ArticleJournal of the American Geriatrics Society2023
Use of provider-sponsored patient portals among older adults and their family caregivers.
Article in Journal of the American Geriatrics Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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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.
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
15 citing papers in PubMed.
- "Managing the Binder": A Systematic Review of the Burdens Experienced by Patients and Carers in Managing Personal Health Information Across Fragmented Healthcare Systems.Healthcare (Basel, Switzerland) · 2026Review
- Friend Caregivers Among Older Adults.JAMA network open · 2026Article
- Patient Portal Use Among Older Adults: A Systematic Review and Meta-Analysis.Proceedings. IEEE International Conference on Healthcare Informatics · 2026Article
- Identifying Patient Portal Messages from Care Partners of People with Dementia.Clinical interventions in aging · 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
- Users' perspectives on a demonstration to increase shared access to older adults' patient portals.BMC health services research · 2025Article
- A Multisite Demonstration of Shared Access to Older Adults' Patient Portals.JAMA network open · 2025Article
- Advancing cancer care through digital access in the USA: a state-of-the-art review of patient portals in oncology.BMJ oncology · 2025Review
- Care Partner Perspectives on the Use of a Patient Portal Intervention to Promote Care Partner Identification in Dementia Care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025Article
- Embedding Authorship Identity into a Portal-Based Agenda Setting Intervention to Support Older Adults and Care Partners.Journal of general internal medicine · 2024Article
- Use of the Patient Portal to Discuss Medications Among People with Dementia and Their Care Partners.Journal of general internal medicine · 2024Article
- Patient Portal Use during Home Health Care at an Academic Health System.Journal of the American Medical Directors Association · 2024Article
- Co-Designing an Initiative to Increase Shared Access to Older Adults' Patient Portals: Stakeholder Engagement.Journal of medical Internet research · 2023Article
- Changes in Documentation Due to Patient Access to Electronic Health Records: Protocol for a Scoping Review.JMIR research protocols · 2023Article
- "Caregiving is teamwork…" Information sharing in home care for older adults with disabilities living in the community.Geriatric nursing (New York, N.Y.)Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundMillions of older adults co-manage or delegate health responsibilities to one or more family caregivers. Patient portals facilitate health care management tasks, but little is known about portal use arrangements (i.e., individual or joint use) among older adults and their caregivers.
methodsWe sought to characterize individual and joint use of the patient portal and to identify how using arrangements varies by individual-, interpersonal-, and community-level factors. We used linked 2017 National Health and Aging Trends Study, National Study on Caregiving, and American Community Survey data for a nationally representative sample of older adults (n = 1417; weighted n = 7.4 million) and their caregivers (n = 2232; weighted n = 20.6 million). Patient portals used by older adults and caregiver(s) were assessed via self-reports. We described portal use arrangements and tested for between-group differences using weighted Wald tests. Caregiver's likelihood of accessing the portal was modeled using weighted, multivariable logistic regression.
resultsOne in ten (10%) community-living older adults were sole portal users, 3% were joint users with one or more caregivers, 14% solely relied on one or more caregivers as portal users, and 74% reported no portal use. Older adults whose portal was only used by caregiver(s) were more likely to be Medicaid-enrolled (20% vs. 1%; p < 0.001), have dementia (43% vs. 5%; p < 0.001), and be homebound (65% vs. 27%; p < 0.001). Caregivers were more likely to use the portal if they were college-educated adjusted odds ratio (aOR): 1.68; p < 0.01) and reported caregiving-related emotional difficulty (aOR: 1.92; p < 0.001) and doing more than their "fair share" (aOR: 1.48; p = 0.03), and were less likely if Black (versus White) (aOR: 0.61; p = 0.01).
conclusionsPatient portals could be a valuable platform for identifying and supporting caregivers of high-need older adults, but existing disparities in portal access must be closed to ensure equitable support.
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