ArticleJournal of medical Internet research2019
Patient and Health Care Provider Experiences With a Recently Introduced Patient Portal in an Academic Hospital in the Netherlands: Mixed Methods Study.
Article in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health Care Professionals' Experiences of Patient-Professional Communication Over Patient Portals: Systematic Review of Qualitative Studies.Journal of medical Internet research · 2020Pooled it
- Toward Personalized Care and Patient Empowerment and Perspectives on a Personal Health Record in Hemophilia Care: Qualitative Interview Study.JMIR human factors · 2024Article
- Patients' Experiences of a National Patient Portal and Its Usability: Cross-Sectional Survey Study.Journal of medical Internet research · 2023Article
- Patients' choices regarding online access to laboratory, radiology and pathology test results on a hospital patient portal.PloS one · 2023Article
- Stakeholders barriers and facilitators for the implementation of a personalised digital care pathway: a qualitative study.BMJ open · 2022Article
- eHealth Interventions for Dutch Cancer Care: Systematic Review Using the Triple Aim Lens.JMIR cancer · 2022Review
- Successes of and Lessons From the First Joint eHealth Program of the Dutch University Hospitals: Evaluation Study.Journal of medical Internet research · 2021Article
- Benefits, Problems, and Potential Improvements in a Nationwide Patient Portal: Cross-sectional Survey of Pharmacy Customers' Experiences.Journal of medical Internet research · 2021Article
- Health Care Providers' Acceptance of a Personal Health Record: Cross-sectional Study.Journal of medical Internet research · 2021Article
- Improvement and Evaluation of the TOPCOP Taxonomy of Patient Portals: Taxonomy-Evaluation-Delphi (TED) Approach.Journal of medical Internet research · 2021Article
- Predicting Patients' Intention to Use a Personal Health Record Using an Adapted Unified Theory of Acceptance and Use of Technology Model: Secondary Data Analysis.JMIR medical informatics · 2021Article
- Pharmacy Customers' Experiences of Use, Usability, and Satisfaction of a Nationwide Patient Portal: Survey Study.Journal of medical Internet research · 2021Article
- A Patient Portal-Based Commitment Device to Improve Adherence with Screening for Colorectal Cancer: a Retrospective Observational Study.Journal of general internal medicine · 2021Observational
- Participants' views and experiences from setting up a shared patient portal for primary and specialist health services- a qualitative study.BMC health services research · 2021Article
- Persistent inequitable design and implementation of patient portals for users at the margins.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Adoption of a Personal Health Record in the Digital Age: Cross-Sectional Study.Journal of medical Internet research · 2020Article
- Patient Portal Implementation and Uptake: Qualitative Comparative Case Study.Journal of medical Internet research · 2020Article
- A Patient-Centered Information System (myED) for Emergency Care Journeys: Design, Development, and Initial Adoption.JMIR formative research · 2020Article
- Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn the Netherlands, the health care system and related information technology landscape are fragmented. Recently, hospitals have started to launch patient portals. It is not clear how these portals are used by patients and their health care providers (HCPs).
objectiveThe objective of this study was to explore the adoption, use, usability, and usefulness of a recently introduced patient portal in an academic hospital to learn lessons for the implementation of patient portals in a fragmented health care system.
methodsA mixed methods study design was used. In the quantitative study arm, characteristics of patients who used the portal were analyzed, in addition to the utilization of the different functionalities of the portal. In the qualitative study arms, think-aloud observations were made to explore usability. Focus group discussions were conducted among patients and HCPs of the dermatology and ophthalmology outpatient departments. Thematic content analysis of qualitative data was carried out and overarching themes were identified using a framework analysis.
resultsOne year after the introduction of the portal, 24,514 patients, 13.49% of all patients who visited the hospital, had logged in to the portal. Adoption of the portal was associated with the age group 45 to 75 years, a higher socioeconomic status, and having at least one medical diagnosis. Overarching themes from the qualitative analyses were (1) usability and user-friendliness of the portal, (2) HCP-patient communication through the portal, (3) usefulness of the information that can be accessed through the portal, (4) integration of the portal in care and work processes, and (5) HCP and patient roles and relationships.
conclusionsOne year after the introduction of the patient portal, patients and HCPs who used the portal recognized the potential of the portal to engage patients in their care processes, facilitate patient-HCP communication, and increase patient convenience. Uncertainties among patients and HCPs about how to use the messaging functionality and limited integration of the portal in care and work processes are likely to have limited portal use and usefulness.
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