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Sakaguchi-Tang DK, Bosold AL, Choi YK, et al. Patient Portal Use and Experience Among Older Adults: Systematic Review. JMIR Med Inform. 2017;5(4):e38doi: 10.2196/medinform.8092.
Sakaguchi-Tang, D. K., Bosold, A. L., Choi, Y. K., & Turner, A. M. (2017). Patient Portal Use and Experience Among Older Adults: Systematic Review. JMIR medical informatics, 5(4), e38. https://doi.org/10.2196/medinform.8092
Sakaguchi-Tang, Dawn K, et al. "Patient Portal Use and Experience Among Older Adults: Systematic Review." JMIR medical informatics vol. 5,4 (2017): e38. doi: https://doi.org/10.2196/medinform.8092
Sakaguchi-Tang DK, Bosold AL, Choi YK, Turner AM. Patient Portal Use and Experience Among Older Adults: Systematic Review. JMIR Med Inform. 2017 Oct 16;5(4):e38. doi: 10.2196/medinform.8092. PMID: 29038093; PMCID: PMC5662789.
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JMIR Med Inform. 2017 Oct 16;5(4):e38. doi: 10.2196/medinform.8092.

Patient Portal Use and Experience Among Older Adults: Systematic Review.

JMIR medical informatics

Dawn K Sakaguchi-Tang, Alyssa L Bosold, Yong K Choi, Anne M Turner

Affiliations

  1. Department of Human Centered Design and Engineering, College of Engineering, University of Washington, Seattle, WA, United States.
  2. Department of Health Services, School of Public Health, University of Washington, Seattle, WA, United States.
  3. Department of Biomedical Informatics and Medical Education, School of Medicine, University of Washington, Seattle, WA, United States.
  4. Biomedical Informatics and Medical Education, University of Washington, Seattle, WA, United States.

PMID: 29038093 PMCID: PMC5662789 DOI: 10.2196/medinform.8092

Abstract

BACKGROUND: The older adult population (65 years or older) in the United States is growing, and it is important for communities to consider ways to support the aging population. Patient portals and electronic personal health records (ePHRs) are technologies that could better serve populations with the highest health care needs, such as older adults.

OBJECTIVE: The aim of this study was to assess the existing research landscape related to patient portal and ePHR use and experience among older adults and to understand the benefits and barriers to older adults' use and adoption of patient portals and ePHRs.

METHODS: We searched six pertinent bibliographic databases for papers, published from 2006 to 2016 and written in English, that focused on adults 60 years or older and their use of or experience with patient portals or ePHRs. We adapted preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines to review papers based on exclusion and inclusion criteria. We then applied thematic analysis to identify key themes around use, experience, and adoption.

RESULTS: We retrieved 199 papers after an initial screening and removal of duplicate papers. Then we applied an inclusion and exclusion criteria, resulting in a final set of 17 papers that focused on 15 separate projects. The majority of papers described studies involving qualitative research, including interviews and focus groups. They looked at the experience and use of ePHRs and patient portals. Overall, we found 2 main barriers to use: (1) privacy and security and (2) access to and ability to use technology and the Internet. We found 2 facilitators: (1) technical assistance and (2) family and provider advice. We also reported on older adults' experience, including satisfaction with the system and improvement of the quality of their health care. Several studies captured features that older adults wanted from these systems such as further assistance managing health-related tasks and contextual health advice and tips.

CONCLUSIONS: More research is needed to better understand the patient portal experience among older adults from initial use to adoption. There are also opportunities to explore the role of design in addressing barriers and supporting facilitators to patient portal and ePHR use. Finally, the future use of these systems by older adults should be anticipated and considered in the design process.

©Dawn K Sakaguchi-Tang, Alyssa L Bosold, Yong K Choi, Anne M Turner. Originally published in JMIR Medical Informatics (http://medinform.jmir.org), 16.10.2017.

Keywords: aged; patient portals; personal health records; usability; user experience; utilization

References

  1. Proc SIGCHI Conf Hum Factor Comput Syst. 2015 Apr;2015 :3859-3868 - PubMed
  2. Diabetes Care. 2010 Nov;33(11):2314-9 - PubMed
  3. Am J Manag Care. 2013 Nov;19(10 Spec No):eSP7-11 - PubMed
  4. J Med Internet Res. 2011 Jun 29;13(2):e44 - PubMed
  5. Stud Health Technol Inform. 2010;160(Pt 2):1206-10 - PubMed
  6. J Am Board Fam Med. 2016 Sep-Oct;29(5):592-603 - PubMed
  7. AMIA Annu Symp Proc. 2015 Nov 05;2015 :1234-41 - PubMed
  8. Hum Factors. 2015 May;57(3):491-506 - PubMed
  9. Int J Med Inform. 2009 Jan;78(1):1-9 - PubMed
  10. Am J Manag Care. 2016 Aug;22(8):539-40 - PubMed
  11. JAMA. 2016 Aug 2;316(5):538-40 - PubMed
  12. J Am Med Inform Assoc. 2011 Jul-Aug;18(4):515-22 - PubMed
  13. J Med Internet Res. 2016 Mar 30;18(3):e73 - PubMed
  14. J Appl Gerontol. 2014 Jun;33(4):416-36 - PubMed
  15. J Med Internet Res. 2009 Oct 27;11(4):e44 - PubMed
  16. Stud Health Technol Inform. 2014;202:181-4 - PubMed
  17. Ann Intern Med. 2013 Nov 19;159(10):677-87 - PubMed
  18. J Med Internet Res. 2016 Mar 04;18(3):e50 - PubMed
  19. Ann Intern Med. 2009 Aug 18;151(4):264-9, W64 - PubMed
  20. JAMA Intern Med. 2015 Sep;175(9):1498-9 - PubMed
  21. J Med Internet Res. 2008 Nov 11;10(4):e35 - PubMed
  22. J Med Internet Res. 2005 May 31;7(2):e15 - PubMed
  23. Inform Prim Care. 2012;20(3):151-69 - PubMed
  24. Health Informatics J. 2014 Jun;20(2):127-35 - PubMed
  25. AMIA Annu Symp Proc. 2006;:514-8 - PubMed
  26. Stud Health Technol Inform. 2013;192:709-13 - PubMed
  27. Health Informatics J. 2016 Jun;22(2):171-83 - PubMed
  28. Int J Med Inform. 2014 Mar;83(3):201-9 - PubMed
  29. Technol Health Care. 2008;16(2):111-8 - PubMed
  30. J Am Board Fam Med. 2009 Sep-Oct;22(5):553-62 - PubMed
  31. J Innov Health Inform. 2017 Jan 15;23 (4):881 - PubMed
  32. Med Care. 2016 Aug;54(8):772-9 - PubMed

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