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Patient Portal Implementation and Uptake: Qualitative Comparative Case Study.

Melita Avdagovska¹, Mark Ballermann², Karin Olson³

¹University of Alberta, School of Public Health, Edmonton, AB, Canada.

Journal of Medical Internet Research

|July 28, 2020

Summary

This summary is machine-generated.

Patient portals like MyChart improve patient-centered care. Understanding factors influencing patient portal adoption is key for successful implementation and better health outcomes.

Keywords:

adoption information technology patient portals

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Area of Science:

Health Informatics
Patient Engagement
Health Services Research

Background:

Patient portals are crucial for patient-centered care and providing access to health information.
Alberta Health Services piloted MyChart, a patient portal, necessitating an understanding of its adoption factors.
Variability in MyChart uptake across clinics required investigation into underlying causes.

Purpose of the Study:

To identify factors promoting MyChart uptake from user and non-user perspectives.
To understand benefits and barriers associated with MyChart use.
To inform the province-wide implementation strategy for MyChart.

Main Methods:

A qualitative comparative case study design was employed.
Semistructured interviews were conducted with 56 participants (patients, providers, staff, managers) across 5 clinics.
Thematic analysis of transcribed interviews was performed using NVivo.

Main Results:

Factors influencing MyChart uptake were identified, including intention to use, perceived value, and technology novelty.
New factors such as satisfaction with the status quo, performance expectancy, and facilitating conditions were found to impact uptake.
Uptake levels varied significantly across clinics, influenced by a combination of established and novel factors.

Conclusions:

Limited research exists on patient portal uptake factors.
Several new factors associated with MyChart adoption were identified alongside consistent findings from previous studies.
Shared understanding of the technology and dissatisfaction with traditional communication methods are foundational for successful patient portal implementation.