SynthesisJournal of medical Internet research2018
The Impact of Patient Online Access to Computerized Medical Records and Services on Type 2 Diabetes: Systematic Review.
Synthesis in Journal of medical Internet research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled 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.
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
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Adult patient access to electronic health records.The Cochrane database of systematic reviews · 2021Pooled it
- The State of Evidence in Patient Portals: Umbrella Review.Journal of medical Internet research · 2020Pooled it
- The impact of eHealth on relationships and trust in primary care: a review of reviews.BMC primary care · 2023Review
- An Assessment of Patient Portal Messaging Use by Patients With Multiple Chronic Conditions Living in Rural Communities: Retrospective Analysis.Journal of medical Internet research · 2023Article
- Unintended consequences of patient online access to health records: a qualitative study in UK primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- 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
- COVID-19 and beyond: virtual consultations in primary care-reflecting on the evidence base for implementation and ensuring reach: commentary article.BMJ health & care informatics · 2021Article
- Capturing the Impact of Patient Portals Based on the Quadruple Aim and Benefits Evaluation Frameworks: Scoping Review.Journal of medical Internet research · 2020Article
- A Comparative Analysis of Online Medical Record Utilization and Perception by Cancer Survivorship.Medical care · 2020Article
- Electronic Consultation in Primary Care Between Providers and Patients: Systematic Review.JMIR medical informatics · 2019Review
- Social Media Content Analysis of Public Diabetes Facebook Groups.Journal of diabetes science and technology · 2019Article
- Article
- Online Health Information Seeking Behaviors Among People With Diabetes: A Scoping Review.SAGE open nursingReview
- Article
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOnline access to computerized medical records has the potential to improve convenience, satisfaction, and care for patients, and to facilitate more efficient organization and delivery of care.
objectiveThe objective of this review is to explore the use and impact of having online access to computerized medical records and services for patients with type 2 diabetes mellitus in primary care.
methodsMultiple international databases including Medline, Embase, CINAHL, PsycINFO and the Cochrane Library were searched between 2004 and 2016. No limitations were placed on study design, though we applied detailed inclusion and exclusion criteria to each study. Thematic analysis was used to synthesize the evidence. The Mixed Methods Appraisal Toolkit was used to appraise study quality.
resultsA search identified 917 studies, of which 28 were included. Five themes were identified: (1) disparities in uptake by age, gender, ethnicity, educational attainment, and number of comorbidities, with young men in full-time employment using these services most; (2) improved health outcomes: glycemic control was improved, but blood pressure results were mixed; (3) self-management support from improved self-care and shared management occurred especially soon after diagnosis and when complications emerged. There was a generally positive effect on physician-patient relationships; (4) accessibility: patients valued more convenient access when online access to computerized medical records and services work; and (5) technical challenges, barriers to use, and system features that impacted patient and physician use. The Mixed Methods Appraisal Toolkit rated 3 studies as 100%, 19 studies as 75%, 4 studies as 50%, and 1 study scored only 25%.
conclusionsPatients valued online access to computerized medical records and services, although in its current state of development it may increase disparities. Online access to computerized medical records appears to be safe and is associated with improved glycemic control, but there was a lack of rigorous evidence in terms of positive health outcomes for other complications, such as blood pressure. Patients remain concerned about how these systems work, the rules, and timeliness of using these systems.
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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.