ArticleJournal of general internal medicine2008
Interest in the use of computerized patient portals: role of the provider-patient relationship.
Article in Journal of general internal medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 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
42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 133 citations in OpenAlex.
- Barriers to patient, provider, and caregiver adoption and use of electronic personal health records in chronic care: a systematic review.BMC medical informatics and decision making · 2020Pooled it
- Patient and provider attitudes toward the use of patient portals for the management of chronic disease: a systematic review.Journal of medical Internet research · 2015Pooled it
- Patient web portals to improve diabetes outcomes: a systematic review.Current diabetes reports · 2010Pooled it
- Article
- The Annual Wellness Visit Health Risk Assessment: Potential of Patient Portal-Based Completion and Patient-Oriented Education and Support.Innovation in aging · 2024Article
- Article
- Patients' Perspectives About Factors Affecting Their Use of Electronic Personal Health Records in England: Qualitative Analysis.Journal of medical Internet research · 2021Article
- Probing Patient Messages Enhanced by Natural Language Processing: A Top-Down Message Corpus Analysis.Health data science · 2021Article
- The Promise of Patient Portals for Individuals Living With Chronic Illness: Qualitative Study Identifying Pathways of Patient Engagement.Journal of medical Internet research · 2020Article
- The Impact of Portal Satisfaction on Portal Use and Health-Seeking Behavior: Structural Equation Analysis.Journal of medical Internet research · 2020Article
- A Comparison of Electronic Patient-Portal Use Among Patients with Resident and Attending Primary Care Providers.Journal of general internal medicine · 2018Article
- Patient Portal Use in Diabetes Management: Literature Review.JMIR diabetes · 2018Review
- Diabetes care providers' opinions and working methods after four years of experience with a diabetes patient web portal; a survey among health care providers in general practices and an outpatient clinic.BMC family practice · 2018Article
- Update on Electronic Dental Record and Clinical Computing Adoption Among Dental Practices in the United States.Clinical medicine & research · 2017Article
- Patient Portal Utilization Among Ethnically Diverse Low Income Older Adults: Observational Study.JMIR medical informatics · 2017Article
- eHealth patient-provider communication in the United States: interest, inequalities, and predictors.Journal of the American Medical Informatics Association : JAMIA · 2017Article
- Online patient websites for electronic health record access among vulnerable populations: portals to nowhere?Journal of the American Medical Informatics Association : JAMIA · 2017Article
- Implementation of a Reverse Colocation Model: Lessons from Two Community Behavioral Health Agencies in Rural Pennsylvania.The journal of behavioral health services & research · 2016Article
- Rapid growth in surgeons' use of secure messaging in a patient portal.Surgical endoscopy · 2016Article
- Barriers and Facilitators to Online Portal Use Among Patients and Caregivers in a Safety Net Health Care System: A Qualitative Study.Journal of medical Internet research · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundBioinformatics experts are developing interactive patient portals to help those living with diabetes and other chronic diseases to better manage their conditions. However, little is known about what influences patients' desires to use this technology.
objectiveTo discern the impact of the provider-patient relationship on interest in using a web-based patient portal.
designQualitative analysis of focus groups.
participantsTen focus groups involving 39 patients (range 2-7) recruited from four primary care practices. APPROACH: A qualitative approach was used, which involved reading transcribed texts until a consensus was reached on data interpretation. An intercoder reliability kappa score (0.89) was determined by comparing the provider-patient relationship talk selected by the two coders. A conceptual framework was developed, which involved the development and refinement of a codebook and the application of it to the transcripts.
resultsInterest in the portal was linked to dissatisfaction with the provider-patient relationship, including dissatisfaction with provider communication/responsiveness, the inability to obtain medical information, and logistical problems with the office. Disinterest in the portal was linked to satisfaction with the provider-patient relationship, including provider communication/responsiveness, difficulty in using the portal, and fear of losing relationships and e-mail contact with the provider. No patient identified encrypted e-mail communication through the portal as an advantage.
conclusionsPromoting the use of computerized portals requires patient-based adaptations. These should include ease of use, direct provider e-mail, and reassurances that access and interpersonal relationships will not be lost. Education is needed about privacy concerns regarding traditional e-mail communication.
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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.