Barriers to patient portal access among veterans receiving home‐based primary care

A qualitative study

Bibliographic Data

ID19507434
AuthorsRebecca G Mishuris (0000-0002-4804-3128, Section of General Internal Medicine VA Boston Healthcare System Boston MA USA, corresponding author), Max Stewart (Section of General Internal Medicine VA Boston Healthcare System Boston MA USA), Gemmae M Fix (0000-0001-6055-4177, Center for Healthcare Organization and Implementation Research (CHOIR) VA Health Services Research and Development Service Edith Nourse Rogers Memorial Veterans Hospital Bedford MA USA), Thomas Marcello (Section of General Internal Medicine VA Boston Healthcare System Boston MA USA), D Keith McInnes (0000-0002-9941-5470, Center for Healthcare Organization and Implementation Research (CHOIR) VA Health Services Research and Development Service Edith Nourse Rogers Memorial Veterans Hospital Bedford MA USA), Timothy P Hogan (0000-0002-3086-2483, Division of General Medicine and Primary Care Brigham and Women's Hospital Boston MA USA), Judith B Boardman (Home Based Primary Care Program VA Boston Healthcare System Boston MA USA), Steven R Simon (0000-0002-4624-4364, Section of General Internal Medicine VA Boston Healthcare System Boston MA USA)
Year2015
Volume18
Issue6
Pages2296-2305
Publication date2015-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hex.12199
PMID24816246
OpenAlexW2046296396
LanguageEN
Citations received4
References cited23

BACKGROUND: Electronic, or web-based, patient portals can improve patient satisfaction, engagement and health outcomes and are becoming more prevalent with the advent of meaningful use incentives. However, adoption rates are low, particularly among vulnerable patient populations, such as those patients who are home-bound with multiple comorbidities. Little is known about how these patients view patient portals or their barriers to using them. OBJECTIVE: To identify barriers to and facilitators of using My HealtheVet (MHV), the United States Department of Veterans Affairs (VA) patient portal, among Veterans using home-based primary care services. DESIGN: Qualitative study using in-depth semi-structured interviews. We conducted a content analysis informed by grounded theory. PARTICIPANTS: Fourteen Veterans receiving home-based primary care, surrogates of two of these Veterans, and three home-based primary care (HBPC) staff members. KEY RESULTS: We identified five themes related to the use of MHV: limited knowledge; satisfaction with current HBPC care; limited computer and Internet access; desire to learn more about MHV and its potential use; and value of surrogates acting as intermediaries between Veterans and MHV. CONCLUSIONS: Despite their limited knowledge of MHV and computer access, home-bound Veterans are interested in accessing MHV and using it as an additional point of care. Surrogates are also potential users of MHV on behalf of these Veterans and may have different barriers to and benefits from use

Family medicine · Health care · Patient portal · Political science · Primary care · Qualitative research · Veterans Affairs · Electronic Health Records Systems · Medicine · Nursing · Nursing Diagnosis and Documentation · Telemedicine and Telehealth Implementation