Evidence map›Paper›PMID 32025645›Full record

ArticleJAMIA open2019

Policies and procedures governing patient portal use at an Academic Medical Center.

Bryan D Steitz, Joseph Isaac S Wong, Jared G Cobb, Brian Carlson, Gaye Smith, S Trent Rosenbloom

Abstract read
In one paragraph

Article in JAMIA open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Using large language model to guide patients to create efficient and comprehensive clinical care message.Journal of the American Medical Informatics Association : JAMIA · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Impact of notification policy on patient-before-clinician review of immediately released test results.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Characterization of Adult Patients with Autism Spectrum Disorder that Use Patient Portal.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Bryan D SteitzDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Joseph Isaac S WongVanderbilt University School of Medicine, Nashville, Tennessee, USA.
Jared G CobbVanderbilt University Medical Center, Nashville, Tennessee, USA.
Brian CarlsonVanderbilt University Medical Center, Nashville, Tennessee, USA.
Gaye SmithVanderbilt University Medical Center, Nashville, Tennessee, USA.
S Trent RosenbloomDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Funding

Vanderbilt Biomedical Informatics Training ProgramT15LM007450 · NLM · VANDERBILT UNIVERSITY · PI Jessica S. Ancker, Bradley A. Malin · 2002 to 2026
$19.7M
NLM NIH HHS T15 LM007450
6 · The paper itself

Abstract

BACKGROUND AND

objectivePatient portal use has increased over the last two decades in response to consumer demand and government regulation. Despite growing adoption, few guidelines exist to direct successful implementation and governance. We describe the policies and procedures that have governed over a decade of continuous My Health at Vanderbilt (MHAV) patient portal use.

methodsWe examined MHAV usage data between May 2007 and November 2017. We classified patient portal activity into eight functional categories: Appointment, Billing, Document Access, Genetics, Health Result, Immunization, Medication, and Messaging. We describe our operating policies and measure portal uptake, patient account activity, and function use over time.

resultsBy the end of the study period, there were 375 517 registered accounts. Policies made MHAV available to competent adults and adolescents 13 and over. Patients signed up for a limited access account online, which could be upgraded to a full-access account after identity verification. Patients could assign proxy accounts to family and caregivers, which permitted nonpatient access to select MHAV functions. Laboratory and radiology results were accessible via MHAV. Results were classified into three groups based on sensitivity, which govern the length of delay before results appeared in MHAV. DISCUSSION AND

conclusionPatient portals offer significant opportunity to engage patients in their healthcare. However, there remains a need to understand how policies can promote uptake and use. We anticipate that other institutions can apply concepts from our policies to support meaningful patient portal engagement.

Indexed as

consumer health informaticspatient engagementpatient portalspolicy

Identifiers

PMID32025645
PMCPMC6994003

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.