ArticleDiabetes care2010
Use of a shared medical record with secure messaging by older patients with diabetes.
Article in Diabetes care, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 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
40 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- 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
- The Impact of Patient Online Access to Computerized Medical Records and Services on Type 2 Diabetes: Systematic Review.Journal of medical Internet research · 2018Pooled it
- Patient ability and willingness to participate in a web-based intervention to improve hypertension control.Journal of medical Internet research · 2011Trial
- A Randomized Trial to Train Vulnerable Primary Care Patients to Use a Patient Portal.Journal of the American Board of Family Medicine : JABFMTrial
- Clinical Digital Health Engagement and Psychological Distress Among Adults.JAMA network open · 2026Article
- A scoping review of studies on secure messaging through patient portals: persistent challenges and potential solutions.npj health systems · 2026Article
- Digital Health Technology Use Among Spanish Speakers in the US: A Scoping Review.JAMA network open · 2025Article
- An Assessment of Patient Portal Messaging Use by Patients With Multiple Chronic Conditions Living in Rural Communities: Retrospective Analysis.Journal of medical Internet research · 2023Article
- A Multi-Level Analysis of Individual and Neighborhood Factors Associated with Patient Portal Use among Adult Emergency Department Patients with Multimorbidity.International journal of environmental research and public health · 2023Article
- Digital Facilitation to Support Patient Access to Web-Based Primary Care Services: Scoping Literature Review.Journal of medical Internet research · 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
- Utility, Value, and Benefits of Contemporary Personal Health Records: Integrative Review and Conceptual Synthesis.Journal of medical Internet research · 2021Review
- Secure Messaging Through PositiveLinks: Examination of Electronic Communication in a Clinic-Affiliated Smartphone App for Patients Living with HIV.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 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
- Understanding Secure Messaging in the Inpatient Environment: A New Avenue for Communication and Patient Engagement.Applied clinical informatics · 2018Observational
- 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
- Patient Portal Use and Experience Among Older Adults: Systematic Review.JMIR medical informatics · 2017Article
- An analysis of patient-provider secure messaging at two Veterans Health Administration medical centers: message content and resolution through secure messaging.Journal of the American Medical Informatics Association : JAMIA · 2017Article
- Access to Electronic Personal Health Records Among Patients With Multiple Chronic Conditions: A Secondary Data Analysis.Journal of medical Internet research · 2017Article
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.
Funding
Abstract
objectiveEvaluate use of a web-based shared medical record (SMR) between older patients with diabetes and providers. RESEARCH DESIGN AND
methodsThis was a retrospective cohort study. Health records and SMR use patterns of 6,185 enrollees aged ≥65 years with diabetes were analyzed from implementation of a SMR in August 2003 through December 2007. We analyzed baseline predictors of age, sex, distance from clinic, socioeconomic status, insulin use, morbidity, and associated primary care provider's (PCP) secure messaging use on patients' initial and subsequent use of the SMR. Changes in morbidity, PCP, or diabetes treatment were evaluated for impact on outcomes.
resultsA total of 32.2% of enrollees used the SMR; median rate was 1.02 user-days/month. Numbers of users and rate of use continued to increase. In adjusted analyses, likelihood of SMR use was associated with younger age, male sex, and higher socioeconomic status neighborhood, as well as clinical characteristics of overall morbidity and assigned PCP's use of secure messaging. Initial SMR use was more likely within 3 months of an increase in morbidity (hazard ratio 1.61, 95% CI 1.28-2.01) and within 1 month of changing to a PCP with higher use (3.02, 1.66-5.51).
conclusionsFour years after implementation, one-third of older individuals with diabetes had used the web-based SMR. Higher morbidity predicted initial and continued use of SMR services. Providers' use of the communication feature was associated with higher likelihood of SMR engagement by their patients. Web-based SMRs may be an effective form of non-visit-based health care for older individuals with diabetes.
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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.