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Patient Portal Functionalities and Uptake: Systematic Review Protocol.

Abrar Alturkistani1, Geva Greenfield2, Felix Greaves3

  • 1Global Digital Health Unit, Department of Primary Care and Public Health, Imperial College London, London, United Kingdom.

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|August 1, 2020
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Summary
This summary is machine-generated.

This systematic review synthesizes evidence on health and healthcare quality outcomes linked to patient portal functionalities in adult patients. It aims to clarify how specific features of patient portals impact patient health and healthcare quality.

Keywords:
electronic health recordsonline accesspatient portalpatient recordspersonal health recordsystematic review

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Area of Science:

  • Digital Health
  • Health Services Research
  • Systematic Review

Background:

  • Patient portals are digital health tools connected to electronic health records, offering functionalities like medical record access, appointment scheduling, and provider messaging.
  • Existing reviews on patient portal uptake lack specific details on how different portal functionalities influence health and healthcare quality outcomes.
  • Patient portals vary significantly in features, suggesting a need to understand the impact of specific functionalities on diverse patient populations and healthcare settings.

Purpose of the Study:

  • To systematically review and synthesize evidence on health and healthcare quality outcomes associated with patient portal use in adult patients (18 years and older).
  • To investigate the specific health outcomes linked to tethered patient portals and their functionalities in adult patients.
  • To examine healthcare quality outcomes, including utilization, associated with tethered patient portals and their functionalities in adult patients.

Main Methods:

  • A systematic literature search was conducted in MEDLINE, EMBASE, and Scopus databases.
  • Inclusion criteria focused on studies involving adult patients (18+), tethered patient portals, and quantitative primary study designs.
  • Data synthesis involved narrative synthesis, reporting outcomes based on patient portal functionalities, country, disease, and healthcare system model, with risk of bias assessed using established tools.

Main Results:

  • Search conducted in September 2019; review completion anticipated by end of June 2020.
  • Results will detail health and healthcare quality outcomes associated with specific patient portal functionalities.
  • The review will categorize findings by portal functionality, country, disease, and healthcare system model.

Conclusions:

  • This systematic review provides a comprehensive overview of health and healthcare quality outcomes linked to patient portal use in adults.
  • It offers detailed insights into the associations between specific patient portal functionalities and various health and healthcare quality outcomes.
  • Findings can inform patient portal evaluation studies, guiding the development and optimization of these digital health tools.