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The Effect of Patient Portals on Quality Outcomes and Its Implications to Meaningful Use: A Systematic Review
BACKGROUND: The Health Information Technology for Economic and Clinical Health (HITECH) Act imposes pressure on health care organizations to qualify for “Meaningful Use”. It is assumed that portals should increase patient participation in medical decisions, but whether or not the use of portals impr...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
JMIR Publications Inc.
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4342639/ https://www.ncbi.nlm.nih.gov/pubmed/25669240 http://dx.doi.org/10.2196/jmir.3171 |
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author | Kruse, Clemens Scott Bolton, Katy Freriks, Greg |
author_facet | Kruse, Clemens Scott Bolton, Katy Freriks, Greg |
author_sort | Kruse, Clemens Scott |
collection | PubMed |
description | BACKGROUND: The Health Information Technology for Economic and Clinical Health (HITECH) Act imposes pressure on health care organizations to qualify for “Meaningful Use”. It is assumed that portals should increase patient participation in medical decisions, but whether or not the use of portals improves outcomes remains to be seen. OBJECTIVE: The purpose of this systemic review is to outline and summarize study results on the effect of patient portals on quality, or chronic-condition outcomes as defined by the Agency for Healthcare Research and Quality, and its implications to Meaningful Use since the beginning of 2011. This review updates and builds on the work by Ammenwerth, Schnell-Inderst, and Hoerbst. METHODS: We performed a systematic literature search in PubMed, CINAHL, and Google Scholar. We identified any data-driven study, quantitative or qualitative, that examined a relationship between patient portals, or patient portal features, and outcomes. We also wanted to relate the findings back to Meaningful Use criteria. Over 4000 articles were screened, and 27 were analyzed and summarized for this systematic review. RESULTS: We identified 26 studies and 1 review, and we summarized their findings and applicability to our research question. Very few studies associated use of the patient portal, or its features, to improved outcomes; 37% (10/27) of papers reported improvements in medication adherence, disease awareness, self-management of disease, a decrease of office visits, an increase in preventative medicine, and an increase in extended office visits, at the patient’s request for additional information. The results also show an increase in quality in terms of patient satisfaction and customer retention, but there are weak results on medical outcomes. CONCLUSIONS: The results of this review demonstrate that more health care organizations today offer features of a patient portal than in the review published in 2011. Articles reviewed rarely analyzed a full patient portal but instead analyzed features of a portal such as secure messaging, as well as disease management and monitoring. The ability of patients to be able to view their health information electronically meets the intent of Meaningful Use, Stage 2 requirements, but the ability to transmit to a third party was not found in the review. |
format | Online Article Text |
id | pubmed-4342639 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | JMIR Publications Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-43426392015-03-16 The Effect of Patient Portals on Quality Outcomes and Its Implications to Meaningful Use: A Systematic Review Kruse, Clemens Scott Bolton, Katy Freriks, Greg J Med Internet Res Review BACKGROUND: The Health Information Technology for Economic and Clinical Health (HITECH) Act imposes pressure on health care organizations to qualify for “Meaningful Use”. It is assumed that portals should increase patient participation in medical decisions, but whether or not the use of portals improves outcomes remains to be seen. OBJECTIVE: The purpose of this systemic review is to outline and summarize study results on the effect of patient portals on quality, or chronic-condition outcomes as defined by the Agency for Healthcare Research and Quality, and its implications to Meaningful Use since the beginning of 2011. This review updates and builds on the work by Ammenwerth, Schnell-Inderst, and Hoerbst. METHODS: We performed a systematic literature search in PubMed, CINAHL, and Google Scholar. We identified any data-driven study, quantitative or qualitative, that examined a relationship between patient portals, or patient portal features, and outcomes. We also wanted to relate the findings back to Meaningful Use criteria. Over 4000 articles were screened, and 27 were analyzed and summarized for this systematic review. RESULTS: We identified 26 studies and 1 review, and we summarized their findings and applicability to our research question. Very few studies associated use of the patient portal, or its features, to improved outcomes; 37% (10/27) of papers reported improvements in medication adherence, disease awareness, self-management of disease, a decrease of office visits, an increase in preventative medicine, and an increase in extended office visits, at the patient’s request for additional information. The results also show an increase in quality in terms of patient satisfaction and customer retention, but there are weak results on medical outcomes. CONCLUSIONS: The results of this review demonstrate that more health care organizations today offer features of a patient portal than in the review published in 2011. Articles reviewed rarely analyzed a full patient portal but instead analyzed features of a portal such as secure messaging, as well as disease management and monitoring. The ability of patients to be able to view their health information electronically meets the intent of Meaningful Use, Stage 2 requirements, but the ability to transmit to a third party was not found in the review. JMIR Publications Inc. 2015-02-10 /pmc/articles/PMC4342639/ /pubmed/25669240 http://dx.doi.org/10.2196/jmir.3171 Text en ©Clemens Scott Kruse, Katy Bolton, Greg Freriks. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 10.02.2015. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included. |
spellingShingle | Review Kruse, Clemens Scott Bolton, Katy Freriks, Greg The Effect of Patient Portals on Quality Outcomes and Its Implications to Meaningful Use: A Systematic Review |
title | The Effect of Patient Portals on Quality Outcomes and Its Implications to Meaningful Use: A Systematic Review |
title_full | The Effect of Patient Portals on Quality Outcomes and Its Implications to Meaningful Use: A Systematic Review |
title_fullStr | The Effect of Patient Portals on Quality Outcomes and Its Implications to Meaningful Use: A Systematic Review |
title_full_unstemmed | The Effect of Patient Portals on Quality Outcomes and Its Implications to Meaningful Use: A Systematic Review |
title_short | The Effect of Patient Portals on Quality Outcomes and Its Implications to Meaningful Use: A Systematic Review |
title_sort | effect of patient portals on quality outcomes and its implications to meaningful use: a systematic review |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4342639/ https://www.ncbi.nlm.nih.gov/pubmed/25669240 http://dx.doi.org/10.2196/jmir.3171 |
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