Patient Portal Adoption Rates: A Systematic Literature Review and Meta-Analysis

摘要：

　　Despite the increasing availability of online patient portals that provide access to electronic health records, little is known about their adoption by patients. We systematically reviewed the literature to investigate adoption of patient portals across studies. We searched MEDLINE and Scopus to identify relevant papers. We included 40 studies: 24 were controlled experiments, with prospective data collection in an actively recruited population; 16 were real-world experiments, with adoption being evaluated retrospectively after system deployment in clinical practice. Our meta-analysis showed an overall mean adoption rate of 52% (95% Confidence Interval CI, 42 to 62%). Rates differed markedly between study types: controlled experiments yielded a mean adoption rate of 71% (95% CI 64 to 79%), compared to 23% (95% CI, 13 to 33%) in real-world experiments. This difference was confirmed in a meta-regression analysis of the influence of study characteristics on adoption rates. Our findings suggest that adoption rates reported in controlled studies do not reflect those in everyday clinical practice. Until we understand how to effectively increase adoption, patient portals are unlikely to consistently lead to improvements in care processes and health outcomes.

关键词： Computers/utilization Personal Health Record Patient Access to Records

作者: Paolo Fraccaro Markel Vigo Panagiotis Balatsoukas Iain E.Buchan Niels Peek Sabine N.van der Veer

作者单位: NIHR Greater Manchester Primary Care Patient Safety Translational Research Centre,The University of School of Computer Science,The University of Manchester,Manchester,UK MRC Health eResearch Centre,Farr Institute of Health Informatics Research,UK

会议类型: 国际会议

会议名称: 第十六届世界医药健康信息学大会((MEDINFO2017)、第二届世界医药健康信息学华语论坛(WCHIS 2017)、第15届全国医药信息学大会(CMIA 2017)

会议地点: 苏州

会议语种:英文

页码: 79-83

在线出版日期: 2017-08-21（万方平台首次上网日期，不代表论文的发表时间）