Evidence map›Paper›PMID 23978618›Full record

ArticleJournal of medical Internet research2013

Consumers' perceptions of patient-accessible electronic medical records.

Christina Zarcadoolas, Wendy L Vaughon, Sara J Czaja, Joslyn Levy, Maxine L Rockoff

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 8 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

70 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  4. Interventions to increase patient portal use in vulnerable populations: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019
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  12. Chatbot To Help Patients Understand Their Health.Proceedings of the Conference on Empirical Methods in Natural Language Processing. Conference on Empirical Methods in Natural Language Processing · 2025
    Article
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  15. A holistic view of facilitators and barriers of electronic health records usage from different perspectives: A qualitative content analysis approach.Health information management : journal of the Health Information Management Association of Australia · 2024
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10 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

5 authors.

Christina ZarcadoolasCUNY School of Public Health at Hunter College, New York, NY, USA. czarcado@hunter.cuny.edu
Wendy L Vaughon
Sara J Czaja
Joslyn Levy
Maxine L Rockoff

Funding

Developing Evidence-Based Guidelines for Patient-Accessible Medical RecordR21CA133487 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI ZARCADOOLAS, CHRISTINA · 2010 to 2011
$401k
NCI NIH HHS R21 CA133487NCI NIH HHS R21CA133487
6 · The paper itself

Abstract

backgroundElectronic health information (eHealth) tools for patients, including patient-accessible electronic medical records (patient portals), are proliferating in health care delivery systems nationally. However, there has been very limited study of the perceived utility and functionality of portals, as well as limited assessment of these systems by vulnerable (low education level, racial/ethnic minority) consumers.

objectiveThe objective of the study was to identify vulnerable consumers' response to patient portals, their perceived utility and value, as well as their reactions to specific portal functions.

methodsThis qualitative study used 4 focus groups with 28 low education level, English-speaking consumers in June and July 2010, in New York City.

resultsParticipants included 10 males and 18 females, ranging in age from 21-63 years; 19 non-Hispanic black, 7 Hispanic, 1 non-Hispanic White and 1 Other. None of the participants had higher than a high school level education, and 13 had less than a high school education. All participants had experience with computers and 26 used the Internet. Major themes were enhanced consumer engagement/patient empowerment, extending the doctor's visit/enhancing communication with health care providers, literacy and health literacy factors, improved prevention and health maintenance, and privacy and security concerns. Consumers were also asked to comment on a number of key portal features. Consumers were most positive about features that increased convenience, such as making appointments and refilling prescriptions. Consumers raised concerns about a number of potential barriers to usage, such as complex language, complex visual layouts, and poor usability features.

conclusionsMost consumers were enthusiastic about patient portals and perceived that they had great utility and value. Study findings suggest that for patient portals to be effective for all consumers, portals must be designed to be easy to read, visually engaging, and have user-friendly navigation.

Indexed as

Access to InformationAttitudeCommunity ParticipationMedical Records Systems, ComputerizedAdultFemaleFocus GroupsHumansMaleMiddle AgedYoung Adultelectronic medical recordEMRhealth literacypatient portalusability

Identifiers

PMID23978618
PMCPMC3758049

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.