Trial reportJournal of the American Medical Informatics Association : JAMIA
Use of a patient-accessible electronic medical record in a practice for congestive heart failure: patient and physician experiences.
Trial report in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 91 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
91 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis.BMJ quality & safety · 2020Pooled it
- Effects of health information technology on patient outcomes: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2016Pooled it
- Views of healthcare professionals to linkage of routinely collected healthcare data: a systematic literature review.Journal of the American Medical Informatics Association : JAMIA · 2014Pooled it
- The impact of electronic patient portals on patient care: a systematic review of controlled trials.Journal of medical Internet research · 2012Pooled it
- Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventions.BMC health services research · 2010Pooled it
- Using Health Information Technology to Foster Engagement: Patients' Experiences with an Active Patient Health Record.Health communication · 2017Trial
- An Internet-based patient-provider communication system: randomized controlled trial.Journal of medical Internet research · 2005Trial
- Usability testing finds problems for novice users of pediatric portals.Journal of the American Medical Informatics Association : JAMIATrial
- Personal health records and hypertension control: a randomized trial.Journal of the American Medical Informatics Association : JAMIATrial
- A randomized trial comparing telemedicine case management with usual care in older, ethnically diverse, medically underserved patients with diabetes mellitus.Journal of the American Medical Informatics Association : JAMIATrial
- Understanding Patient-Reported Offenses in Electronic Health Records: Cross-Sectional Mixed Methods Survey.Journal of medical Internet research · 2026Article
- Cocreating the Visualization of Digital Mobility Outcomes: Delphi-Type Process With Patients.JMIR formative research · 2025Article
- Patients' Use of Electronic Health Records Facilitates Patient-Centered Communication: Findings From the 2017 Health Information National Trends Survey.Journal of medical Internet research · 2024Article
- The Effect of Using a Client-Accessible Health Record on Perceived Quality of Care: Interview Study Among Parents and Adolescents.Journal of participatory medicine · 2024Article
- Risks and rewards of increasing patient access to medical records in clinical ophthalmology using OpenNotes.Eye (London, England) · 2022Article
- Understanding Patient Experiences, Opinions, and Actions Taken After Viewing Their Own Radiology Images Online: Web-Based Survey.JMIR formative research · 2022Article
- Factors Affecting Patient and Physician Engagement in Remote Health Care for Heart Failure: Systematic Review.JMIR cardio · 2022Review
- Electronic Health Records and Heart Failure.Heart failure clinics · 2022Review
- The Experience and Satisfaction of Physicians with Electronic Health Systems in Healthcare Establishments in Jazan, Saudi Arabia.Journal of multidisciplinary healthcare · 2022Article
- Prevalence and Factors Associated with Patient-Requested Corrections to the Medical Record through Use of a Patient Portal: Findings from a National Survey.Applied clinical informatics · 2022Article
31 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of this study was to evaluate the experiences of patients and physicians in a clinical trial of an online electronic medical record (SPPARO, System Providing Patients Access to Records Online).
designQuantitative data were obtained from questionnaires. Qualitative data were obtained from individual interviews and focus groups. MEASUREMENTS: Questionnaire items were based on issues identified by patients and physicians in previous studies. Individual interviews and focus groups were performed using a semistructured format developed through an iterative process.
resultsOf the eight physicians who participated in the trial, seven completed questionnaires and interviews. Of the 394 patients in the practice, 107 enrolled in the study, and 54 were assigned randomly to the intervention group. Of these, 41 used SPPARO during the trial period. In questionnaires and interviews, patients were significantly more likely than physicians to anticipate benefits of SPPARO and less likely to anticipate problems. Attitudes of subjects did not diverge from controls after the intervention period. In posttrial focus groups, SPPARO users described its practical benefits. Comprehending medical jargon was a minor obstacle. Physicians anticipated that implementing SPPARO might increase their workload and distort their clinical interactions. In posttrial interviews, physicians and staff reported no change in their workload and no adverse consequences. All of the physicians ultimately supported the concept of giving patients online access to their clinical notes and test results.
conclusionSPPARO was useful for a number of patients. Physicians initially voiced a number of concerns about implementing SPPARO, but their experience with it was far more positive.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.