ArticleThe American journal of managed care2018
Patients' adoption of and feature access within electronic patient portals.
Article in The American journal of managed care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
What it found
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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
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Functionalities and Issues in the Implementation of Personal Health Records: Systematic Review.Journal of medical Internet research · 2021Pooled it
- Opportunities and Challenges When Using the Electronic Health Record for Practice-Integrated Patient-Facing Interventions: The e-Assist Colon Health Randomized Trial.Medical decision making : an international journal of the Society for Medical Decision Making · 2022Trial
- Patient Portal Usage and Outcomes Among Adult Patients with Uncontrolled Asthma.The journal of allergy and clinical immunology. In practice · 2020Trial
- Patient and caregiver use of patient portal features in primary care: a cross-sectional survey study of Ontarians.Primary health care research & development · 2026Article
- Language Barriers and Access to Hospital Patient Portals in the US.JAMA network open · 2025Article
- Measurement, drivers, and outcomes of patient-initiated secure messaging use and intensity: a scoping review.JAMIA open · 2025Review
- Disparities in Patient Portal Activation and Usage at a Large Pediatric Academic Institution.Journal of racial and ethnic health disparities · 2025Article
- Differences in Use of a Patient Portal Across Sociodemographic Groups: Observational Study of the NHS App in England.Journal of medical Internet research · 2024Observational
- Identifying Inequities in Video and Audio Telehealth Services for Primary Care Encounters During COVID-19: Repeated Cross-Sectional, Observational Study.Journal of medical Internet research · 2023Observational
- Alerts and Collections for Automating Patients' Sensemaking and Organizing of Their Electronic Health Record Data for Reflection, Planning, and Clinical Visits: Qualitative Research-Through-Design Study.JMIR human factors · 2023Article
- Preferences for Electronic Modes of Communication Among Older Primary Care Patients: Cross-sectional Survey.JMIR formative research · 2023Article
- Exploring the Acceptability of Text Messages to Inform and Support Shared Decision-making for Colorectal Cancer Screening: Online Panel Survey.JMIR cancer · 2023Article
- New Ways for Patients to Make Sense of Their Electronic Health Record Data Using the Discovery Web Application: Think-Aloud Evaluation Study.JMIR formative research · 2023Article
- Research recruitment through the patient portal: perspectives of community focus groups in Seattle and Atlanta.JAMIA open · 2023Article
- Characteristics of Adult Primary Care Patients Who Use the Patient Portal: A Cross-Sectional Analysis.Applied clinical informatics · 2022Article
- Electronic Patient Portal Access, Retention in Care, and Viral Suppression Among People Living With HIV in Southeastern United States: Observational Study.JMIR medical informatics · 2022Article
- Leveraging Electronic Health Records to Address Breast Cancer Disparities.Current breast cancer reports · 2022Review
- Examining How Internet Users Trust and Access Electronic Health Record Patient Portals: Survey Study.JMIR human factors · 2021Article
- Assessing Patient Needs During Natural Disasters: Mixed Methods Analysis of Portal Messages Sent During Hurricane Harvey.Journal of medical Internet research · 2021Article
- Health Information Technology Use Among Persons With Self-reported Atherosclerotic Cardiovascular Disease: Analysis of the 2011-2018 National Health Interview Survey.Journal of medical Internet research · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectivesWe describe online portal account adoption and feature access among subgroups of patients who traditionally have been disadvantaged or represent those with high healthcare needs. STUDY
designRetrospective cohort study of insured primary care patients 18 years and older (N = 20,282) receiving care from an integrated health system.
methodsUsing data from an electronic health record repository, portal adoption was defined by 1 or more online sessions. Feature access (ie, messaging, appointment management, visit/admission summaries, and medical record access and management) was defined by user-initiated "clicks." Multivariable regression methods were used to identify patient factors associated with portal adoption and feature access among adopters.
resultsOne-third of patients were portal adopters, with African Americans (odds ratio [OR], 0.50; 95% CI, 0.46-0.56), Hispanics (OR, 0.63; 95% CI, 0.47-0.84), those 70 years and older (OR, 0.48; 95% CI, 0.44-0.52), and those preferring a language other than English (OR, 0.43; 95% CI, 0.31-0.59) less likely to be adopters. On the other hand, the likelihood of portal adoption increased with a higher number of comorbidities (OR, 1.04; 95% CI, 1.02-1.07). Among adopters, record access and management features (95.9%) were accessed most commonly. The majority of adopters also accessed appointment management (76.6%) and messaging (59.1%) features. Similar race and age disparities were found in feature access among adopters.
conclusionsThe diversity of portal features accessed may bode well for the ability of portals to engage some patients, but without purposeful intervention, reliance on portals alone for patient engagement may exacerbate known social disparities-even among those with an activated portal account.
Indexed as
Identifiers
30452203PMC6613379What OpenQuestion holds
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.