May 11, 2018 · Barriers and facilitators only reported unanimously by hospitals with a patient portal: Barriers: Lack of time and increased workload: 4 (67) Innovation-averse culture: 3 (50) Adjusting organization of care processes: 3 (50) Structures of the organization: 3 (50) Change in task and new responsibilities: 2 (33) Facilitators: Perceived ease of use: 3 (50).