Portal Use Among Patients With Chronic Conditions

Patient-reported Care Experiences

Dados Bibliográficos

ID9101569
AutoresMary Reed (0000-0002-9986-9499, Kaiser Permanente, autor correspondente), Mary E Reed (Kaiser Permanente Division of Research), Jie Huang (0009-0007-4279-2914, Kaiser Permanente Division of Research, autor correspondente), Andrea Millman (Kaiser Permanente Division of Research, autor correspondente), Ilana Graetz (0000-0003-3664-5815, University of Tennessee Health Science Center, Memphis, TN), John Hsu (0000-0001-8244-231X, Mongan Institute of Health Policy, Massachusetts General Hospital, Boston, MA), Richard Brand (Department of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco), Dustin W Ballard (0000-0002-5801-8794, Kaiser Permanente San Rafael Medical Center, San Rafael, CA), Richard Grant (0000-0002-5409-8117, Kaiser Permanente Division of Research), Richard W Grant (0000-0002-6164-8025, Kaiser Permanente, autor correspondente)
Ano2019
Volume57
Fascículo10
Páginas809-814
Data de publicação2019-10-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoMedical Care (JOURNAL)
Identificadores do periódicoISSN: 0025-7079 • E-ISSN: 1537-1948
EditoraOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000001178
PMID31415340
OpenAlexW2968419700
IdiomaEN
Citações recebidas2
Referências citadas29

BACKGROUND: Personal health records offer patients access to view their own health information and to manage their care online through secure patient portal tools. Little is known about the patient-reported experience in using health portals to manage chronic conditions. OBJECTIVE: In a patient-centered research study, we examined how using portal tools affects patient health care experiences among patients with chronic conditions. We also examined barriers among nonportal users. RESEARCH DESIGN: A cross-sectional patient survey. SUBJECTS: Patients with a chronic condition in an integrated delivery system offering a patient portal. MEASURES: Respondents reported barriers, preferences, and experiences in using the patient portal, and whether using the portal changed their overall health. RESULTS: Among all the 1824 respondents (70% response rate), portal nonusers reported preferring in-person health care (54%) or experiencing internet access barriers (41%). Portal users reported that using the portal was convenient (90%), the information available was useful (92%), and that it integrated well with other health care (92%). Among users, 31% reported that using the portal had improved their overall health. After adjustment, patients were significantly more likely to report that portal use improved their health if they had also reported convenience, information usefulness, or integration with other care (P<0.05). Reassuringly, patient-reported impacts on overall health did not vary by patient characteristics (including age, race, sex, education, income, complex conditions). CONCLUSION: Patients with chronic conditions using the portal reported convenience, information usefulness, and integration of the patient portal with their health care; these may act as potential pathways improving health

Family medicine · Health care · Internet portal · Medical emergency · MEDLINE · Patient portal · The Internet · World Wide Web · Electronic Health Records Systems · Medicine · Mobile Health and mHealth Applications · Telemedicine and Telehealth Implementation