Evidence map›Paper›PMID 38128967›Full record

ArticleBJGP open2024

Patient portal registration and healthcare utilisation in general practices in England: a longitudinal cohort study.

Abrar Alturkistani, Thomas Beaney, Geva Greenfield, Ceire E Costelloe

Open access · goldAbstract read
In one paragraph

Article in BJGP open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 15% of its field
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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

4 authors at 3 institutions in 2 countries.

Abrar AlturkistaniDepartment of Primary Care and Public Health, Global Digital Health Unit, Imperial College London, London, UK Abrar.alturkistani16@imperial.ac.uk.
Thomas BeaneyNational Institute for Health Research Applied Research Collaboration Northwest London, Imperial College London, London, UK.ORCID https://orcid.org/0000-0001-9709-7264
Geva GreenfieldDepartment of Primary Care and Public Health, Imperial College London, London, UK.
Ceire E CostelloeHealth Informatics, Division of Clinical Studies, Institute of Cancer Research, London, UK.
Imperial College London · GBInstitute of Cancer Research · GBNational Institute for Health Research · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient portals introduced in most of England's general practices since 2015 have the potential to improve healthcare efficiency. There is a paucity of information on the use of patient portals within the NHS general practices and the potential impact on healthcare utilisation.

aimTo investigate the association between patient portal registration and care utilisation (measured by the number of general practice consultations) among general practice patients. DESIGN &

settingA longitudinal analysis using electronic health record data from the Clinical Practice Research Datalink (CPRD).

methodWe analysed patients registered for patient portals (

resultsPatients who registered to the portal had a small decrease in the total number of face-to-face consultations after registering to the patient portal (incidence rate ratio = 0.93, 95% confidence interval [CI] = 0.93 to 0.94). Patients who registered to the portal had an increase in the total number of remote consultations after registering to the portal (incidence rate ratio = 1.16, 95% CI = 1.15 to 1.18).

conclusionThe study found minor changes in consultation numbers post-patient portal registration, notably with an increase in remote consultations. While causality between portal registration and consultation number remains unclear, the potential link between patient portal use and healthcare utilisation warrants further investigation, especially within the NHS, where portal impacts are not well-studied. Detailed portal utilisation data could clarify this relationship.

Indexed as

delivery of health careelectronic health recordsgeneral practicepatient portalsprimary healthcare

Identifiers

PMID38128967
PMCPMC11300974
OpenAlexW4390053157

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.