ArticleJournal of the American Medical Informatics Association : JAMIA2019
Patient portal utilization: before and after stage 2 electronic health record meaningful use.
Article in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.
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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
38 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A Process Related View on the Usage of Electronic Health Records from the Patients' Perspective: A Systematic Review.Journal of medical systems · 2022Pooled it
- Quantifying Patient Portal Use: Systematic Review of Utilization Metrics.Journal of medical Internet research · 2021Pooled it
- Patient Portal Engagement in Oncology: Results From the NU IMPACT Study in a Large Health Care System.JCO clinical cancer informatics · 2025Trial
- Confronting complexity: toward equitable healthcare technology design and evaluation for socioeconomically marginalized patients.JAMIA open · 2026Article
- Anticipatory guidance and follow-up regarding online access to test results in the Canadian pediatric setting.Paediatrics & child health · 2025Article
- Primary care physicians' experiences with inbox triage.JAMIA open · 2025Article
- Assessing the acceptability of using patient portals to recruit pregnant women and new mothers for maternal-child health research.JAMIA open · 2025Article
- Primary care staff members' experiences with managing electronic health record inbox messages.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Digital Information Exchange Between the Public and Researchers in Health Studies: Scoping Review.Journal of medical Internet research · 2025Article
- Article
- Effects of a Patient Portal Intervention to Address Diabetes Care Gaps: Protocol for a Pragmatic Randomized Controlled Trial.JMIR research protocols · 2024Article
- Patterns of Access to Radiology Reports and Images Through a Patient Portal.Journal of imaging informatics in medicine · 2024Article
- Factors Associated with Online Patient Portal Utilization Experience in an Arkansas Phone Survey.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024Article
- Relationship Between Patient Portal Tool Use and Medication Adherence and Viral Load Among Patients Living with HIV.Journal of general internal medicine · 2024Article
- Unlocking Patient Portals: Health Information Professionals Navigating Challenges and Shaping the Future.Perspectives in health information managemen · 2024Article
- When Positive is Negative: Health Literacy Barriers to Patient Access to Clinical Laboratory Test Results.The journal of applied laboratory medicine · 2023Article
- Leveraging natural language processing to identify eligible lung cancer screening patients with the electronic health record.International journal of medical informatics · 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
- Adult Patients' Experiences of Using a Patient Portal With a Focus on Perceived Benefits and Difficulties, and Perceptions on Privacy and Security: Qualitative Descriptive Study.JMIR human factors · 2023Article
- Using Machine Learning Algorithms to Predict Patient Portal Use Among Emergency Department Patients With Diabetes Mellitus.Journal of clinical medicine research · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivePatient portal functionalities, such as patient-physician e-communication, can benefit patients by improving clinical outcomes. Utilization has historically been low but may have increased in recent years due to the implementation of Stage 2 Meaningful Use for electronic health records. This study has 2 objectives: 1) to compare patient portal utilization rates before Stage 2 (2011-2013) and after Stage 2 (2014-2017), and 2) to examine whether disparities in patient portal utilization attenuate after Stage 2. MATERIALS AND
methodsWe conducted an observational study using a pooled cross-sectional analysis of 2011-2017 National Health Interview Survey data (n = 254 183).
resultsThe mean percent use of patient portals significantly increased from the pre-Stage 2 to the post-Stage 2 period (6.9%, 95% CI, 6.2-7.5; P < .001). Non-Hispanic Black individuals (OR 0.81, 95% CI, 0.76-0.86; P < .0001) and Hispanic individuals (OR 0.79, 95% CI, 0.74-0.84; P < .0001) have lower odds of using patient portals compared to non-Hispanic White individuals. Although we found independent effects of race/ethnicity, we did not find a statistically significant interaction between race/ethnicity and time. We found a similar level of increase in patient portal utilization from the pre- to postperiod across racial and ethnic groups. DISCUSSION: Health care policies such as Stage 2 Meaningful Use are likely contributing to increased patient portal utilization across all patients and helping to attenuate disparities in utilization between subgroups of patients.
conclusionFurther research is needed to explore which patient portal functionalities are perceived as most beneficial to patients and whether patients have access to those functionalities.
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