Evidence map›Paper›PMID 32479176›Full record

SynthesisAnnals of internal medicine2020

Using Electronic Health Record Portals to Improve Patient Engagement: Research Priorities and Best Practices.

Courtney R Lyles, Eugene C Nelson, Susan Frampton, Patricia C Dykes, Anupama G Cemballi, Urmimala Sarkar

Abstract readSystematic Review
In one paragraph

Synthesis in Annals of internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers.

0numbers the graph read from it
0cells of the map it votes in
119citing 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

119 citing papers in PubMed.

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59 more citing papers are in PubMed but not listed here.

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.

Courtney R LylesUCSF Department of Medicine, Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital, San Francisco, California (C.R.L., A.G.C., U.S.).
Eugene C NelsonGeisel School of Medicine, Dartmouth College, Lebanon, New Hampshire (E.C.N.).
Susan FramptonPlanetree International, Derby, Connecticut (S.F.).
Patricia C DykesCenter for Patient Safety, Research, and Practice, Brigham and Women's Hospital, Boston, Massachusetts (P.C.D.).
Anupama G CemballiUCSF Department of Medicine, Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital, San Francisco, California (C.R.L., A.G.C., U.S.).
Urmimala SarkarUCSF Department of Medicine, Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital, San Francisco, California (C.R.L., A.G.C., U.S.).

Funding

Building an Ambulatory Patient Safety Learning Laboratory for Diverse PopulationsP30HS023558 · AHRQ · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SARKAR, URMIMALA · 2014 to 2017
$3.9M
Creating Community Driven, Personalized Health Maps for Patients with DiabetesR01LM013045 · NLM · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LYLES, COURTNEY REES, SARKAR, URMIMALA · 2018 to 2021
$1.5M
Improving Survivorship Care for Diverse Cancer Patients Cared for in Safety-net SettingsK24CA212294 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SARKAR, URMIMALA · 2017 to 2021
$831k
AHRQ HHS P30 HS023558NCI NIH HHS K24 CA212294NLM NIH HHS R01 LM013045
6 · The paper itself

Abstract

Ninety percent of health care systems now offer patient portals to access electronic health records (EHRs) in the United States, but only 15% to 30% of patients use these platforms. Using PubMed, the authors identified 53 studies published from September 2013 to June 2019 that informed best practices and priorities for future research on patient engagement with EHR data through patient portals, These studies mostly involved outpatient settings and fell into 3 major categories: interventions to increase use of patient portals, usability testing of portal interfaces, and documentation of patient and clinician barriers to portal use. Interventions that used one-on-one patient training were associated with the highest portal use. Patients with limited health or digital literacy faced challenges to portal use. Clinicians reported a lack of workflows to support patient use of portals in routine practice. These studies suggest that achieving higher rates of patient engagement through EHR portals will require paying more attention to the needs of diverse patients and systematically measuring usability as well as scope of content. Future work should incorporate implementation science approaches and directly address the key role of clinicians and staff in promoting portal use.

Indexed as

Qualitative ResearchElectronic Health RecordsHealth LiteracyHumansPatient ParticipationPatient Portals

Identifiers

PMID32479176
PMCPMC7800164

What OpenQuestion holds

Textmetadata
LicenceTDM
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.