Evidence map›Paper›PMID 23183044›Full record

SynthesisJournal of medical Internet research2012

The impact of electronic patient portals on patient care: a systematic review of controlled trials.

Elske Ammenwerth, Petra Schnell-Inderst, Alexander Hoerbst

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of medical Internet research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 203 papers, 19 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
203citing papers in PubMed, 19 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

203 citing papers in PubMed, 19 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Digital Patient Experience: Umbrella Systematic Review.Journal of medical Internet research · 2022
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  4. Adult patient access to electronic health records.The Cochrane database of systematic reviews · 2021
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  8. The State of Evidence in Patient Portals: Umbrella Review.Journal of medical Internet research · 2020
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  14. What do we know about developing patient portals? a systematic literature review.Journal of the American Medical Informatics Association : JAMIA · 2016
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  20. Trial

143 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Elske AmmenwerthInstitute of Health Informatics, UMIT - University for Health Sciences, Medical Informatics and Technology, Hall in Tyrol, Austria.
Petra Schnell-Inderst
Alexander Hoerbst

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundModern information technology is changing and provides new challenges to health care. The emergence of the Internet and the electronic health record (EHR) has brought new opportunities for patients to play a more active role in his/her care. Although in many countries patients have the right to access their clinical information, access to clinical records electronically is not common. Patient portals consist of provider-tethered applications that allow patients to electronically access health information that are documented and managed by a health care institution. Although patient portals are already being implemented, it is still unclear in which ways these technologies can influence patient care.

objectiveTo systematically review the available evidence on the impact of electronic patient portals on patient care.

methodsA systematic search was conducted using PubMed and other sources to identify controlled experimental or quasi-experimental studies on the impact of patient portals that were published between 1990 and 2011. A total of 1,306 references from all the publication hits were screened, and 13 papers were retrieved for full text analysis.

resultsWe identified 5 papers presenting 4 distinct studies. There were no statistically significant changes between intervention and control group in the 2 randomized controlled trials investigating the effect of patient portals on health outcomes. Significant changes in the patient portal group, compared to a control group, could be observed for the following parameters: quicker decrease in office visit rates and slower increase in telephone contacts; increase in number of messages sent; changes of the medication regimen; and better adherence to treatment.

conclusionsThe number of available controlled studies with regard to patient portals is low. Even when patient portals are often discussed as a way to empower patients and improve quality of care, there is insufficient evidence to support this assumption.

Indexed as

Health Records, PersonalInternetPatient CareControlled Clinical Trials as TopicHumansPatient CompliancePatient SatisfactionPhysician-Patient Relations

Identifiers

PMID23183044
PMCPMC3510722

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.