ArticleJournal of medical Internet research2015
The wired patient: patterns of electronic patient portal use among patients with cardiac disease or diabetes.
Article in Journal of medical Internet research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.
What it found
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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
34 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Functionalities and Issues in the Implementation of Personal Health Records: Systematic Review.Journal of medical Internet research · 2021Pooled it
- Quantifying Patient Portal Use: Systematic Review of Utilization Metrics.Journal of medical Internet research · 2021Pooled 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
- An Internet-Based Intervention for Cardiovascular Disease Management Integrated With Primary Care Electronic Health Records: Mixed Methods Evaluation of Implementation Fidelity and User Engagement.Journal of medical Internet research · 2021Trial
- Extending access to a web-based mental health intervention: who wants more, what happens to use over time, and is it helpful? Results of a concealed, randomized controlled extension study.BMC psychiatry · 2019Trial
- How Cancer Patients Use and Benefit from an Interactive Cancer Communication System.Journal of health communication · 2017Trial
- Examination of the Effects of an Intervention Aiming to Link Patients Receiving Addiction Treatment With Health Care: The LINKAGE Clinical Trial.JAMA psychiatry · 2016Trial
- Article
- Wearable Devices, Health Care Use, and Psychological Well-Being in Patients With Atrial Fibrillation.Journal of the American Heart Association · 2024Article
- Patterns of digital health access and use among US adults: A latent class analysis.BMC digital health · 2024Article
- Patient Portals as Facilitators of Engagement in Patients With Diabetes and Chronic Heart Disease: Scoping Review of Usage and Usability.Journal of medical Internet research · 2023Article
- Personas for Better Targeted eHealth Technologies: User-Centered Design Approach.JMIR human factors · 2022Article
- Outpatient portal use in prenatal care: differential use by race, risk, and area social determinants of health.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Characteristics of Patients and Proxy Caregivers Using Patient Portals in the Setting of Serious Illness and End of Life.Journal of palliative medicine · 2021Article
- Developing an explanatory theoretical model for engagement with a web-based mental health platform: results of a mixed methods study.BMC psychiatry · 2021Article
- Development and Validation of a Useful Taxonomy of Patient Portals Based on Characteristics of Patient Engagement.Methods of information in medicine · 2021Article
- Patient Portals: Useful for Whom and for What? A Cross-Sectional Analysis of National Survey Data.Applied clinical informatics · 2021Article
- Patient Portal Use Near the End-of-Life.Journal of general internal medicine · 2021Article
- Metrics for Outpatient Portal Use Based on Log File Analysis: Algorithm Development.Journal of medical Internet research · 2020Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundAs providers develop an electronic health record-based infrastructure, patients are increasingly using Web portals to access their health information and participate electronically in the health care process. Little is known about how such portals are actually used.
objectiveIn this paper, our goal was to describe the types and patterns of portal users in an integrated delivery system.
methodsWe analyzed 12 months of data from Web server log files on 2282 patients using a Web-based portal to their electronic health record (EHR). We obtained data for patients with cardiovascular disease and/or diabetes who had a Geisinger Clinic primary care provider and were registered "MyGeisinger" Web portal users. Hierarchical cluster analysis was applied to longitudinal data to profile users based on their frequency, intensity, and consistency of use. User types were characterized by basic demographic data from the EHR.
resultsWe identified eight distinct portal user groups. The two largest groups (41.98%, 948/2258 and 24.84%, 561/2258) logged into the portal infrequently but had markedly different levels of engagement with their medical record. Other distinct groups were characterized by tracking biometric measures (10.54%, 238/2258), sending electronic messages to their provider (9.25%, 209/2258), preparing for an office visit (5.98%, 135/2258), and tracking laboratory results (4.16%, 94/2258).
conclusionsThere are naturally occurring groups of EHR Web portal users within a population of adult primary care patients with chronic conditions. More than half of the patient cohort exhibited distinct patterns of portal use linked to key features. These patterns of portal access and interaction provide insight into opportunities for electronic patient engagement strategies.
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