Testing a Model of Patient Portal Use in Adult Patients

Son, Hyojin; Nahm, Eun Shim; Zhu, Shijun; Galik, Elizabeth; Seidl, Kristin L.; Castle, Barbara Van de; Russomanno, Vince

doi:10.1111/jnu.12633

Cited by 10 publications

(11 citation statements)

References 36 publications

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“…This study was a secondary data analysis using selected data from the following data sets of two independent studies: (1) PP experience survey, which is a cross-sectional anonymous online survey with older adults recruited from selected hospitals and clinics in a large integrated healthcare system, 24 and (2) Theory-Based Patient Portal eLearning Program (T-PeP) study, which is a randomized controlled trial that tested the effects of a PP learning program for older adult online users recruited from nationwide communities (baseline data set) 25 . The original studies obtained institutional review board approval.…”

Section: Methodsmentioning

confidence: 99%

“…A one-time anonymous online survey was conducted in August and September 2019 to assess adult patients' PP experience. 24 A theoretical model was developed to describe the relations between PP use and potential influencing factors including usability factors (ease of use and usefulness) and self-efficacy. The theoretical model was tested using structural equation modeling.…”

Section: Patient Portal Experience Surveymentioning

confidence: 99%

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Older Adults' Perception on and Use of Patient Portals

Son¹,

Nahm²,

Zhu³

et al. 2021

CIN: Computers, Informatics, Nursing

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Older adults can benefit from using patient portals. Little is known whether perception of and use of patient portals differ among older adults in diverse healthcare contexts. This study analyzed the difference in perceived usability, selfefficacy, and use of patient portals between older adults recruited from a healthcare system (n = 174) and older adults recruited from nationwide communities (n = 126). A secondary data analysis was conducted using the data sets of two independent studies. A series of linear and ordinal logistic regression analyses were performed. The healthcare system sample had more health issues, higher levels of perceived usability and self-efficacy, and frequent use of patient portals compared with the community sample. This study indicates that efforts to improve usability of patient portals and self-efficacy are essential for all older adult users. The association between perceived usability and patient portal use was stronger in the community sample than in the healthcare system sample, suggesting that approaches to support older adults' efficient use of patient portals should be tailored to their health status and care needs. Future studies may include inpatient and outpatient portals and investigate the impact on health outcomes of older adults across care settings.

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Section: Methodsmentioning

confidence: 99%

Section: Patient Portal Experience Surveymentioning

confidence: 99%

Older Adults' Perception on and Use of Patient Portals

Son¹,

Nahm²,

Zhu³

et al. 2021

CIN: Computers, Informatics, Nursing

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“…As a result, a region wide, independent, integrated, real-time platform should be built to give fair and balanced information to patients and physicians. (Son et al, 2021). Education materials that are simplified for the elderly patients are required in the absence of online access.…”

Section: Literature Reviewmentioning

confidence: 99%

Do We Really Need Elderly-Friendly Integrated Care Portals?

Gupta

2022

International Journal of Information Systems and Social Change

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Elderly-friendly integrated care portals are a relatively new phenomenon that could be a helpful addition to physical primary care, for example, by lowering costs and increasing access to healthcare. However, such platforms are primarily used by younger generations currently, resulting in a “digital divide” between younger and older generations. The objective of this research study is twofold - to identify and analyse: i) the perceived primary barriers that prevent the elderly from adopting and using these technologies, and ii) what can the providers do to support increasing adoption and implementation by the elderly population. It was observed that a lack of serious commitment across relevant sectors, inadequate resources, low managed information technology and financial coordination and care routes, opposing goals and objectives, and conflict within teams are all obstacles to successful adoption and subsequent implementation of integrated care portals.

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“…To fill the current gap in patient portal research, we conducted an anonymous digital survey of adult patients recruited from a variety of care settings to examine their comprehensive experiences of using a patient portal [ 17 ]. As part of the survey, the participants submitted qualitative comments on their perceived benefits and difficulties of using the patient portal and perceptions on privacy and security.…”

Section: Introductionmentioning

confidence: 99%

Adult Patients’ Experiences of Using a Patient Portal With a Focus on Perceived Benefits and Difficulties, and Perceptions on Privacy and Security: Qualitative Descriptive Study

Son,

Nahm

2023

JMIR Hum Factors

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Background Patient portals can facilitate patient engagement in care management. Driven by national efforts over the past decade, patient portals are being implemented by hospitals and clinics nationwide. Continuous evaluation of patient portals and reflection of feedback from end users across care settings are needed to make patient portals more user-centered after the implementation. Objective The aim of this study was to investigate the lived experience of using a patient portal in adult patients recruited from a variety of care settings, focusing on their perceived benefits and difficulties of using the patient portal, and trust and concerns about privacy and security. Methods This qualitative descriptive study was part of a cross-sectional digital survey research to examine the comprehensive experience of using a patient portal in adult patients recruited from 20 care settings from hospitals and clinics of a large integrated health care system in the mid-Atlantic area of the United States. Those who had used a patient portal offered by the health care system in the past 12 months were eligible to participate in the survey. Data collected from 734 patients were subjected to descriptive statistics and content analysis. Results The majority of the participants were female and non-Hispanic White with a mean age of 53.1 (SD 15.34) years. Content analysis of 1589 qualitative comments identified 22 themes across 4 topics: beneficial aspects (6 themes) and difficulties (7 themes) in using the patient portal; trust (5 themes) and concerns (4 themes) about privacy and security of the patient portal. Most of the participants perceived the patient portal functions as beneficial for communicating with health care teams and monitoring health status and care activities. At the same time, about a quarter of them shared difficulties they experienced while using those functions, including not getting eMessage responses timely and difficulty finding information in the portal. Protected log-in process and trust in health care providers were the most mentioned reasons for trusting privacy and security of the patient portal. The most mentioned reason for concerns about privacy and security was the risk of data breaches such as hacking attacks and identity theft. Conclusions This study provides an empirical understanding of the lived experience of using a patient portal in adult patient users across care settings with a focus on the beneficial aspects and difficulties in using the patient portal, and trust and concerns about privacy and security. Our study findings can serve as a valuable reference for health care institutions and software companies to implement more user-centered, secure, and private patient portals. Future studies may consider targeting other patient portal programs and patients with infrequent or nonuse of patient portals.

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Testing a Model of Patient Portal Use in Adult Patients

Cited by 10 publications

References 36 publications

Older Adults' Perception on and Use of Patient Portals

Older Adults' Perception on and Use of Patient Portals

Do We Really Need Elderly-Friendly Integrated Care Portals?

Adult Patients’ Experiences of Using a Patient Portal With a Focus on Perceived Benefits and Difficulties, and Perceptions on Privacy and Security: Qualitative Descriptive Study

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