TY - GEN
T1 - Patient portal adoption rates
T2 - 16th World Congress of Medical and Health Informatics: Precision Healthcare through Informatics, MedInfo 2017
AU - Fraccaro, Paolo
AU - Vigo, Markel
AU - Balatsoukas, Panagiotis
AU - Buchan, Iain E.
AU - Peek, Niels
AU - Van Der Veer, Sabine N.
PY - 2017/9/1
Y1 - 2017/9/1
N2 - 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. We searched MEDLINE and Scopus to identify relevant papers. We included 40 studies: 24 were controlled experiments, with prospective data collection in an actively recruited population; 16 were real-world experiments, with adoption being evaluated retrospectively after system deployment in clinical practice. 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. This difference was confirmed in a meta-regression analysis of the influence of study characteristics on adoption rates. Our findings suggest that adoption rates reported in controlled studies do not reflect those in everyday clinical practice. Until we understand how to effectively increase adoption, patient portals are unlikely to consistently lead to improvements in care processes and health outcomes.
AB - 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. We searched MEDLINE and Scopus to identify relevant papers. We included 40 studies: 24 were controlled experiments, with prospective data collection in an actively recruited population; 16 were real-world experiments, with adoption being evaluated retrospectively after system deployment in clinical practice. 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. This difference was confirmed in a meta-regression analysis of the influence of study characteristics on adoption rates. Our findings suggest that adoption rates reported in controlled studies do not reflect those in everyday clinical practice. Until we understand how to effectively increase adoption, patient portals are unlikely to consistently lead to improvements in care processes and health outcomes.
KW - Computers/utilization
KW - Patient access to records
KW - Personal health record
UR - https://www.ncbi.nlm.nih.gov/pubmed/29295056
U2 - 10.3233/978-1-61499-830-3-79
DO - 10.3233/978-1-61499-830-3-79
M3 - Conference contribution
AN - SCOPUS:85040507976
VL - 245
T3 - Studies in Health Technology and Informatics
SP - 79
EP - 83
BT - MEDINFO 2017
PB - IOS Press
Y2 - 21 August 2017 through 25 August 2017
ER -