Abstract:
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.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Kruse CS,Bolton K,Freriks Gdoi
10.2196/jmir.3171subject
Has Abstractpub_date
2015-02-10 00:00:00pages
e44issue
2eissn
1439-4456issn
1438-8871pii
v17i2e44journal_volume
17pub_type
杂志文章,评审abstract:BACKGROUND:Research using genomic data opens up new insights into health and disease. Being able to use the data in association with health and administrative record data held in safe havens can multiply the benefits. However, there is much discussion about the use of genomic data with perceptions of particular challen...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/16346
更新日期:2020-05-15 00:00:00
abstract:BACKGROUND:Poor quality primary health care is a major issue in China, particularly in blindness prevention. Artificial intelligence (AI) could provide early screening and accurate auxiliary diagnosis to improve primary care services and reduce unnecessary referrals, but the application of AI in medical settings is sti...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14316
更新日期:2019-10-17 00:00:00
abstract:BACKGROUND:The Internet is a trusted source of health information for growing majorities of Web users. The promise of online health interventions will be realized with the development of purely online theory-based programs for Web users that are evaluated for program effectiveness and the application of behavior change...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1551
更新日期:2011-03-17 00:00:00
abstract:BACKGROUND:Since 2000, the Centre for Online Health (COH) at The University of Queensland has offered a range of online eHealth courses at the undergraduate and postgraduate level. While online learning has a number of advantages, in some domains, it can present some challenges to the development of practical skills an...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2029
更新日期:2012-12-18 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16451
更新日期:2020-06-10 00:00:00
abstract:BACKGROUND:In March 2012, the US Centers for Disease Control and Prevention (CDC) launched the first-ever paid national tobacco education campaign. At a cost of US $54 million, "Tips from Former Smokers" (Tips) ran for 3 months across multiple media, depicting the suffering experienced by smokers and their families in ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3645
更新日期:2015-01-20 00:00:00
abstract:BACKGROUND:Approximately 80% of internet users access health information online and patients with chronic illnesses especially rely on internet-based resources. YouTube ranks second among the most accessed websites worldwide and hosts an increasing number of videos with medical information. However, their quality is so...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/11935
更新日期:2019-01-16 00:00:00
abstract:BACKGROUND:Internet technologies can create advanced and rich web-based apps that allow radiologists to easily access teleradiology systems and remotely view medical images. However, each technology has its own drawbacks. It is difficult to balance the advantages and disadvantages of these internet technologies and ide...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16224
更新日期:2020-09-25 00:00:00
abstract:BACKGROUND:There is no functional pharmacovigilance system in Cambodia to our knowledge. Mobile phone-based tools, such as short message service (SMS) text messages, are increasingly used for surveillance purposes. OBJECTIVE:To pilot-test the FrontlineSMS mobile phone-based tool for notification of adverse events, usi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2477
更新日期:2013-04-16 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
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更新日期:2014-07-03 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/22189
更新日期:2021-01-24 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.2430
更新日期:2013-05-21 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 评论,社论
doi:10.2196/jmir.8.3.e24
更新日期:2006-09-29 00:00:00
abstract:BACKGROUND:The Institute of Medicine recommends Survivorship Care Plans (SCPs) for all cancer survivors. However, it is unclear whether certain patient groups may or may not benefit from SCPs. OBJECTIVE:The aim was to assess whether the effects of an automatically generated paper SCP on patients' satisfaction with inf...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.2196/jmir.4914
更新日期:2016-07-08 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 临床试验,杂志文章
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更新日期:2015-02-03 00:00:00
abstract:BACKGROUND:The police attend numerous domestic violence events each year, recording details of these events as both structured (coded) data and unstructured free-text narratives. Abuse types (including physical, psychological, emotional, and financial) conducted by persons of interest (POIs) along with any injuries sus...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13067
更新日期:2019-03-12 00:00:00
abstract::[This corrects the article DOI: 10.2196/17595.]. ...
journal_title:Journal of medical Internet research
pub_type: 已发布勘误
doi:10.2196/25511
更新日期:2020-11-09 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4.3.e19
更新日期:2002-12-01 00:00:00
abstract:BACKGROUND:The German Biobank Alliance (GBA) aims to establish a cross-site biobank network. For this endeavor, the so-called Sample Locator, a federated search tool for biospecimens and related data, has been developed, forming the heart of its information technology (IT) infrastructure. OBJECTIVE:To ensure the susta...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/17739
更新日期:2020-08-18 00:00:00
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journal_title:Journal of medical Internet research
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doi:10.2196/14012
更新日期:2019-12-10 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究
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更新日期:2018-10-03 00:00:00
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journal_title:Journal of medical Internet research
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更新日期:2017-05-05 00:00:00
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更新日期:2013-05-27 00:00:00
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journal_title:Journal of medical Internet research
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更新日期:2015-01-27 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2013-08-13 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
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更新日期:2006-05-12 00:00:00
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journal_title:Journal of medical Internet research
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更新日期:2017-11-06 00:00:00
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更新日期:2019-06-18 00:00:00