Evidence map›Paper›PMID 27357830›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2017

Acute care patient portals: a qualitative study of stakeholder perspectives on current practices.

Sarah A Collins, Ronen Rozenblum, Wai Yin Leung, Constance Rc Morrison, Diana L Stade, Kelly McNally, Patricia Q Bourie, Anthony Massaro, Seth Bokser, Cindy Dwyer and 4 more

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 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

38 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. A randomized controlled trial to improve engagement of hospitalized patients with their patient portals.Journal of the American Medical Informatics Association : JAMIA · 2018
    Trial
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Use and impact of an online community for hospital patients.Journal of the American Medical Informatics Association : JAMIA · 2020
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Patient Perspectives on Advance Care Planning via a Patient Portal.The American journal of hospice & palliative care · 2019
    Article
  19. Is research on patient portals attuned to health equity? A scoping review.Journal of the American Medical Informatics Association : JAMIA · 2019
    Article
  20. 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

14 authors.

Sarah A CollinsPartners Healthcare System, Wellesley, Massachusetts.
Ronen RozenblumBrigham and Women's Hospital, Boston, Massachusetts.
Wai Yin LeungBrigham and Women's Hospital, Boston, Massachusetts.
Constance Rc MorrisonBrigham and Women's Hospital, Boston, Massachusetts.
Diana L StadeBrigham and Women's Hospital, Boston, Massachusetts.
Kelly McNallyBrigham and Women's Hospital, Boston, Massachusetts.
Patricia Q BourieBeth Israel Deaconess Medical Center, Boston, Massachusetts.
Anthony MassaroBrigham and Women's Hospital, Boston, Massachusetts.
Seth BokserUniversity of California, San Francisco.
Cindy DwyerJohns Hopkins Medical Center, Baltimore, Maryland.
Ryan S GreysenUniversity of California, San Francisco.
Priyanka AgarwalUniversity of California, San Francisco.
Kevin ThorntonUniversity of California, San Francisco.
Anuj K DalalBrigham and Women's Hospital, Boston, Massachusetts.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe current practices and stakeholder perspectives of patient portals in the acute care setting. We aimed to: (1) identify key features, (2) recognize challenges, (3) understand current practices for design, configuration, and use, and (4) propose new directions for investigation and innovation. MATERIALS AND

methodsMixed methods including surveys, interviews, focus groups, and site visits with stakeholders at leading academic medical centers. Thematic analyses to inform development of an explanatory model and recommendations.

resultsSite surveys were administered to 5 institutions. Thirty interviews/focus groups were conducted at 4 site visits that included a total of 84 participants. Ten themes regarding content and functionality, engagement and culture, and access and security were identified, from which an explanatory model of current practices was developed. Key features included clinical data, messaging, glossary, patient education, patient personalization and family engagement tools, and tiered displays. Four actionable recommendations were identified by group consensus. DISCUSSION: Design, development, and implementation of acute care patient portals should consider: (1) providing a single integrated experience across care settings, (2) humanizing the patient-clinician relationship via personalization tools, (3) providing equitable access, and (4) creating a clear organizational mission and strategy to achieve outcomes of interest.

conclusionPortals should provide a single integrated experience across the inpatient and ambulatory settings. Core functionality includes tools that facilitate communication, personalize the patient, and deliver education to advance safe, coordinated, and dignified patient-centered care. Our findings can be used to inform a "road map" for future work related to acute care patient portals.

Indexed as

Access to InformationComputer SecurityFocus GroupsHealth Information InteroperabilityHumansInterviews as TopicPatient-Centered CarePatient PortalsProfessional-Patient RelationsQualitative ResearchStakeholder ParticipationSurveys and Questionnairesacute carepatient-centered carepatient engagementpatient portal

Identifiers

PMID27357830
PMCPMC7651924

What OpenQuestion holds

Textmetadata
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.