Evidence map›Paper›PMID 24673997›Full record

ArticleBMC musculoskeletal disorders2014

Impact of patient-accessible electronic medical records in rheumatology: use, satisfaction and effects on empowerment among patients.

Rosalie van der Vaart, Constance H C Drossaert, Erik Taal, K Wiepke Drossaers-Bakker, Harald E Vonkeman, Mart A F J van de Laar

Abstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 5 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

40 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Article
  7. Observational
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  14. The Impact of Patient Access to Their Electronic Health Record on Medication Management Safety: A Narrative Review.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2022
    Review
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  19. Article
  20. Psychosocial Factors Are Associated with Electronic Portal Registration.Clinical orthopaedics and related research · 2020
    Article
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

6 authors.

Rosalie van der VaartDepartment of Psychology, Health & Technology, University of Twente, Citadel H423, P,O, Box 217 7500 AE, Enschede, The Netherlands. r.vandervaart@fsw.leidenuniv.nl.
Constance H C Drossaert
Erik Taal
K Wiepke Drossaers-Bakker
Harald E Vonkeman
Mart A F J van de Laar

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo measure the use, satisfaction and impact of a web portal which provides patients with rheumatoid arthritis home access to their electronic medical records (EMR).

methodsA pretest-posttest study was conducted among 360 patients. Questionnaires assessed socio-demographics, health literacy, Internet use, disease characteristics, patient-provider relationship and empowerment before and after launching a hospital-based patient web portal. To measure the impact of the portal, patients' satisfaction with care, trust in their rheumatologist, self-efficacy in patient-provider communication, illness perceptions, and medication adherence were assessed. The post-test included questions on portal use, satisfaction, and self-perceived impact due to portal use.

results54% of respondents with Internet access had viewed their EMR. Respondents were positive about the ease of use and usefulness of the portal and reported very few problems. Age (P = .03), amount of Internet use (P = .01) and self-perceived Internet skills (P = .03) significantly predicted portal use. Of the respondents who had logged in, 44% reported feeling more involved in their treatment and 37% felt they had more knowledge about their treatment. Significant differences over time were not found on the empowerment-related instruments.

conclusionsThe current portal succeeded in offering patients access to their EMR in a usable and understandable way. While its true impact is difficult to grasp, a relevant portion of the patients felt more involved in their treatment due to the web portal. Offering patients home EMR access, therefore, appears to be a valuable addition to the care process.

Indexed as

Electronic Health RecordsPatient Access to RecordsPatient SatisfactionPower, PsychologicalAgedArthritis, RheumatoidFemaleHealth LiteracyHumansInternetMaleMedication AdherenceMiddle AgedPatient ParticipationPhysician-Patient RelationsRheumatology

Identifiers

PMID24673997
PMCPMC3986693

What OpenQuestion holds

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Registered trials

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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.