Limits...
Patient Portals and Patient Engagement: A State of the Science Review.

Irizarry T, DeVito Dabbs A, Curran CR - J. Med. Internet Res. (2015)

Bottom Line: We found 120 studies that met the inclusion criteria.We discuss the findings and conclusions of studies that address the five topical areas.Future directions of research should focus on identifying specific populations and contextual considerations that would benefit most from a greater degree of patient engagement through a patient portal.

View Article: PubMed Central - HTML - PubMed

Affiliation: School of Nursing, University of Pittsburgh, Pittsburgh, PA, United States. tai19@pitt.edu.

ABSTRACT

Background: Patient portals (ie, electronic personal health records tethered to institutional electronic health records) are recognized as a promising mechanism to support greater patient engagement, yet questions remain about how health care leaders, policy makers, and designers can encourage adoption of patient portals and what factors might contribute to sustained utilization.

Objective: The purposes of this state of the science review are to (1) present the definition, background, and how current literature addresses the encouragement and support of patient engagement through the patient portal, and (2) provide a summary of future directions for patient portal research and development to meaningfully impact patient engagement.

Methods: We reviewed literature from 2006 through 2014 in PubMed, Ovid Medline, and PsycInfo using the search terms "patient portal" OR "personal health record" OR "electronic personal health record". Final inclusion criterion dictated that studies report on the patient experience and/or ways that patients may be supported to make competent health care decisions and act on those decisions using patient portal functionality.

Results: We found 120 studies that met the inclusion criteria. Based on the research questions, explicit and implicit aims of the studies, and related measures addressed, the studies were grouped into five major topics (patient adoption, provider endorsement, health literacy, usability, and utility). We discuss the findings and conclusions of studies that address the five topical areas.

Conclusions: Current research has demonstrated that patients' interest and ability to use patient portals is strongly influenced by personal factors such age, ethnicity, education level, health literacy, health status, and role as a caregiver. Health care delivery factors, mainly provider endorsement and patient portal usability also contribute to patient's ability to engage through and with the patient portal. Future directions of research should focus on identifying specific populations and contextual considerations that would benefit most from a greater degree of patient engagement through a patient portal. Ultimately, adoption by patients and endorsement by providers will come when existing patient portal features align with patients' and providers' information needs and functionality.

No MeSH data available.


Literature review flow chart.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC4526960&req=5

figure1: Literature review flow chart.

Mentions: Of the 440 articles identified by the search, 176 were excluded based on title and abstract. Further review based on the final inclusion criterion resulted in 120 articles, which were reviewed in depth (see Multimedia Appendix 1 for summaries of each). Excluded articles focused on the provider perspective only, technicalities of patient portal implementation (eg, policy issues, safety, security), implications for Health Information Exchange, economics impacts, or the utility of patient portal data for research purposes (see Figure 1).


Patient Portals and Patient Engagement: A State of the Science Review.

Irizarry T, DeVito Dabbs A, Curran CR - J. Med. Internet Res. (2015)

Literature review flow chart.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4526960&req=5

figure1: Literature review flow chart.
Mentions: Of the 440 articles identified by the search, 176 were excluded based on title and abstract. Further review based on the final inclusion criterion resulted in 120 articles, which were reviewed in depth (see Multimedia Appendix 1 for summaries of each). Excluded articles focused on the provider perspective only, technicalities of patient portal implementation (eg, policy issues, safety, security), implications for Health Information Exchange, economics impacts, or the utility of patient portal data for research purposes (see Figure 1).

Bottom Line: We found 120 studies that met the inclusion criteria.We discuss the findings and conclusions of studies that address the five topical areas.Future directions of research should focus on identifying specific populations and contextual considerations that would benefit most from a greater degree of patient engagement through a patient portal.

View Article: PubMed Central - HTML - PubMed

Affiliation: School of Nursing, University of Pittsburgh, Pittsburgh, PA, United States. tai19@pitt.edu.

ABSTRACT

Background: Patient portals (ie, electronic personal health records tethered to institutional electronic health records) are recognized as a promising mechanism to support greater patient engagement, yet questions remain about how health care leaders, policy makers, and designers can encourage adoption of patient portals and what factors might contribute to sustained utilization.

Objective: The purposes of this state of the science review are to (1) present the definition, background, and how current literature addresses the encouragement and support of patient engagement through the patient portal, and (2) provide a summary of future directions for patient portal research and development to meaningfully impact patient engagement.

Methods: We reviewed literature from 2006 through 2014 in PubMed, Ovid Medline, and PsycInfo using the search terms "patient portal" OR "personal health record" OR "electronic personal health record". Final inclusion criterion dictated that studies report on the patient experience and/or ways that patients may be supported to make competent health care decisions and act on those decisions using patient portal functionality.

Results: We found 120 studies that met the inclusion criteria. Based on the research questions, explicit and implicit aims of the studies, and related measures addressed, the studies were grouped into five major topics (patient adoption, provider endorsement, health literacy, usability, and utility). We discuss the findings and conclusions of studies that address the five topical areas.

Conclusions: Current research has demonstrated that patients' interest and ability to use patient portals is strongly influenced by personal factors such age, ethnicity, education level, health literacy, health status, and role as a caregiver. Health care delivery factors, mainly provider endorsement and patient portal usability also contribute to patient's ability to engage through and with the patient portal. Future directions of research should focus on identifying specific populations and contextual considerations that would benefit most from a greater degree of patient engagement through a patient portal. Ultimately, adoption by patients and endorsement by providers will come when existing patient portal features align with patients' and providers' information needs and functionality.

No MeSH data available.