Web-based patient portal access in an orthopedic adult reconstruction patient population

Kolodychuk, Nicholas; Wong, Michael S.; Chimento, George; Adams, Tyler; Gastañaduy, Mariella; Waddell, Bradford S.

doi:10.1016/j.artd.2019.01.004

Cited by 10 publications

(5 citation statements)

References 31 publications

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“…Some studies report that patient access to EHRs led to an increase in consultation frequency or its duration. 39,[46][47][48] Patients would gain easier and quicker access to their test results as well. 49 The study by Rexhepi et al 50 confirms that online access can help patients prepare for doctor visits and to understand their medical issues and did not generate substantial anxiety, concerns or increased phone calls to the hospital.…”

Section: Impact On Consultations/appointmentsmentioning

confidence: 99%

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

Tapuria

Porat

Kalra

et al. 2021

Informatics for Health and Social Care

114

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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: Impact On Consultations/appointmentsmentioning

confidence: 99%

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

Tapuria

Porat

Kalra

et al. 2021

Informatics for Health and Social Care

114

View full text Add to dashboard Cite

show abstract

“…Electronic technology (ET) permeates various aspects of our modern society. Many use the Internet for shopping, social networking, banking [1,2], and for seeking health information [3][4][5]. Some use mobile applications or web portals to support behavior modification such as physical activity, diet control, and smoking cessation [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Users’ acceptance of electronic patient portals in Lebanon

Honein-AbouHaidar

Antoun

Badr

et al. 2020

BMC Med Inform Decis Mak

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Background: Acceptance of Electronic patient portal (EPP) is instrumental for its success. Studies on users' acceptance in the Middle East region are scarce. This study aims to use the TAM as a framework to quantitatively describe potential users, diabetic and chronic high blood pressure patients and their providers, intention to use and factors influencing the intention to use EPP at AUBMC-FMC We concurrently test the internal construct validity and the reliability of the TAM. Methods: A cross-sectional survey design and the vignette approach were used. For validation, we needed a minimum of 180 patients; all 35 attending physicians and 11 registered nurses were targeted. We used descriptive statistics to calculate the intention to use EPP and its determinants based on the TAM constructs. Exploratory factor analysis (EFA) and structural equation modeling (SEM) were employed to estimate significant path coefficients for patients only as the sample size of providers was too small. Results: We had 199 patients, half intended to use EPP; 73% of providers (N = 17) intended to use EPP. Perceived ease of use and privacy concerns were significantly higher among providers than patients (Mean (M) = 0.77 vs M = 0.42 (CI: − 0.623; − 0.081)) and (M = 3.67 vs M = 2.13, CI: − 2.16; − 0.91) respectively; other constructs were not significantly different. Reliability of TAM revealed a Cronbach Alpha of α=.91. EFA showed that three components explained 73.48% of the variance: Behavioral Intention of Use (14.9%), Perceived Ease of Use (50.74%), Perceived Usefulness (7.84%). SEM found that perceived ease of use increased perceived usefulness (standardized regression weight = 0.49); perceived usefulness (0.51) had more predictive value than perceived ease of use (0.27) to explain the behavioral intention of use of the EPP. Conclusions: We found that providers valued the usefulness of EPP and were mostly intending to use it. This finding has yet to be tested in future studies testing actual use as intention and actual use may not be concordant. The intention to use among patients was lower than those reported in developed countries. We identified two factors that we need to address to increase use, namely perceived ease and usefulness, and proposed practical implications to address them; future research directions were also discussed.

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“…Prior studies have not been able to unequivocally define specific population demographics most likely to use portals and distinguish from those who may need more targeted interventions. 7,13,19–21 Some evidence, though limited, is available for subspecialty populations such as individuals with diabetes and other chronic conditions, 8,10–12 low-income older adults, 21 kidney and liver transplant patients, 22 orthopedic patients, 23 and individuals affected by cancer. 24 In our study, we aimed to identify patient characteristics and care implications associated with portal usage among neurology patients of a large, tertiary care and referral center.…”

Section: Introductionmentioning

confidence: 99%

Electronic patient portal utilization by neurology patients and association with outcomes

Ochoa

Baron-Lee

Popescu

et al. 2020

Health Informatics J

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Existing literature on electronic patient portals demonstrates mixed findings for portal user demographic patterns and relationships between portal usage and clinical outcomes. This study sought to determine characteristics of portal users specific to a neurology patient population and examine whether usage predicted decreased clinic visits and risk of hospitalization. A cross-sectional analysis on 13,483 patients seen at a tertiary neurology outpatient clinic over a 1-year period found significant associations between demographics, and interactions between age, sex, and race. Black and Hispanic patients were less likely to be portal users. While females had higher odds of portal usage overall, their probability decreased with increasing age. Portal users had higher rates of clinic utilization but no difference in hospitalization risk. These results highlight demographics that may need strategic targeting to increase portal uptake and the need for other interventions for populations more likely to experience health events resulting in hospitalization.

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Web-based patient portal access in an orthopedic adult reconstruction patient population

Cited by 10 publications

References 31 publications

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

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

Users’ acceptance of electronic patient portals in Lebanon

Electronic patient portal utilization by neurology patients and association with outcomes

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