trend patient portal adoption 2005 2016

Do patients use online patient portals to access electronic health records?

Despite the increasing availability of online patient portals that provide access to electronic health records, little is known about their adoption by patients. We systematically reviewed the literature to investigate adoption of patient portals across studies.

What is the adoption rate of adoption in clinical trials?

Our meta-analysis showed an overall mean adoption rate of 52% (95% Confidence Interval [CI], 42 to 62%). Rates differed markedly between study types: controlled experiments yielded a mean adoption rate of 71% (95% CI 64 to 79%), compared to 23% (95% CI, 13 to 33%) in real-world experiments.

What is driving the global adoption of electronic health record portals?

Worldwide governments are promoting online health services, such as electronic health record (EHR) patient portals and, as a result, the deployment and use of these services. Overall, this makes the adoption of patient-accessible EHR portals an important field to study and understand.

When did patient portals become popular?

What percentage of patients use patient portals?

What are the top barriers to patient portal adoption use?

What is the future of patient portals?

Why do patients not use patient portals?

What are the benefits and challenges of using patient portals?

What are the factors affecting patients use of personal health records?

What are the benefits of patient portals?

What is the nurse's role in implementation of patient portals in healthcare?

What is a patient portal?

Background: Patient access to their medical records through patient portals (PPs) facilitates information exchange and provision of quality health care. Understanding factors that characterize patients with limited access to and use of PPs is needed.

What are the factors that affect access to PPs?

Gender, education, marital status, and having a regular clinician were factors associated with access, facilitators of use, and use of PPs ( Table 2 ). Age, language proficiency, and having health insurance were also associated with PPs access and use but not race and ethnicity.

Abstract

Sustaining patient portal use is a major problem for many healthcare organizations and providers. If this problem can be successfully addressed, it could have a positive impact on various stakeholders.

Introduction

Patient portals are defined as provider-tethered web-based applications that enable patients to access health information typically managed by a healthcare provider (Moqbel et al., 2020; Otte-Trojel et al., 2015 ).

Literature Review and Research Background

Interest in the adoption and use of patient portals is widespread since patients’ actual usage is quite low.

Theoretical Framework and Hypothesis Development

Festinger ( 1957) introduced CDT by identifying the discomfort or cognitive dissonance that individuals experience when two or more elements of knowledge are inconsistent or in conflict with their goals. In other words, cognitive dissonance refers to an uncomfortable feeling induced by simultaneously holding two contradictory cognitions.

Research Method

Our research model was empirically tested with data collected using an online survey. Participants were recruited using an announcement link to the research study located in the institution’s patient portal.

Results

The results for H1a, H2a and H3a are presented in Fig. 1, where 40% of the variance in patient portal continuous use intention is explained by the model.

Discussion of Findings

This research examined cognitive dissonance that gave rise to a moderating effect between factors that encouraged and dissuaded individuals from continuing to use a patient portal and pursuing a deep structure usage through a variety of features in the portal.

What is a patient portal?

A patient portal is a digital tool that enables patients to securely access their medical records and interact with the health care system through the internet.

How do patient portals help?

Patient portals are digital health tools that provide patients with convenient, secure access to personal health information (such as laboratory results and medication lists), resources, and services such as appointment scheduling and secure messaging with providers. Patient portals have the potential to improve patient engagement with health and health care, decrease costs, and increase health care quality by facilitating health care system transactions (e.g., prescription refills), supporting patient-provider communication, and expediting access to medical records and relevant educational materials. Research indicates that patient portal use can increase patients’ understanding of their health conditions, improve patient safety, reduce caregiver burden, increase medication adherence, and improve the quality of both preventive and follow-up care. There is also some evidence to suggest that patient portal use can improve clinical outcomes.As a result of substantial investments in telehealth infrastructure and legislation mandating meaningful use of electronic health records, by 2015 most health care organizations in the United States offered patient portals. The COVID-19 pandemic has further increased reliance on technologies like patient portals to facilitate virtual visits, remote monitoring, and electronic communication with providers. However, by making these technologies more central to care, the pandemic has also highlighted the inequalities that exist in their use.