Portal Use among Patients with Chronic Conditions

Patient-reported Care Experiences

Mary E. Reed, Jie Huang, Andrea Millman, Ilana Yonas, John Hsu, Richard Brand, Dustin W. Ballard, Richard Grant

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
JournalMedical care
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Patient Care
Technology
Health
Delivery of Health Care
Patient Portals
Personal Health Records
Integrated Delivery of Health Care
Social Adjustment
Sex Education
Internet
Research Design
Cross-Sectional Studies
Research

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

Portal Use among Patients with Chronic Conditions : Patient-reported Care Experiences. / Reed, Mary E.; Huang, Jie; Millman, Andrea; Yonas, Ilana; Hsu, John; Brand, Richard; Ballard, Dustin W.; Grant, Richard.

In: Medical care, 01.01.2019.

Research output: Contribution to journalArticle

Reed, Mary E. ; Huang, Jie ; Millman, Andrea ; Yonas, Ilana ; Hsu, John ; Brand, Richard ; Ballard, Dustin W. ; Grant, Richard. / Portal Use among Patients with Chronic Conditions : Patient-reported Care Experiences. In: Medical care. 2019.
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