Evidence map›Paper›PMID 29300961›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2018

Patient portal use and hospital outcomes.

Adrian G Dumitrascu, M Caroline Burton, Nancy L Dawson, Colleen S Thomas, Lisa M Nordan, Hope E Greig, Duaa I Aljabri, James M Naessens

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  18. Exploring the Digital Divide: Age and Race Disparities in Use of an Inpatient Portal.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2020
    Article
  19. Designing Inpatient Portals to Support Patient Agency and Dynamic Hospital Experiences.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2020
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  20. Review
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.

Adrian G DumitrascuDepartment of Medicine, Division of General Internal Medicine, Mayo Clinic, Jacksonville, FL, USA.
M Caroline BurtonDepartment of Medicine, Division of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Nancy L DawsonDepartment of Medicine, Division of Hospital Internal Medicine, Mayo Clinic, Jacksonville, FL, USA.
Colleen S ThomasDepartment of Health Sciences Research, Division of Biomedical Statistics and Informatics, Mayo Clinic, Jacksonville, FL, USA.
Lisa M NordanRobert D and Patricia E Kern Center for Science of Health Care Delivery, Mayo Clinic, Jacksonville, FL, USA.
Hope E GreigAdministration, Mayo Clinic, Jacksonville, FL, USA.
Duaa I AljabriRobert D and Patricia E Kern Center for Science of Health Care Delivery, Mayo Clinic, Jacksonville, FL, USA.
James M NaessensRobert D and Patricia E Kern Center for Science of Health Care Delivery, Mayo Clinic, Jacksonville, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To determine whether use of a patient portal during hospitalization is associated with improvement in hospital outcomes, 30-day readmissions, inpatient mortality, and 30-day mortality. Materials and Methods: We performed a retrospective propensity score-matched study that included all adult patients admitted to Mayo Clinic Hospital in Jacksonville, Florida, from August 1, 2012, to July 31, 2014, who had signed up for a patient portal account prior to hospitalization (N = 7538). Results: Out of the admitted patients with a portal account, 1566 (20.8%) accessed the portal while in the hospital. Compared to patients who did not access the portal, patients who accessed the portal were younger (58.8 years vs 62.3 years), had fewer elective admissions (54.2% vs 64.1%), were more frequently admitted to medical services (45.8% vs 35.2%), and were more likely to have liver disease (21.9% vs 12.9%) and higher disease severity scores (0.653 vs 0.456). After propensity score matching, there was no statistically significant difference between the 2 cohorts with respect to 30-day readmission (P = .13), inpatient mortality (P = .82), or 30-day mortality (P = .082). Conclusion: Use of the patient portal in the inpatient setting may not improve hospital outcomes. Future research should examine the association of portal use with more immediate inpatient health outcomes such as patient experience, patient engagement, medication reconciliation, and prevention of adverse events.

Indexed as

HospitalizationMortalityPatient PortalsTreatment OutcomeAdultAgedElectronic Health RecordsFemaleFloridaHospital MortalityHumansMaleMiddle AgedPatient Access to RecordsPatient ReadmissionPropensity Score

Identifiers

PMID29300961
PMCPMC7647026

What OpenQuestion holds

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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.