ArticleAcademic pathology
Activation and Utilization of an Electronic Health Record Patient Portal at an Academic Medical Center-Impact of Patient Demographics and Geographic Location.
Article in Academic pathology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis 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
25 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
- The Impact of Social Drivers of Health on Patient Portal Utilization for Total Joint Arthroplasty Patients: A Qualitative Study.Arthroplasty today · 2026Article
- Descriptive Analysis and Postoperative Surgical Complications of Ankylosing Spondylitis and Diffuse Idiopathic Skeletal Hyperostosis Patients at a Midwest Tertiary Referral Center.The Iowa orthopaedic journal · 2026Article
- Mobile phone infrastructure provides evidence of improved HIV viral load monitoring in Malawi.PLOS digital health · 2026Article
- Quality Improvement Initiative to Implement Anxiety Screening for Children and Teens With Headache and Epilepsy.Neurology. Clinical practice · 2025Article
- Uptake and user characteristics of MyChart within a Canadian community hospital with a diverse patient population: A comparative study.PLOS digital health · 2025Article
- Implementation and Retrospective Examination of a Lung Cancer Survivorship Clinic in a Comprehensive Cancer Center.Clinical lung cancer · 2025Article
- Insights and Trends in Open Note Access: Retrospective Observational Study.Journal of medical Internet research · 2024Observational
- Individual Factors That Affect Laypeople's Understanding of Definitions of Medical Jargon.Health policy and technology · 2024Article
- Patient and care partner assessments of diagnostic excellence in the emergency department: A cognitive interview study.International journal of nursing studies advances · 2023Article
- 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
- Clinic follow-up of orthopaedic trauma patients during and after the post-surgical global period: a retrospective cohort study.BMC musculoskeletal disorders · 2023Article
- Review of glaucoma medication adherence monitoring in the digital health era.The British journal of ophthalmology · 2023Review
- eHealth Literacy and Patient Portal Use and Attitudes: Cross-sectional Observational Study.JMIR human factors · 2023Article
- Impact of a switch to immediate release on the patient viewing of diagnostic test results in an online portal at an academic medical center.Journal of pathology informatics · 2023Article
- Characteristics of Adult Primary Care Patients Who Use the Patient Portal: A Cross-Sectional Analysis.Applied clinical informatics · 2022Article
- Midwest rural-urban disparities in use of patient online services for COVID-19.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022Article
- Pain points in parents' interactions with newborn screening systems: a qualitative study.BMC pediatrics · 2022Article
- Racial Differences in Patient Portal Activation and Research Enrollment Among Patients With Prostate Cancer.JCO clinical cancer informatics · 2021Article
- Electronic patient portal utilization by neurology patients and association with outcomes.Health informatics journal · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The advent of the online electronic health record patient portal has provided an efficient and practical means for patients to become more involved in their health care. In this report, we analyze how demographic variables such as age, gender, race, and geographic location affect patient portal activation and usage at the University of Iowa Hospitals and Clinics, the sole academic medical center in the state of Iowa, a predominantly rural state. Our primary end points were activation of the patient portal (MyChart, Epic, Inc) and access of outpatient laboratory and radiology results, among the most commonly accessed and popular features of the patient portal. We thus analyzed data from 536 378 patients to determine rates of patient portal activation and data from 219 671 patient encounters to determine the frequency at which patients access their online diagnostic test results. Higher rates of patient portal activation and usage were associated with female gender, Caucasians/non-underrepresented minorities, geographic location in closer proximity to the medical center (Iowa City and neighboring cities/suburbs), and nonelderly adults. For underrepresented minority and rural patients, opportunities for improvement exist for both activation and more robust use of online patient portal accounts. Overall, these data highlight existing disparities with online patient portal usage and provide a base on which further studies and interventions can help to improve utilization of 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.