Evidence map›Paper›PMID 27653854›Full record

ArticleBMC medical informatics and decision making2016

Patients' and healthcare providers' perceptions of a mobile portal application for hospitalized patients.

Kevin J O'Leary, Rashmi K Sharma, Audrey Killarney, Lyndsey S O'Hara, Mary E Lohman, Eckford Culver, David M Liebovitz, Kenzie A Cameron

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. A randomized controlled trial to improve engagement of hospitalized patients with their patient portals.Journal of the American Medical Informatics Association : JAMIA · 2018
    Trial
  7. Review
  8. Physicians' Perspectives on Inpatient Portals: Systematic Review.Interactive journal of medical research · 2022
    Review
  9. Full Radiology Report through Patient Web Portal: A Literature Review.International journal of environmental research and public health · 2020
    Review
  10. Article
  11. Helping clinicians and patients navigate electronic patient portals: ethical and legal principles.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. Implementation of acute care patient portals: recommendations on utility and use from six early adopters.Journal of the American Medical Informatics Association : JAMIA · 2018
    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

8 authors.

Kevin J O'LearyDivision of Hospital Medicine, Northwestern University Feinberg School of Medicine, 211 E. Ontario Street, Suite 211, Chicago, IL, 60611, USA. keoleary@nm.org.
Rashmi K SharmaDivision of General Internal Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Audrey KillarneyDivision of Hospital Medicine, Northwestern University Feinberg School of Medicine, 211 E. Ontario Street, Suite 211, Chicago, IL, 60611, USA.
Lyndsey S O'HaraDivision of Hospital Medicine, Northwestern University Feinberg School of Medicine, 211 E. Ontario Street, Suite 211, Chicago, IL, 60611, USA.
Mary E LohmanDivision of Hospital Medicine, Northwestern University Feinberg School of Medicine, 211 E. Ontario Street, Suite 211, Chicago, IL, 60611, USA.
Eckford CulverNorthwestern Memorial HealthCare, Chicago, IL, USA.
David M LiebovitzDivision of General Internal Medicine, University of Chicago Medicine, Chicago, IL, USA.
Kenzie A CameronDivision of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospital-based patient portals have the potential to better inform and engage patients in their care. We sought to assess patients' and healthcare providers' perceptions of a hospital-based portal and identify opportunities for design enhancements.

methodsWe developed a mobile patient portal application including information about the care team, scheduled tests and procedures, and a list of active medications. Patients were offered use of tablet computers, with the portal application, during their hospitalization. We conducted semi-structured interviews of patients and provider focus groups. Text from transcribed interviews and focus groups was independently coded by two investigators using a constant comparative approach. Codes were reviewed by a third investigator and discrepancies resolved via consensus.

resultsOverall, 18 patients completed semi-structured interviews and 21 providers participated in three focus groups. Patients found information provided by the portal to be useful, especially regarding team members and medications. Many patients described frequent use of games and non-clinical applications and felt the tablet helped them cope with their acute illness. Patients expressed a desire for additional detail about medications, test results, and the ability to record questions. Providers felt the portal improved patient engagement, but worried that additional features might result in a volume and complexity of information that could be overwhelming for patients. Providers also expressed concern over an enhanced portal's impact on patient-provider communication and workflow.

conclusionsOptimizing a hospital-based patient portal will require attention to type, timing and format of information provided, as well as the impact on patient-provider communication and workflow.

Indexed as

Hospitalized patientPatient-centered carePatient engagementPatient portalPersonal health record

Identifiers

PMID27653854
PMCPMC5031299

What OpenQuestion holds

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LicenceCC BY
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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.