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Related Experiment Videos

An Internet-based patient-provider communication system: randomized controlled trial.

Chen-Tan Lin1, Loretta Wittevrongel, Laurie Moore

  • 1Division of General Internal Medicine, University of Colorado, Health Sciences Center, Denver, CO, USA. CT.Lin@uchsc.edu

Journal of Medical Internet Research
|October 21, 2005
PubMed
Summary

Patient portals enhance patient satisfaction with healthcare communication and access to care. This study found improved communication and higher overall satisfaction among patients using a portal for secure messaging and appointment requests.

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Area of Science:

  • Health Informatics
  • Patient-Provider Communication
  • Digital Health

Background:

  • Internet-based patient portals offer interactive platforms for communication between patients and healthcare providers.
  • Effective communication is crucial for patient satisfaction and quality of care.

Purpose of the Study:

  • To evaluate the impact of a patient portal on patient satisfaction with clinic access and overall care.
  • To analyze the content and volume of electronic messages and telephone calls exchanged between patients and their clinic.

Main Methods:

  • A randomized controlled trial involving 606 patients from an academic internal medicine practice.
  • The intervention group utilized a patient portal for secure messaging, appointment requests, prescription refills, and referrals.

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  • The control group received standard care, with patient satisfaction assessed after a 6-month trial period.
  • Main Results:

    • Patients using the portal reported significantly improved communication with their clinic and higher satisfaction with overall care compared to the control group.
    • Portal use led to increased satisfaction with specific portal services, with physicians receiving approximately one message daily per 250 patients.
    • Telephone call volume remained unaffected, while portal messages were more likely to contain informational and psychosocial content, suggesting enhanced patient-provider relationship dynamics.

    Conclusions:

    • Patient portal use significantly increases patient satisfaction with communication and overall healthcare.
    • Key benefits include enhanced convenience, reduced communication barriers, and direct physician engagement.
    • The shift towards informational and psychosocial content in online messages may foster a stronger patient-physician relationship.