Journal ArticleDOI
Electronic Patient Portals: Evidence on Health Outcomes, Satisfaction, Efficiency, and Attitudes: A Systematic Review
Caroline Goldzweig,Greg Orshansky,Neil M. Paige,Ali Towfigh,David A. Haggstrom,Isomi M Miake-Lye,Jessica M Beroes,Paul G. Shekelle +7 more
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TLDR
A systematic review of the literature reporting the effect of patient portals on clinical care is presented in this article, where the authors focus on the effects of portals on patient outcomes, satisfaction, adherence, efficiency, utilization, attitudes, and patient characteristics.Abstract:
Background Patient portals tied to provider electronic health record (EHR) systems are increasingly popular. Purpose To systematically review the literature reporting the effect of patient portals on clinical care. Data sources PubMed and Web of Science searches from 1 January 1990 to 24 January 2013. Study selection Hypothesis-testing or quantitative studies of patient portals tethered to a provider EHR that addressed patient outcomes, satisfaction, adherence, efficiency, utilization, attitudes, and patient characteristics, as well as qualitative studies of barriers or facilitators, were included. Data extraction Two reviewers independently extracted data and addressed discrepancies through consensus discussion. Data synthesis From 6508 titles, 14 randomized, controlled trials; 21 observational, hypothesis-testing studies; 5 quantitative, descriptive studies; and 6 qualitative studies were included. Evidence is mixed about the effect of portals on patient outcomes and satisfaction, although they may be more effective when used with case management. The effect of portals on utilization and efficiency is unclear, although patient race and ethnicity, education level or literacy, and degree of comorbid conditions may influence use. Limitation Limited data for most outcomes and an absence of reporting on organizational and provider context and implementation processes. Conclusion Evidence that patient portals improve health outcomes, cost, or utilization is insufficient. Patient attitudes are generally positive, but more widespread use may require efforts to overcome racial, ethnic, and literacy barriers. Portals represent a new technology with benefits that are still unclear. Better understanding requires studies that include details about context, implementation factors, and cost.read more
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Journal ArticleDOI
Tethered to the EHR: Primary Care Physician Workload Assessment Using EHR Event Log Data and Time-Motion Observations
Brian Arndt,John W. Beasley,Michelle D. Watkinson,Jonathan L. Temte,Wen Jan Tuan,Christine A. Sinsky,Valerie J. Gilchrist +6 more
TL;DR: EHR event logs can identify areas of EHR-related work that could be delegated, thus reducing workload, improving professional satisfaction, and decreasing burnout, according to primary care physicians.
Journal ArticleDOI
Patient Portals and Patient Engagement: A State of the Science Review
TL;DR: It is demonstrated that patients’ interest and ability to use patient portals is strongly influenced by personal factors such age, ethnicity, education level, health literacy, health status, and role as a caregiver.
Journal ArticleDOI
Patient and provider attitudes toward the use of patient portals for the management of chronic disease: a systematic review.
TL;DR: It is suggested that a standard patient portal design providing patients with the resources to understand and manage their chronic conditions will promote the adoption of patient portals in health care organizations.
Journal ArticleDOI
Despite Substantial Progress In EHR Adoption, Health Information Exchange And Patient Engagement Remain Low In Office Settings
Michael F. Furukawa,Jennifer King,Vaishali Patel,Chun Ju Hsiao,Julia Adler-Milstein,Ashish K. Jha +5 more
TL;DR: It was found that 30 percent of physicians routinely used capabilities for secure messaging with patients, and 24 percent routinely provided patients with the ability to view online, download, or transmit their health record.
Journal ArticleDOI
The eHealth Enhanced Chronic Care Model: A Theory Derivation Approach
TL;DR: A revised model, the eHealth Enhanced Chronic Care Model (eCCM), is presented to show how eHealth tools can be used to increase efficiency of how patients manage their own chronic illnesses, and offers insight into the role of e health tools in self-management support for people with chronic conditions.
References
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TL;DR: Moher et al. as mentioned in this paper introduce PRISMA, an update of the QUOROM guidelines for reporting systematic reviews and meta-analyses, which is used in this paper.
Journal Article
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Journal ArticleDOI
Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Costs of Medical Care
Basit Chaudhry,Jerome K. Wang,Shinyi Wu,Margaret Maglione,Walter Mojica,Elizabeth Roth,Sally C. Morton,Paul G. Shekelle +7 more
TL;DR: This work systematically review evidence on the costs and benefits associated with use of health information technology and to identify gaps in the literature in order to provide organizations, policymakers, clinicians, and consumers an understanding of the effect ofhealth information technology on clinical care.
Journal ArticleDOI
Effectiveness of Home Blood Pressure Monitoring, Web Communication, and Pharmacist Care on Hypertension Control: A Randomized Controlled Trial
Beverly B. Green,Andrea J. Cook,James D. Ralston,James D. Ralston,Paul A. Fishman,Sheryl L. Catz,James A. Carlson,David Carrell,Lynda Tyll,Eric B. Larson,Robert S. Thompson,Robert S. Thompson +11 more
TL;DR: Pharmacist care management delivered through secure patient Web communications improved BP control in patients with hypertension.
Journal ArticleDOI
Inviting Patients to Read Their Doctors' Notes: A Quasi-experimental Study and a Look Ahead
Tom Delbanco,Jan Walker,Sigall K. Bell,Jonathan D. Darer,Joann G. Elmore,Nadine Farag,Henry J. Feldman,Roanne Mejilla,Long Ngo,James D. Ralston,Stephen E. Ross,Neha Trivedi,Elisabeth Vodicka,Suzanne G. Leveille +13 more
TL;DR: Patients accessed visit notes frequently, a large majority reported clinically relevant benefits and minimal concerns, and virtually all patients wanted the practice to continue, with doctors experiencing no more than a modest effect on their work lives.