ArticleJMIR formative research2018
Factors Affecting Patient Portal Use Among Low-Income Pregnant Women: Mixed-Methods Pilot Study.
Article in JMIR formative research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Women's experiences of using patient portals in healthcare settings: a rapid review.BMC women's health · 2024Pooled it
- What Do Patients and Caregivers Want? A Systematic Review of User Suggestions to Improve Patient Portals.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2020Pooled it
- Article
- Respectful Patient-Provider Communication and Patient Portal Usage in Pregnant People of Color.Health equity · 2025Article
- Use of Electronic Patient Messaging by Pregnant Patients Receiving Prenatal Care at an Academic Health System: Retrospective Cohort Study.JMIR mHealth and uHealth · 2024Article
- User Perception of New E-Health Challenges: Implications for the Care Process.International journal of environmental research and public health · 2022Article
- Outpatient portal use in prenatal care: differential use by race, risk, and area social determinants of health.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Patient-reported outcome measures can advance population health, but is access to instruments and use equitable?Frontiers in pediatrics · 2022Article
- Patient Portal Implementation and Uptake: Qualitative Comparative Case Study.Journal of medical Internet research · 2020Article
- Is research on patient portals attuned to health equity? A scoping review.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Outpatient portal use among pregnant individuals: Cross-sectional, temporal, and cluster analysis of use.Digital healthArticle
- Connected Subspecialty Care: Applying Telehealth Strategies to Specific Referral Barriers.Academic pediatricsReview
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient portals offer patients personalized and secure Web access to their medical information and enable patients to manage their health care online. However, there is a lack of information about patient acceptance and use of patient portals among low-income pregnant women.
objectiveThis formative research aims to assess the potential of a patient portal, MyChart, for improving prenatal health care and pregnancy outcomes, and identify the barriers and facilitators of MyChart use among low-income pregnant women.
methodsA mixed-methods study was conducted with a convenience sample of 18 low-income pregnant women comprising low- and high-risk patients enrolled in a prenatal clinic in eastern North Carolina. MyChart use, patient demographics, and pregnancy information were collected by reviewing electronic medical charts. Health literacy was measured. Reported use and attitudes toward MyChart were collected using a semi-structured interview.
resultsAlthough 39% (7/18) of participants interviewed signed up for MyChart, only 22% (4/18) of them became active users. Another 33% (6/18) had never heard of MyChart or was unsure of how to access it. Users primarily accessed test results and appointment schedules. The main facilitating factors for patient portal use were information and motivation from health care providers and concerns about pregnancy due to a history of miscarriage. Reported barriers were lack of educational resources, lack of care provider encouragement, and technical difficulties possibly exacerbated by low health literacy. Participants also suggested improvements for MyChart, especially the provision of discussion-based support for pregnant women.
conclusionsThe one-time verbal introduction of MyChart does not meet current patients' needs. Data reveal the need for more consistent patient education and support programs, tailored to patients' previous pregnancy histories. The clinic also needs to facilitate better provider-patient communication about the importance of MyChart use.
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