Primary care providers’ views of patient portals: Interview study of perceived benefits and consequences

Journal of Medical Internet Research

Volumn 18, Issue 1, 2016, Pages

  Miller, David P ^a   Latulipe, Celine ^b   Melius, Kathryn A ^a   Quandt, Sara A ^a   Arcury, Thomas A ^a  

^a WAKE FOREST SCHOOL OF MEDICINE   (United States)

^b University of North Carolina at Charlotte   (United States)

Author keywords

Attitude; Personal health records; Primary health care; Vulnerable populations

Indexed keywords

ACCESS TO INFORMATION; ADULT; ELECTRONIC HEALTH RECORD; FEMALE; HEALTH PERSONNEL ATTITUDE; HUMAN; INFORMATION DISSEMINATION; INTERPERSONAL COMMUNICATION; INTERVIEW; MALE; MIDDLE AGED; NORTH CAROLINA; ORGANIZATION AND MANAGEMENT; PRIMARY HEALTH CARE; QUALITATIVE RESEARCH;

ACCESS TO INFORMATION; ADULT; ATTITUDE OF HEALTH PERSONNEL; COMMUNICATION; EFFICIENCY, ORGANIZATIONAL; ELECTRONIC HEALTH RECORDS; FEMALE; HUMANS; INFORMATION DISSEMINATION; INTERVIEWS AS TOPIC; MALE; MIDDLE AGED; NORTH CAROLINA; PRIMARY HEALTH CARE; QUALITATIVE RESEARCH;

EID: 85010923889     PISSN: None     EISSN: 14388871     Source Type: Journal    
DOI: 10.2196/JMIR.4953     Document Type: Article

References (45)

1. Buntin MB, Burke MF, Hoaglin MC, Blumenthal D. The benefits of health information technology: a review of the recent literature shows predominantly positive results. Health Aff (Millwood) 2011 Mar;30(3):464-471 [FREE Full text] [doi: 10.1377/hlthaff.2011.0178] [Medline: 21383365]
2. Marcotte L, Seidman J, Trudel K, Berwick DM, Blumenthal D, Mostashari F, et al. Achieving meaningful use of health information technology: a guide for physicians to the EHR incentive programs. Arch Intern Med 2012 May 14;172(9):731-736. [doi: 10.1001/archinternmed.2012.872] [Medline: 22782203]
3. Centers for Medicare & Medicaid Services. 2014 Aug. Payment Adjustments & Hardship Exceptions Tipsheet for Eligible ProfessionalsURL:http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/ PaymentAdj_HardshipExcepTipSheetforEP.pdf [accessed 2014-12-19] [WebCite Cache ID 6a6177Hv0]
4. Centers for Medicare & Medicaid Services. 2014. Eligible Professional Meaningful Use Core Measures: Measure 7 of 17 InternetURL:http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/ Stage2_EPCore_7_PatientElectronicAccess.pdf [accessed 2015-02-02] [WebCite Cache ID 6a61HoQIY]
5. Shimada SL, Brandt CA, Feng H, McInnes DK, Rao SR, Rothendler JA, et al. Personal health record reach in the Veterans Health Administration: a cross-sectional analysis. J Med Internet Res 2014;16(12):e272 [FREE Full text] [doi: 10.2196/jmir.3751] [Medline: 25498515]
6. Roblin DW, Houston TK, Allison JJ, Joski PJ, Becker ER. Disparities in use of a personal health record in a managed care organization. J Am Med Inform Assoc 2009;16(5):683-689 [FREE Full text] [doi: 10.1197/jamia.M3169] [Medline: 19567790]
7. Sarkar U, Karter AJ, Liu JY, Adler NE, Nguyen R, López A, et al. Social disparities in internet patient portal use in diabetes: evidence that the digital divide extends beyond access. J Am Med Inform Assoc 2011 May 1;18(3):318-321 [FREE Full text] [doi: 10.1136/jamia.2010.006015] [Medline: 21262921]
8. Yamin CK, Emani S, Williams DH, Lipsitz SR, Karson AS, Wald JS, et al. The digital divide in adoption and use of a personal health record. Arch Intern Med 2011 Mar 28;171(6):568-574. [doi: 10.1001/archinternmed.2011.34] [Medline: 21444847]
9. Goel MS, Brown TL, Williams A, Hasnain-Wynia R, Thompson JA, Baker DW. Disparities in enrollment and use of an electronic patient portal. J Gen Intern Med 2011 Oct;26(10):1112-1116 [FREE Full text] [doi: 10.1007/s11606-011-1728-3] [Medline: 21538166]
10. Sarkar U, Karter AJ, Liu JY, Adler NE, Nguyen R, Lopez A, et al. The literacy divide: health literacy and the use of an internet-based patient portal in an integrated health system-results from the diabetes study of northern California (DISTANCE). J Health Commun 2010;15 Suppl 2:183-196 [FREE Full text] [doi: 10.1080/10810730.2010.499988] [Medline: 20845203]
11. Ancker JS, Barrón Y, Rockoff ML, Hauser D, Pichardo M, Szerencsy A, et al. Use of an electronic patient portal among disadvantaged populations. J Gen Intern Med 2011 Oct;26(10):1117-1123 [FREE Full text] [doi: 10.1007/s11606-011-1749-y] [Medline: 21647748]
12. National Learning Consortium. 2013 May. How to optimize patient portals for patient engagement and meet meaningful use requirementsURL:http://www.healthit.gov/sites/default/files/nlc_how_to_optimizepatientportals_for_patientengagement. pdf [accessed 2014-12-01] [WebCite Cache ID 6a61M3d5D]
13. Irizarry T, DeVito DA, Curran CR. Patient Portals and Patient Engagement: A State of the Science Review. J Med Internet Res 2015;17(6):e148 [FREE Full text] [doi: 10.2196/jmir.4255] [Medline: 26104044]
14. Amante DJ, Hogan TP, Pagoto SL, English TM. A systematic review of electronic portal usage among patients with diabetes. Diabetes Technol Ther 2014 Nov;16(11):784-793. [doi: 10.1089/dia.2014.0078] [Medline: 24999599]
15. Latulipe C, Gatto A, Nguyen H, Miller D, Quandt S, Bertoni A, et al. Design Considerations for Patient Portal Adoption by Low-Income, Older Adults. 2015 Presented at: 33rd Annual ACM Conference on Human Factors in Computing Systems; April 18-23, 2015; Seoul, South Korea p. 3859-3868 URL:http://dl.acm.org/citation.cfm?doid=2702123.2702392
16. USDA Economic Research Service. Rural-Urban Continuum CodesURL:http://www.ers.usda.gov/data-products/ rural-urban-continuum-codes.aspx [accessed 2015-02-05] [WebCite Cache ID 6a61PKrBa]
17. Guest G. How Many Interviews Are Enough?: An Experiment with Data Saturation and Variability. Field Methods 2006 Feb 01;18(1):59-82. [doi: 10.1177/1525822X05279903]
18. Sandelowski M. Sample size in qualitative research. Res Nurs Health 1995 Apr;18(2):179-183. [Medline: 7899572]
19. Arcury TA, Quandt SA. Qualitative methods in arthritis research: sampling and data analysis. Arthritis Care Res 1998 Feb;11(1):66-74 [FREE Full text] [Medline: 9534496]
20. Luborsky M. The identification and analysis of themes and patterns. In: Gubrium JF, Sankar A, editors. Qualitative methods in aging research. Thousand Oaks, CA: Sage; 1994:189-210.
21. Davis FD. Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology. MIS Quarterly 1989 Sep;13(3):319-340. [doi: 10.2307/249008]
22. Fishbein M, Ajzen I. Belief, attitude, intention, and behavior: an introduction to theory and research. Reading, MA: Addison-Wesley Pub. Co; 1975.
23. Cain M, Mittman R. Diffusion of Innovation in Health Care. Oakland, CA: California HealthCare Foundation; 2002 May. URL:http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/PDF%20D/PDF%20DiffusionofInnovation.pdf [accessed 2015-10-14] [WebCite Cache ID 6cH724EE1]
24. Rogers E. Diffusion of Innovations, 5th Edition. New York: Free Press; 2003.
25. Keplinger LE, Koopman RJ, Mehr DR, Kruse RL, Wakefield DS, Wakefield BJ, et al. Patient portal implementation: resident and attending physician attitudes. Fam Med 2013 May;45(5):335-340 [FREE Full text] [Medline: 23681685]
26. Ross SE, Todd J, Moore LA, Beaty BL, Wittevrongel L, Lin CT. Expectations of patients and physicians regarding patient-accessible medical records. J Med Internet Res 2005;7(2):e13 [FREE Full text] [doi: 10.2196/jmir.7.2.e13] [Medline: 15914460]
27. Bishop TF, Press MJ, Mendelsohn JL, Casalino LP. Electronic communication improves access, but barriers to its widespread adoption remain. Health Aff (Millwood) 2013 Aug;32(8):1361-1367 [FREE Full text] [doi: 10.1377/hlthaff.2012.1151] [Medline: 23918479]
28. Walker J, Leveille SG, Ngo L, Vodicka E, Darer JD, Dhanireddy S, et al. Inviting patients to read their doctors' notes: patients and doctors look ahead: patient and physician surveys. Ann Intern Med 2011 Dec 20;155(12):811-819 [FREE Full text] [doi: 10.7326/0003-4819-155-12-201112200-00003] [Medline: 22184688]
29. Wald JS. Variations in patient portal adoption in four primary care practices. AMIA Annu Symp Proc 2010;2010:837-841 [FREE Full text] [Medline: 21347096]
30. Kittler AF, Carlson GL, Harris C, Lippincott M, Pizziferri L, Volk LA, et al. Primary care physician attitudes towards using a secure web-based portal designed to facilitate electronic communication with patients. Inform Prim Care 2004;12(3):129-138. [Medline: 15606985]
31. Zickuhr K. Pew Research Center. Washington, DC; 2013 Sep. Who’s not online and whyURL:http://www.pewinternet.org/ ~/media//Files/Reports/2013/PIP_Offline%20adults_092513_PDF.pdf [accessed 2013-10-21] [WebCite Cache ID 6a67eFkA0]
32. Greysen SR, Chin GC, Sudore RL, Cenzer IS, Covinsky KE. Functional impairment and Internet use among older adults: implications for meaningful use of patient portals. JAMA Intern Med 2014 Jul;174(7):1188-1190 [FREE Full text] [doi: 10.1001/jamainternmed.2014.1864] [Medline: 24839165]
33. Choi NG, Dinitto DM. The digital divide among low-income homebound older adults: Internet use patterns, eHealth literacy, and attitudes toward computer/Internet use. J Med Internet Res 2013;15(5):e93 [FREE Full text] [doi: 10.2196/jmir.2645] [Medline: 23639979]
34. Emani S, Yamin CK, Peters E, Karson AS, Lipsitz SR, Wald JS, et al. Patient perceptions of a personal health record: a test of the diffusion of innovation model. J Med Internet Res 2012;14(6):e150 [FREE Full text] [doi: 10.2196/jmir.2278] [Medline: 23128775]
35. van der Vaart R, Drossaert C, Taal E, Drossaers-Bakker KW, Vonkeman HE, van de Laar M. Impact of patient-accessible electronic medical records in rheumatology: use, satisfaction and effects on empowerment among patients. BMC Musculoskelet Disord 2014;15:102 [FREE Full text] [doi: 10.1186/1471-2474-15-102] [Medline: 24673997]
36. Kruse CS, Argueta DA, Lopez L, Nair A. Patient and provider attitudes toward the use of patient portals for the management of chronic disease: a systematic review. J Med Internet Res 2015;17(2):e40 [FREE Full text] [doi: 10.2196/jmir.3703] [Medline: 25707035]
37. Czaja SJ, Zarcadoolas C, Vaughon WL, Lee CC, Rockoff ML, Levy J. The usability of electronic personal health record systems for an underserved adult population. Hum Factors 2015 May;57(3):491-506. [doi: 10.1177/0018720814549238] [Medline: 25875437]
38. Goldzweig CL, Towfigh AA, Paige NM, Orshansky G, Haggstrom DA, Beroes JM, et al. Evidence-based Synthesis Program. Washington, DC: Department of Veterans Affairs; 2012 Jul. Systematic Review: Secure Messaging Between Providers and Patients, and Patients’ Access to Their Own Medical Record: Evidence on Health Outcomes, Satisfaction, Efficiency and AttitudesURL:http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0048536/pdf/PubMedHealth_PMH0048536.pdf [accessed 2015-12-18] [WebCite Cache ID 6dsMJUy9H]
39. Singh H, Fox SA, Petersen NJ, Shethia A, Street RL. Older patients' enthusiasm to use electronic mail to communicate with their physicians: cross-sectional survey. J Med Internet Res 2009;11(2):e18 [FREE Full text] [doi: 10.2196/jmir.1143] [Medline: 19632972]
40. McAuley A. Digital health interventions: widening access or widening inequalities? Public Health 2014 Dec;128(12):1118-1120. [doi: 10.1016/j.puhe.2014.10.008] [Medline: 25458115]
41. Kruse CS, Bolton K, Freriks G. The effect of patient portals on quality outcomes and its implications to meaningful use: a systematic review. J Med Internet Res 2015;17(2):e44 [FREE Full text] [doi: 10.2196/jmir.3171] [Medline: 25669240]
42. Department of Health and Human Services, Centers for Medicare & Medicaid Services. Medicare and Medicaid Programs; Electronic Health Record Incentive Program-Modifications to Meaningful Use in 2015 Through 2017. Federal Register 2015 Apr 15;CFR 495:20345-20399.
43. Goel MS, Brown TL, Williams A, Cooper AJ, Hasnain-Wynia R, Baker DW. Patient reported barriers to enrolling in a patient portal. J Am Med Inform Assoc 2011 Dec;18 Suppl 1:i8-12 [FREE Full text] [doi: 10.1136/amiajnl-2011-000473] [Medline: 22071530]
44. North F, Hanna B, Crane S, Smith S, Tulledge-Scheitel S, Stroebel R. Patient portal doldrums: does an exam room promotional video during an office visit increase patient portal registrations and portal use? J Am Med Inform Assoc 2011 Dec;18 Suppl 1:i24-i27 [FREE Full text] [doi: 10.1136/amiajnl-2011-000381] [Medline: 21976028]
45. Krist AH, Woolf SH, Bello GA, Sabo RT, Longo DR, Kashiri P, et al. Engaging primary care patients to use a patient-centered personal health record. Ann Fam Med 2014;12(5):418-426 [FREE Full text] [doi: 10.1370/afm.1691] [Medline: 25354405]