ArticleJournal of medical Internet research2016
Awareness and Use of the After-Visit Summary Through a Patient Portal: Evaluation of Patient Characteristics and an Application of the Theory of Planned Behavior.
Article in Journal of medical Internet research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Quantifying Patient Portal Use: Systematic Review of Utilization Metrics.Journal of medical Internet research · 2021Pooled it
- Patient Digital Engagement With After Visit Summary in Ambulatory Care.JAMA network open · 2026Article
- After-visit and discharge summaries: a scoping review of stakeholder perspectives and experiences.BMC health services research · 2025Article
- Dental Students' Perceptions of an After-Visit Summary in an Academic Clinical Setting: Mixed-Method Approach.Journal of dental education · 2025Article
- Open Notes in Mental Health: A Scoping Review of Stakeholder Experiences and Implications for Clinical Practice.Healthcare (Basel, Switzerland) · 2025Review
- Understanding patient perception of digital value co-creation in electronic health record through clustering approach.Scientific reports · 2025Article
- Outcomes of an Emergency Department opioid alternatives Program implemented within a safety-net hospital system.BMC emergency medicine · 2025Article
- The State-of-the-Art of Patient Portals: Adapting to External Factors, Addressing Barriers, and Innovating.Applied clinical informatics · 2023Review
- Natural language processing for automated annotation of medication mentions in primary care visit conversations.JAMIA open · 2021Article
- Challenges optimizing the after visit summary.International journal of medical informatics · 2018Article
- Audio-/Videorecording Clinic Visits for Patient's Personal Use in the United States: Cross-Sectional Survey.Journal of medical Internet research · 2018Article
- Use of Expectation Disconfirmation Theory to Test Patient Satisfaction with Asynchronous Telemedicine for Diabetic Retinopathy Detection.International journal of telemedicine and applications · 2018Article
- Patient and clinician perspectives on the outpatient after-visit summary: a qualitative study to inform improvements in visit summary design.Journal of the American Medical Informatics Association : JAMIA · 2017Article
- Helpfulness of Clinical Visit Summary Content From Multi-Specialty Care: A Mixed-Methods Assessment.Health services research and managerial epidemiologyArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient portals are being used to provide a clinical summary of the office visit or the after-visit summary (AVS) to patients. There has been relatively little research on the characteristics of patients who access the AVS through a patient portal and their beliefs about the AVS.
objectiveThe aim was to (1) assess the characteristics of patients who are aware of and access the AVS through a patient portal and (2) apply the Theory of Planned Behavior (TPB) to predict behavioral intention of patients toward accessing the AVS provided through a patient portal.
methodsWe developed a survey capturing the components of TPB (beliefs, attitude, perceived norm, and perceived behavioral control). Over a 6-month period, patients with a patient portal account with an office visit in the previous week were identified using our organization's scheduling system. These patients were sent an email about the study and a link to the survey via their portal account. We applied univariate statistical analysis (Pearson chi-square and 1-way ANOVA) to assess differences among groups (aware/unaware of AVS and accessed/did not access AVS). We reported means and standard deviations to depict belief strengths and presented correlations between beliefs and attitude, perceived norm, and perceived behavioral control. We used hierarchical regression analysis to predict behavioral intention toward accessing the AVS through the patient portal.
resultsOf the 23,336 patients who were sent the survey, 5370 responded for a response rate of 23.01%. Overall, 76.52% (4109/5370) were aware that the AVS was available through the patient portal and 54.71% of those (2248/4109) accessed the AVS within 5 days of the office visit. Patients who accessed the AVS had a greater number of sessions with the portal (mean 119, SD 221.5) than those who did not access the AVS (mean 79.1, SD 123.3, P<.001); the difference was not significant for awareness of the AVS. The strongest behavioral beliefs with accessing the AVS were being able to track visits and tests (mean 2.53, SD 1.00) followed by having medical information more readily accessible (mean 2.48, SD 1.07). In all, 56.7% of the variance in intention to access the AVS through the portal was accounted for by attitude, perceived norm, and perceived behavioral control.
conclusionsMost users of a patient portal were aware that the AVS was accessible through the portal. Patients had stronger beliefs about accessing the AVS with the goal of timely and efficient access of information than with engaging in their health care. Interventions to improve patient access of the AVS can focus on providers promoting patient beliefs about the value of the AVS for tracking tests and visits, and timely and efficient access of information.
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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.