Critical Review on:
The Impact of Electronic Patient Portals on Patient Care: A Systematic Review of Controlled Trials
Introduction: Ammenwerth, E., Schnell-Inderst, P., & Hoerbst, A. (n.d.). The Impact of Electronic Patient Portals on Patient Care: A Systematic Review of Controlled Trials. J Med Internet Res Journal of Medical Internet Research. Retrieved October 26, 2015.
The author conducted the research with the intention to analyze whether patient portals actually contributed to empower patients and improve quality of care.
Although there are studies conducted by Ferreira that took into account paper reviews having surveys and interviews of patients and clinicians, it did not include control groups. Thus, the studies could not empirically identify the advantages of patient portal when combined traditional patient care. This article is first of its kind where a systemic evaluation was conducted by analyzing controlled studies on use of patient portals. The author after critically reviewing the prior works which studied the impact of patient portals on patient care, raises the following question: While the trend in healthcare is shifting to patient-centric approaches, are they really having a positive impact on patients? Are they really empowering patients?
Summary:
The objective of this paper was to systemically review the impact of electronic patient portals on patient care by scrutinizing controlled studies on the use of patient portals. [1] The title is
Upgrading our documentation to information and informatics comes with many advantages for the health care team to improve quality and safe ty improvement. Also, the use of technology such as telehealth, telenursing and videoconferencing are on the rise, and will be embedded into our communities and nursing organizations so that we can reach people around the country who do not have accessibility quality health care. Using technology to educate patients and families about credible websites, and how to search for pertinent information that is relevant to his or her health is a priority. The goal is to eliminate unnecessary emergency rooms visits. These actions foster communication and minimize anxiety
Since consumers are becoming more involved with their healthcare decisions, organizations and providers must adapt to consumer requisites and utilize independent resources to ensure the viability of their businesses. In 2008, a study reported that 81% of internet users and 66% of adults utilized online health information as a source for health related issues (Ha & Yun, 2011). Some examples of online health information resources comprised of search engines, organizational websites, and governmental agencies that participate in health related issues (Ha & Yun, 2011). By accessing health related information, consumers empower themselves with knowledge to assist in healthcare decisions and wellness management (Ha & Yun, 2011). As a result of consumers becoming better educated about healthcare, administrators must explore internet resources in order to maintain quality and services that is expected by consumers, and maintain the reputation of the organization.
Patient portals offer online access available 24/7. A portal opens up the door to communication and information sharing between physicians, nurses and patients. This provides a direct communication where a patient is no longer waiting for a phone call about test results, which could increase anxiety to some. The results would present
In the journal article, The Impact of an Integrated Electronic Health Record Adoption on Nursing Care Quality, they discuss how technology can improve quality of care. With electronic health records, nurses can document while at the bedside. Their study confirms that the use of electronic health records can improve patient quality of care (Walker-Czyz, 2016.)
Research has been conducted and published by the Agency for Health Care Research and Quality, which expresses the effect that health information technology has on expanding access to care, improving quality and efficiency of care provided.
In a study conducted by the Health Services Research on the “Clinical Benefits of Electronic Health Record Use”, 78 percent of Physicians said that the EHR in general improved patient care. This included: remote access to patient charts, alerts for potential medical errors and critical test results, along with recommendations for care and proper test selections, and improve communication with patients (King, J., Patel, V., Jamoom, E. W., & Furukawa, M. F. (2014).
Patients and their families can log into the portal anytime to recall the visit and follow up plan (Crane, 2014). Those patients who take multiple medication are easily able to keep track of their medication and request a refill. Patient are engaged as they log in to manage their medications, view labs, or to view a secure message. Studies have shown that patients with portals have more adherence to receiving influenza shots and mammograms as these patients receive important reminders via secure messaging (Goldzweing, 2013). Nowadays, patients want to be part of their medical care and hence improve quality of life. With access to patient data, patient are also willing to learn more about their disease process. Therefor, portal also provides patient with educational materials to understand the disease and treatment plan. Involving patient in their own care will result in better outcomes and adherence to treatment plan. Another result of portal is cost saving. For example, “the secure messaging feature of the patient portal could result in saving of $0.62 per appointment reminder, $1.75 per phone call to patients, and $2.69 for each lab result delivery” (Emont, 2011). While the amount may appear to be small, but it adds up to the overall
Patient portals are slowly reaching the diverse set of population in the Unites States of America. Although, the use of technology in healthcare systems is gaining more importance than before due to ‘meaningful use’ approach, but is it contributing towards healthcare disparities? Inverse care law postulates that new healthcare interventions disproportionately benefit those patients with the most resources [1]. But does every individual irrespective of their race/ethnicity or socioeconomic status receive the same benefits? Do patient portals help in improving the medication adherence in reality? There are several studies which have confirmed that using patient portals, patients can access to care and measure their outcomes. However, this
Patient portals can be customized to meet the needs of each provider's office. From a staff's perspective, patient portal will streamline the front desk worklow in terms of registering the patient, appointments, and sending reminders to the patients. As patients will be utilizing the portal to make a follow up appointment or requesting a refill on the medication, staff will be taking less and less calls. Staff members will be provided with adequate education and training on portals. In the end, staff members will be satisfied to see a decline in phone calls to refill medications or to reschedule an appointment. Staff time will be utilized in other areas that an benefit the patient outcomes.
Patient portals are suddenly in vogue for a variety of reasons. The Centers for Medicare and Medicaid’s Meaningful Use Stage 1 ruling in 2009 dramatically increased the use of electronic health records across the United States. In order to be a qualified electronic health record these systems must demonstrate the ability to allow patients electronic access to their medical records. Regardless of whether this translates into a benefit to patient care, many healthcare institutions are racing forward with the implementation of a patient portal for compliance and financial reasons as well as convenience to the patient.
Patient/member web portals are becoming more mainstream in today's healthcare industry because of the advance in internet web-based services as well as the rise in health information technology. According to Miller (2009), the growth in internet access in today's healthcare practices has driven an increase in the use of patients web portal by many healthcare organizations (both nationally and worldwide) due to its much-secured interface and broader features compared to e-mail.
There are many different healthcare settings, which Electronic Health Records (EHR) have been implemented. One may think EHR’s are the same for all settings; however, based on the needs and application to each area, there are similarities and differences. This paper will delve into the Perioperative setting and Ambulatory setting in primary care. Information provided will highlight the value of Electronic Health Information (EHI), its impact at the warehouse and regional level as it improves patient care among the respective practitioners in these settings and its impact to Public Health Information Networks (PHIN) and National Health Information Networks (NHIN).
There is an increase in the use of patient portals among older patients due to the following reasons: ability to manage their chronic illnesses, and the ability to easily communicate with their physician when they are having questions or changes in their healthcare condition. The truth is that many generations of people who are computer literate are getting older now. This makes it easier for them to easily adapt to the introduction of the patient portal. Nevertheless, there are still many older people that are finding it difficult to adapt to these new healthcare tools (Heath, 2016). I think the number of older people using patient portals would continue to increase. The real issue is some older patients complained that they are not aware
It is important to understand that patients are very satisfied with electronic health systems. For example, patients see a vast improvement in the speed at which they are being seen when they go their doctors’ office. Patients no longer have to wait on their physicians for hours due to the fact that their information can be readily available to their physicians when they come to see them. Moreover, all their information is transparent to their health care provider since all their data is in electronic form.
The future trends in health care are limitless. From using applications that perform EKG’s to robot-assisted surgery, the rapid expansion of technology applications in health care is astounding. Advancing technology also pushes the boundaries of health care in its ability to integrate health care information. The integration of health care information is critical to the effective, efficient delivery of quality care in a now fragmented health care system. This paper will assess how the internet or any new forms of electronic communication can be used as an external delivery source of communicating patient-specific information, address the impact of distance delivery on health care, how these communication issues impact health care today and