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Journal of Medical Systems

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01.07.2021 | Patient Facing Systems

Association between Patient Portal use and Office Visits

verfasst von: Reginald A. Silver, Chandrasekar Subramaniam, Antonis Stylianou

Erschienen in: Journal of Medical Systems | Ausgabe 7/2021

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Abstract

Extant research on the relationship between portal use and office visits is mixed. Some researchers have stated that there is no correlation between the two events, others have found a positive correlation, and still others have found a negative correlation between portal use and office visits. Through the use of system-generated data from two different portal systems, we demonstrate the correlation between portal visits and office visits. We also demonstrate how this correlation differs between two institutions and across three demographic attributes. We performed a retrospective bivariate correlation analysis between portal visits and office visits. The correlation analysis was followed by an application of Fisher’s z transformation of the correlation coefficients to determine significant differences in correlation across ethnicity, gender, and age. We found a positive and statistically significant correlation between portal visits and office visits among both hospital patients (n = 2,594, r = .239, p < .000) and university health service patients (n = 1,233, r = .596, p < .000). This correlation varies significantly across the dimensions of ethnicity, gender, and age. Our findings support the importance of portal use in the care continuum. Future research should aim to better understand the nuance of personal characteristics on the relationship between portal visits and office visits. Knowing these nuances can assist practitioners with further promoting patient self-engagement through portal use.

Liss, D. T., Reid, R. J., Grembowski, D., Rutter, C. M., Ross, T. R., and Fishman, P. A., Changes in office visit use associated with electronic messaging and telephone encounters among patients with diabetes in the PCMH. Ann. Fam. Med. [Internet]. 12(4):338–43, 2014. Available from: internal-pdf://191.106.182.15/338.full.pdf.

Reed, M. E., Huang, J., Brand, R. J., Neugebauer, R., Graetz, I., Hsu, J., et al., Patients with complex chronic conditions: Health care use and clinical events associated with access to a patient portal. PLoS One. [Internet]. 14(6):e0217636, 2019. Available from: internal-pdf://116.222.14.227/journal.pone.0217636.pdf.

Wade-Vuturo, A. E., Mayberry, L. S., Osborn, C. Y., Secure messaging and diabetes management: Experiences and perspectives of patient portal users. J. Am. Med. Inform. Assoc. 2013.

North, F., Crane, S. J., Chaudhry, R., Ebbert, J. O., Ytterberg, K., Tulledge-Scheitel, S. M., et al., Impact of Patient Portal Secure Messages and Electronic Visits on Adult Primary Care Office Visits. Telemed. e-Health. [Internet]. 20(3):192–8, 2014. Available from: internal-pdf://1.38.191.244/North2014-1568905017431.pdfinternal-pdf://3138376569/North2014.pdf.

Leveille, S. G., Mejilla, R., Ngo, L., Fossa, A., Elmore, J. G., Darer, J., et al., Do patients who access clinical information on patient internet portals have more primary care visits? Med. Care. [Internet]. 54(1):17–23, 2016. Available from: internal-pdf://194.150.62.90/Leveille2016.pdfinternal-pdf://3520709988/Leveille2016-1568905015932.pdf.

Zhong, X., Liang, M., Sanchez, R., Yu, M., Budd, P. R., Sprague, J. L., et al. On the effect of electronic patient portal on primary care utilization and appointment adherence. BMC Med. Inform. Decis. Mak. 18(1), 2018. Available from: internal-pdf://204.4.168.175/s12911-018-0669-8.pdf

Hsu, J., Huang, J., Kinsman, J., Fireman, B., Miller, R., Selby, J., et al., Use of e-Health services between 1999 and 2002: a growing digital divide. J. Am. Med. Informatics Assoc. [Internet]. 12(2):164–71, 2005. Available from: internal-pdf://243.161.130.27/GrowingDigitalDivide.pdf.

Lorence, D. P., Park, H., and Fox, S., Racial disparities in health information access: resilience of the digital divide. J. Med. Syst. [Internet]. 30(4):241–9, 2006. Available from: internal-pdf://0352118606/RacialDisparitiesinHealthInformationAcces.pdf.

Ancker, J. S., Barrón, Y., Rockoff, M. L., Hauser, D., Pichardo, M., Szerencsy, A., et al. Use of an electronic patient portal among disadvantaged populations. J. Gen. Intern. Med. 2011.

10.

Wallace, L. S., Angier, H., Huguet, N., Gaudino, J. A., Krist, A., Dearing, M., et al. Patterns of electronic portal use among vulnerable patients in a nationwide practice-based research network: From the OCHIN Practice-based Research Network (PBRN). J. Am. Board Fam. Med. 2016.

11.

Sadasivaiah, S., Lyles, C. R., Kiyoi, S., Wong, P., Ratanawongsa, N., Disparities in patient-reported interest in web-based patient portals: Survey at an urban academic safety-net hospital. J. Med. Internet Res. 2019.

12.

Anthony, D. L., Campos-Castillo, C., Lim, P. S., Who isn’t using patient portals and why? Evidence and implications from a national sample of US adults. Health Aff. 2018.

13.

Jung, C., Padman, R., Shevchik, G., Paone, S., Who are portal users vs. early e-Visit adopters? A preliminary analysis. AMIA Annu. Symp. Proc. 2011.

14.

Carrell, D., Ralston, J. D., Variation in adoption rates of a patient web portal with a shared medical record by age, gender, and morbidity level [Internet]. AMIA 2006 Symposium. 2006. Available from: internal-pdf://170.49.182.45/Carrell 2006.pdf.

15.

Laukka, E., Huhtakangas, M., Heponiemi, T., Kujala, S., Kaihlanen, A.-M., Gluschkoff, K., et al. Health care professionals’ experiences of patient-professional communication over patient portals: systematic review of qualitative studies. J. Med. Internet Res. 22(12):e21623, 2020. Available from: http://www.jmir.org/2020/12/e21623/

16.

Stewart, M. T., Hogan, T. P., Nicklas, J., Robinson, S. A., Purington, C. M., Miller, C. J., et al. The promise of patient portals for individuals living with chronic illness: Qualitative study identifying pathways of patient engagement. J. Med. Internet Res. 22(7):e17744, 2020. Available from: https://www.jmir.org/2020/7/e17744

17.

CDC. National Ambulatory Medical Care Survey 2016. 2016.

18.

Chavez, A., Bracamonte, J., Kresin, M., Yardley, M., Grover, M., High volume portal usage impacts practice resources. J. Am. Board Fam. Med. 2020.

19.

Zhong, X., Park, J., Liang, M., Shi, F., Budd, P. R., Sprague, J. L., et al. Characteristics of patients using different patient portal functions and the impact on primary care service utilization and appointment adherence: Retrospective observational study. J. Med. Internet Res. 2020.

20.

Lyles, C. R., Nelson, E. C., Frampton, S., Dykes, P. C., Cemballi, A. G., Sarkar, U., Using electronic health record portals to improve patient engagement: Research priorities and best practices. Ann. Intern. Med. 2020.

21.

Bryan, M., Norton, D., Birstler, J., Chen, G., Cruz, L., Hanrahan, L., Resource utilization among portal users who send messages: A retrospective cohort study. Wis. Med. J. 2020.

22.

Nguyen, S., Massey, A. M., Norez, D., Gautam, S., Tanneru, K., Kumar, J., et al. Socioeconomic factors that impact patient no-shows in the ambulatory urology clinic. J. Public Health (Bangkok). 2020. Available from: https://doi.org/10.1007/s10389-020-01406-9.

23.

Bao, C., Bardhan, I. R., Singh, H., Meyer, B. A., Kirksey, K., Patient-provider engagement and its impact on health outcomes: A longitudinal study of patient portal use. MIS. Q. Manag. Inf. Syst. 2020.

24.

Szilagyi, P. G., Valderrama, R., Vangala, S., Albertin, C., Okikawa, D., Sloyan, M., et al. Pediatric patient portal use in one health system. J. Am. Med. Informatics Assoc. 2020.

25.

Smith, C. A., PHRs and patient portals. In: Consumer Health Informatics: Enabling Digital Health for Everyone. 2020. p. 117–30.

26.

Ancker, J. S., Barron, Y., Rockoff, M. L., Hauser, D., Pichardo, M., Szerencsy, A., et al., Use of Electronic Patient Portal Among Disadvantaged Populations. J. Gen. Intern. Med. [Internet]. 26(10):1117–23, 2011. Available from: internal-pdf://119.201.253.104/Ancker2011.pdf.

27.

Hebb, J. H., Fitzgerald, D., Fan, W., Health care disparities in disadvantaged Medicare beneficiaries: A national project review. J. Health Hum. Serv. Adm. 2003; 153–73.

28.

Glaser, J., The electronic health record a digital divide? Healthc. Financ. Manag. [Internet]. 61(10):38–42, 2007. Available from: internal-pdf://239.199.90.248/EHRADigitalDivide.pdf.

29.

El-Toukhy, S., Méndez, A., Collins, S., Pérez-Stable, E. J., Barriers to patient portal access and use: Evidence from the health information national trends survey. J. Am. Board Fam. Med. 33(6):953–968, 2020. Available from: http://www.jabfm.org/content/33/6/953.abstract

30.

Ganguli, I., Orav, E. J., Lupo, C., Metlay, J. P., and Sequist, T. D., Patient and Visit Characteristics Associated With Use of Direct Scheduling in Primary Care Practices. JAMA. Netw. Open. [Internet]. 3(8):e209637–e209637, 2020. Available from: https://doi.org/10.1001/jamanetworkopen.2020.9637.

31.

Fisher, R. A., On the Probable Error of Correlation Coefficient Deduced from a Small Sample. Metron. 1:3–32, 1921.

32.

Sarkar, U., Karter, A. J., Liu, J. Y., Adler, N. E., Nguyen, R., López, A., et al., Social disparities in internet patient portal use in diabetes: evidence that the digital divide extends beyond access. J. Am. Med. Informatics Assoc. [Internet]. 18(3):318–21, 2011. Available from:internal-pdf://83.41.153.56/18-3-318.pdf.

33.

Ketterer, T., West, D. W., Sanders, V. P., Hossain, J., Kondo, M. C., and Sharif, I., Correlates of patient portal enrollment and activation in primary care pediatrics. Acad. Pediatr. [Internet]. 13(3):264–71, 2013. Available from: internal-pdf://149.181.175.92/1-s2.0-S1876285913000132-main.pdf.

34.

Goel, M. S., Brown, T. L., Williams, A., Hasnain-Wynia, R., Thompson, J. A., and Baker, D., Disparities in Enrollment and Use of an Electronic Patient Portal. J. Gen. Intern. Med. [Internet]. 26(10):1112–6, 2011. Available from: internal-pdf://145.177.204.51/Goel2011.pdf.

Titel: Association between Patient Portal use and Office Visits
verfasst von: Reginald A. Silver
Chandrasekar Subramaniam
Antonis Stylianou
Publikationsdatum: 01.07.2021
Verlag: Springer US
Erschienen in: Journal of Medical Systems / Ausgabe 7/2021
Print ISSN: 0148-5598
Elektronische ISSN: 1573-689X
DOI: https://doi.org/10.1007/s10916-021-01749-0

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Association between Patient Portal use and Office Visits

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Live-Webinar "Urologie und Sexualmedizin in der Praxis"

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