ArticleJournal of medical Internet research2020
Patient Portal Barriers and Group Differences: Cross-Sectional National Survey Study.
Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
41 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
- Electronic Medical Record-Based Electronic Messaging Among Patients with Breast Cancer: A Systematic Review.Applied clinical informatics · 2023Pooled it
- Effect of Electronic Outreach Using Patient Portal Messages on Well Child Care Visit Completion: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Patient Portal Reminders for Pediatric Influenza Vaccinations: A Randomized Clinical Trial.Pediatrics · 2021Trial
- Timely nudges promote patient portal enrollment and sustained engagement: a randomized controlled trial.JAMIA open · 2026Article
- Factors Influencing User Satisfaction in Accessing Health Data: Cross-Sectional Survey of United Kingdom Adults.JMIR human factors · 2026Article
- Use, Utility, and User Experience of Cloud-Based Medical Imaging in Pulmonary Nodule Care in China: Mixed Methods Study.Journal of medical Internet research · 2026Article
- More Older Adults Try Patient Portals in Recent Years, but Many Don't Continue: A Meta-Analysis.Extended abstracts on Human factors in computing systems. CHI Conference · 2026Article
- Comfort With Sharing Food Insecurity Risk for Clinical Care Among Individuals With and Without a Cancer History: Findings From a National Survey.AJPM focus · 2025Article
- Patient Portal Use Among Patients With Vascular Anomalies and Their Caregivers.Pediatric blood & cancer · 2025Article
- Disparities in Patient Portal Activation and Usage at a Large Pediatric Academic Institution.Journal of racial and ethnic health disparities · 2025Article
- Assessing the acceptability of using patient portals to recruit pregnant women and new mothers for maternal-child health research.JAMIA open · 2025Article
- Patient Factors Associated With the Use of Online Portal Health Information in the Postpandemic Era: Cross-Sectional Analysis of a National Survey.Journal of medical Internet research · 2025Article
- Lower Use of and Potential Barriers to Using Patient Portals Among Limited English Proficient Latino and Chinese American Adults: A Health Techquity Concern.The Permanente journal · 2025Article
- Finding the Value: Identifying the Key Elements of Recorded Clinic Visits From the Perspective of Patients, Clinicians, and Caregivers.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Predictors of Self-Care Self-Efficacy in Adults Familiar with Palliative Care: The Role of Patient-Centered Communication, Health, and Well-Being.Patient preference and adherence · 2025Article
- Assessing Health Disparities in Digital Services and Technologies During and After the COVID-19 Pandemic: A Pooled Cross-Sectional Analysis Using HINTS Data.Patient preference and adherence · 2025Article
- Willingness to Be Contacted via a Patient Portal for Health Screening, Research Recruitment, and at-Home Self-Test Kits for Health Monitoring: Pilot Quantitative Survey.JMIR formative research · 2024Article
- Automatic Enrollment in Patient Portal Systems Mitigates the Digital Divide in Healthcare: An Interrupted Time Series Analysis of an Autoenrollment Workflow Intervention.Journal of medical systems · 2024Article
- Leveraging an Electronic Health Record Patient Portal to Help Patients Formulate Their Health Care Goals: Mixed Methods Evaluation of Pilot Interventions.JMIR formative research · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPast studies examining barriers to patient portal adoption have been conducted with a small number of patients and health care settings, limiting generalizability.
objectiveThis study had the following two objectives: (1) to assess the prevalence of barriers to patient portal adoption among nonadopters and (2) to examine the association between nonadopter characteristics and reported barriers in a nationally representative sample.
methodsData from this study were obtained from the 2019 Health Information National Trends Survey. We calculated descriptive statistics to determine the most prevalent barriers and conducted multiple variable logistic regression analysis to examine which characteristics were associated with the reported barriers.
resultsThe sample included 4815 individuals. Among these, 2828 individuals (58.73%) had not adopted a patient portal. Among the nonadopters (n=2828), the most prevalent barriers were patient preference for in-person communication (1810/2828, 64.00%), no perceived need for the patient portal (1385/2828, 48.97%), and lack of comfort and experience with computers (735/2828, 25.99%). Less commonly, individuals reported having no patient portal (650/2828, 22.98%), no internet access (650/2828, 22.98%), privacy concerns (594/2828, 21.00%), difficulty logging on (537/2828, 18.99%), and multiple patient portals (255/2828, 9.02%) as barriers. Men had significantly lower odds of indicating a preference for speaking directly to a provider compared with women (odds ratio [OR] 0.75, 95% CI 0.60-0.94; P=.01). Older age (OR 1.01, 95% CI 1.00-1.02; P<.001), having a chronic condition (OR 1.83, 95% CI 1.44-2.33; P<.001), and having an income lower than US $20,000 (OR 1.61, 95% CI 1.11-2.34; P=.01) were positively associated with indicating a preference for speaking directly to a provider. Hispanic individuals had significantly higher odds of indicating that they had no need for a patient portal (OR 1.59, 95% CI 1.24-2.05; P<.001) compared with non-Hispanic individuals. Older individuals (OR 1.05, 95% CI 1.04-1.06; P<.001), individuals with less than a high school diploma (OR 3.15, 95% CI 1.79-5.53; P<.001), and individuals with a household income of less than US $20,000 (OR 2.78, 95% CI 1.88-4.11; P<.001) had significantly higher odds of indicating that they were uncomfortable with a computer.
conclusionsThe most common barriers to patient portal adoption are preference for in-person communication, not having a need for the patient portal, and feeling uncomfortable with computers, which are barriers that are modifiable and can be intervened upon. Patient characteristics can help predict which patients are most likely to experience certain barriers to patient portal adoption. Further research is needed to tailor implementation approaches based on patients' needs and preferences.
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