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Using Electronic Health Record Portals to Improve Patient Engagement: Research Priorities and Best Practices.
Courtney R Lyles1, Eugene C Nelson2, Susan Frampton3
1UCSF Department of Medicine, Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital, San Francisco, California (C.R.L., A.G.C., U.S.).
Annals of Internal Medicine
|June 2, 2020
Summary
Patient portals for electronic health records (EHRs) are common, but low usage persists. One-on-one training boosts patient portal engagement, highlighting the need to address literacy barriers and clinician support.
Area of Science:
- Health Informatics
- Patient Engagement
- Digital Health
Background:
- Widespread adoption of patient portals for electronic health record (EHR) access in US healthcare systems.
- Low patient utilization rates (15%-30%) despite portal availability.
Purpose of the Study:
- To synthesize research on patient engagement with EHR data via patient portals.
- To identify best practices and future research priorities for enhancing patient portal use.
Main Methods:
- Systematic literature review of 53 studies published from September 2013 to June 2019.
- Analysis focused on interventions, usability testing, and documented barriers to portal use.
Main Results:
- One-on-one patient training interventions showed the highest portal usage rates.
- Limited health or digital literacy presents significant challenges for patients.
- Clinicians reported insufficient workflows to integrate patient portal use into routine practice.
Conclusions:
- Improving patient engagement with EHR portals necessitates addressing diverse patient needs and systematically evaluating portal usability and content.
- Future research should integrate implementation science and focus on the crucial role of clinicians and staff in promoting portal adoption.
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