis scoping review aims to determine the size and scope of the published literature on shared decision making (SDM) using personal health record (PHR) technology and to map the literature in terms of system design and outcomes. Materials and MethodsLiterature from Medline, Google Scholar, CINAHL, Engineering Village and Web of Science (2005Science ( -2015 using the search terms personal health records, shared decision making, patient-provider communication, decision aid and decision support was included. Articles (n = 38) addressed the efficacy or effectiveness of PHRs for SDM in engaging patients in self-care and decision-making or ways patients may be supported in SDM via PHR. ResultsAnalysis resulted in an integrated SDM-PHR conceptual framework. An increased interest in SDM via PHR is apparent with 55% of articles published within last 3 years. Sixty percent of the literature originates from the United States. Twenty-six articles addressed a particular clinical condition, with 10 focused on diabetes and one-third offered empirical evidence of patient outcomes. The tethered and standalone PHR architectural types were most studied while the interconnected PHR type was the focus of more recently published methodological approaches and discussion articles. DiscussionThe study reveals a scarcity of rigorous research on SDM via PHR. Research has focused, on one or a few of the SDM elements and not on its intended complete process. ConclusionJust as PHR technology designed on an interconnected architecture has the potential to facilitate SDM, the integration of the SDM process into PHR technology has the potential to drive PHR value. BACKGROUND

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“…7 10 Patients that use secure messaging report higher patient satisfaction, improved face to face visits and improved access to care outside of traditional in person clinical visits. 11 Providers express positive impacts of secure messaging as well, particularly in terms of streamlining medication refills, managing referral requests, and scheduling appointments. 4,12 Recent research has begun to highlight some important strengths of secure messaging tools for disease management, including a study showing that the use of secure messaging for prescription refills was associated with greater control of HIV.…”

Section: Introductionmentioning

confidence: 99%

Examining the Complexity of Patient-Outpatient Care Team Secure Message Communication: Qualitative Analysis (Preprint)

Lanham¹,

Leykum²,

Pugh³

2017

Preprint

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Secure messaging and diabetes management: experiences and perspectives of patient portal users

Abstract: SM within a portal may facilitate access to care, enhance the quality of office visits, and be associated with patient satisfaction and clinical outcomes for patients with diabetes, but provider communication about SM is essential.

Cited by 185 publications

References 25 publications

Disparities in Electronic Health Record Patient Portal Use in Nephrology Clinics

Disparities in Electronic Health Record Patient Portal Use in Nephrology Clinics

Shared decision-making using personal health record technology: a scoping review at the crossroads

Examining the Complexity of Patient-Outpatient Care Team Secure Message Communication: Qualitative Analysis (Preprint)

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