ArticleJMIR pediatrics and parenting2026
Caregiver Perspectives on Electronic Portal Use in Integrated Primary Care: Qualitative Study.
Article in JMIR pediatrics and parenting, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
5 authors.
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Abstract
backgroundPediatric patient care portals through electronic health records (EHRs) provide opportunities to enhance patient care. However, challenges exist for making portals usable, and few studies have examined qualitative experiences of caregivers when using integrated primary care (IPC) services for their children.
objectiveThis study aimed to qualitatively examine barriers to and facilitators of using electronic patient portals in integrated behavioral health care.
methodsData were collected from 7 caregivers of pediatric patients (0-7 years old) during focus groups. Interview data were analyzed qualitatively and coded by an interdisciplinary group. An iterative approach identified overarching themes within the following Consolidated Framework for Implementation Research (CFIR) domains: outer setting, inner setting, and characteristics of individuals.
resultsOverall, caregivers found the portal beneficial. Six themes emerged during thematic analysis. Outer setting themes were "lags and barriers to care" and "connections with outside providers." Inner setting themes were "putting the 'human' in 'human-centered design'" and "virtual access to information." Characteristics of individuals themes were "flexibility" and "personalization."
conclusionsThe current study sheds light on caregiver perceptions of electronic portal use. Patient portals are an effective and well-received tool for patients with developmental delays and families accessing behavioral health information. Future targets for improvement include personalization, equitable access, and reach beyond single institutions.
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