ArticleApplied clinical informatics2022
Characteristics of Adult Primary Care Patients Who Use the Patient Portal: A Cross-Sectional Analysis.
Article in Applied clinical informatics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis 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
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Electronic Medical Record-Based Electronic Messaging Among Patients with Breast Cancer: A Systematic Review.Applied clinical informatics · 2023Pooled it
- Care Team Response to Patient Portal Message Content and Writing Style.JAMA network open · 2026Article
- Patient and caregiver use of patient portal features in primary care: a cross-sectional survey study of Ontarians.Primary health care research & development · 2026Article
- Patient Portal Use Among Older Adults: A Systematic Review and Meta-Analysis.Proceedings. IEEE International Conference on Healthcare Informatics · 2026Article
- The Role of Trust in Text Messaging for Promoting Patient Portal Activation Among Low-Income Patients: Quality Improvement Project.JMIR formative research · 2026Article
- Primary Care Access and the Role of Telemedicine for Traditional Medicare Beneficiaries.JAMA health forum · 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
- Which Patients With Cancer Access Their Clinical Notes? A Disparities Analysis.JCO clinical cancer informatics · 2025Article
- Uptake and user characteristics of MyChart within a Canadian community hospital with a diverse patient population: A comparative study.PLOS digital health · 2025Article
- Transforming research recruitment: Leveraging EHR systems and patient portals.Journal of clinical and translational science · 2025Article
- Insights and Trends in Open Note Access: Retrospective Observational Study.Journal of medical Internet research · 2024Observational
- The State-of-the-Art of Patient Portals: Adapting to External Factors, Addressing Barriers, and Innovating.Applied clinical informatics · 2023Review
- The Future of Community Outreach: Using Patient Portals to Provide Voter Resources during the Coronavirus Disease 2019 Pandemic.Applied clinical informatics · 2023Article
- Review
- Proxy use of patient portals on behalf of children: Federally Qualified Health Centers as a case study.Digital healthArticle
- Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundThe patient portal allows patients to engage with their health care team beyond the clinical encounter. While portals can improve patient outcomes, there may be disparities in which patients access the portal by sociodemographic factors. Understanding the characteristics of patients who use the portal could help design future interventions to expand portal adoption.
objectivesThis study aimed to (1) examine the socioeconomic factors, comorbid conditions, and health care utilization among patients of a large academic primary care network who are users and non-users of the patient portal; and (2) describe the portal functions most frequently utilized.
methodsWe included all adult patients at Atrium Health Wake Forest Baptist who had at least two primary care visits between 2018 and 2019. Patients' demographics, comorbidities, health care utilization, and portal function usage were extracted from the electronic health record and merged with census data (income, education, and unemployment) from the American Community Survey. A myWakeHealth portal user was defined as a patient who used a bidirectional portal function at least once during the study period. We used multivariable logistic regression to determine which patient characteristics were independently associated with being a portal user.
resultsOf the 178,720 patients who met inclusion criteria, 32% (
conclusionWe found that patient demographics and area socioeconomic factors were associated with patient portal adoption. These findings suggest that efforts to improve portal adoption should be targeted at vulnerable patients.
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