patient portal obstacles

by Prof. Oda Kassulke PhD 10 min read

What Are the Top Barriers to Patient Portal Adoption, Use?

36 hours ago May 15, 2018 · If a patient has low health literacy, they are unlikely to find patient portal data useful. Some health IT developers have begun to leverage natural language processing (NLP) to make patient portal information more accessible for patients with lower health literacy. On average, most patients have poor health literacy. NLP helps to translate certain clinical terms … >> Go To The Portal


Obstacles include the patient authentication process which requires a phone call to authenticate a patient’s identity, registration confirmation e-mails succumbing to spam filters, the use of Silverlight, and — perhaps the biggest challenge — patient ennui. Silverlight is a plug in for graphics.

Among the nonadopters (n=2828), the most prevalent barriers were patient preference for in-person communication (1810/2828, 64.00%), no perceived need for the patient portal (1385/2828, 48.97%), and lack of comfort and experience with computers (735/2828, 25.99%).Sep 17, 2020

Full Answer

Why don’t more patients use patient portals?

May 15, 2018 · If a patient has low health literacy, they are unlikely to find patient portal data useful. Some health IT developers have begun to leverage natural language processing (NLP) to make patient portal information more accessible for patients with lower health literacy. On average, most patients have poor health literacy. NLP helps to translate certain clinical terms …

What are the challenges to Universal patient health data access?

Smaller proportions reported not attempting enrollment because of negative attitudes toward the portal (30%) or computer related obstacles (8%). Overall, respondents favorably viewed most patient portal features, however black respondents were less likely than white respondents to consider features assisting self-management such as getting test results (69% vs 86%; p<0.05) …

What are the challenges of online patient registration?

Mar 14, 2022 · Primary reason for not attempting enrollment. Among the 63% of participants who did not attempt to enroll in the patient portal, 60% stated reasons related to lack of information or motivation, 30% reported negative attitudes toward the patient portal, and 8% reported connectivity obstacles.

How do I log in to my Patient Portal?

Obstacle 6: Security and privacy concerns. References. Sometimes demographics, such as age, income, or language, prevent patients from using a portal. Some patients often …

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What are the challenges of patient portals?

Other disadvantages of patient portals include alienation and health disparities. Alienation between patient and provider occurs for those who don't access these tools. Sometimes, this is due to health disparities if a person doesn't have a method for using them.Nov 11, 2021

What are the disadvantages of a patient portal?

The most frequently reported downside to patient portals is the difficulty providers often face in generating patient buy-in. Although providers are generally aware of the health perks of using a patient portal, patients are seldom as excited about the portal as they are.Feb 17, 2016

Why do patients not use patient portals?

The researchers found no demographic differences among nonusers who said that a technology hurdle, lack of internet access or no online medical record was the reason why they did not make use of a patient portal.May 14, 2019

How do you improve patient portals?

Here are some ways to encourage patient enrollment:Include information about the patient portal on your organization's website.Provide patients with an enrollment link before the initial visit to create a new account.Encourage team members to mention the patient portal when patients call to schedule appointments.More items...•Jun 25, 2020

What are the pros and cons of being an e patient?

4 Pros and Cons of Digital Patient Health Data AccessPro: Patients enjoy digital data access.Con: Complicated health info causes concern for patients, docs.Pro: Patients can review info for medical errors.Con: Clinician notes raise patient-provider relationship concerns.Aug 10, 2017

What are the challenges and opportunities of PHR?

Previous research identified several challenges to the adoption of a PHR: accuracy of data, concerns about privacy and security of personal health information (Kim & Nahm, 2012 ; Pushpangadan & Seckman, 2015), and limited access to a computer (Keselman et al., 2007).

What is a reason for providers to be reluctant to use a patient portal?

The reason why most patients do not want to use their patient portal is because they see no value in it, they are just not interested. The portals do not properly incentivize the patient either intellectually (providing enough data to prove useful) or financially.

Do patient portals improve healthcare?

Background. Engaging patients in the delivery of health care has the potential to improve health outcomes and patient satisfaction. Patient portals may enhance patient engagement by enabling patients to access their electronic medical records (EMRs) and facilitating secure patient-provider communication.

Do patients like patient portals?

Eight studies reported that patients or their caregivers want more portal education, training, or support. Two studies found that their participants want human connection as they learn about the portal and how to use it, as well as when they encounter issues.Jan 25, 2021

What is the goal of HIE?

The purpose of HIE is to promote the appropriate and secure access and retrieval of a patient's health information to improve the cost, quality, safety and speed of patient care.

What is the function of a patient portal?

A patient portal is a secure online website that gives patients convenient, 24-hour access to personal health information from anywhere with an Internet connection. Using a secure username and password, patients can view health information such as: Recent doctor visits.Sep 29, 2017

How is patient portal success measured?

To be successful, they should be assessed using measures that span across improvements in patient and family engagement (e.g., overall use and satisfaction with use and care), clinical outcomes, and operational efficiency.

Why doesn't Dr. Franklin use the portal?

She said she also has some patients who won't use the portal because they say the security procedures are too onerous. Some patients may avoid the portal thinking this will keep their records secure.

What will stimulate portal use?

Predicted increases in demand for health care services may also stimulate portal use, as meeting the needs of the growing insured and aging populations will require adopting methods that increase efficiency and capacity.

Can a physician be reimbursed for using a portal?

There's no way around it: Other than receiving meaningful use incentive payments (and avoiding penalties), physicians typically won't get directly reimbursed for using a portal. In fact, some physicians fear that successfully answering patient questions through secure messaging might create additional appointment capacity that the practice would need to fill to avoid declining revenue.

Can cybercriminals access health records?

Given the frequent news stories of cyber-criminals breaking into the computer networks of retail chains, government databases, and even health care organizations, it's no wonder that some patients are less than willing to access their health records or discuss sensitive matters online.

Is the portal for physicians mobile friendly?

Some portal programs aren't friendly to users for whom English is a second language. Of course, these are generalizations. Some physicians said they have numerous retired patients who like communicating with their doctor online, while younger patients may resist the portal because it isn't mobile-device-friendly.

Why are patient portals important?

Due to requirements under the EHR Incentive Programs, patient portals have become an important piece of technology for healthcare providers. Because patient portals are generally tethered to the EHR, they give patients a view into their health records, allowing them to learn more about their health and become more active in their care.

How much is the patient portal adoption rate?

Data from the American Medical Association shows that patient portal adoption is up to 92 percent, but these tools aren’t always being used to their fullest potential. Patients may be able to look at their data, but they aren’t using it to better their health.

Why is interoperability important?

As with most current health technology endeavors, interoperability is crucial for patient access to health data. Without an interoperable health tool, patients are unable to access any health data their providers transmit to them.

Why is access to health data important?

August 11, 2016 - Patient access to health data is an important component of patient engagement because it empowers patients with knowledge about their conditions and incorporates the patient as a partner in care. Access to health data isn’t only good for improving care. It also drives patient satisfaction.

Is access to health data good?

Access to health data isn’t only good for improving care. It also drives patient satisfaction. According to a data set from the Office of the National Coordinator for Health IT, eighty percent of patients with access to health data found it useful to review their information.

How do patient portals empower consumers?

When used effectively, patient portals can empower consumers by enabling active management of their own care. However, we know little about how patient portal use fits into the broader personal health information management (PHIM) practices of various groups, such as older adults.

How old are Portal users?

Portal users ranged in age from 61 to 93 years , and most lived independently in a private residence (60%) and had college education or higher (67%). Although portal nonusers were similar in age, fewer were college educated (53%) and more lived in retirement or assisted living facilities (74%).

What are the challenges of the portal?

One major challenge with the portal is the multiple step registration process . Patients provide their e‐mail address at the front desk and are given a password to register from home. Some patients fail to complete the registration process after leaving the clinic. Remembering and managing passwords and managing family accounts are also challenging for patients. For example, a parent may log in for one child and then ask questions about a second child. For providers and staff, a challenge is that there is no way to know whether a Web‐enabled patient actually uses the portal and there are no read receipts to confirm that patients have read a message.

When did PHMG start patient portal?

PHMG launched the patient portal in early 2010. As a first step, the physician champion piloted the portal for about 6 months before it was implemented in one clinic at a time. According to the physician champion, implementation was “easier than expected because everyone was already comfortable with eClinicalWorks, ...

Why is it persuasive to use a portal?

They found that it is particularly persuasive when providers encourage patients to use the portal because patients trust providers and value their opinions. One provider says he reinforces a patient’s use of the portal by closing all messages with “Thanks for using the portal.”.

Where do messages go in a family practice?

For family practice, messages generally go right to the provider. For specialists, who tend to be out of the office more often, messages go to the nurses or other staff for triage. To facilitate communication, PHMG developed a template for common messages, such as delivery of lab results.

What is the PHMG strategy?

PHMG had a strategy of ensuring that patients hear about the portal from multiple sources during each clinical visit. To execute this strategy, PHMG used several methods of communication, including:

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