On the effect of electronic patient portal on primary care utilization and appointment adherence

Autor: Pamela R. Budd, Muxuan Liang, Marvin A. Dewar, Julie L. Sprague, Xiang Zhong, Menggang Yu, Reynerio Sanchez
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
020205 medical informatics
Office Visits
Office visits
Appointment adherence
02 engineering and technology
Rate ratio
Health informatics
0302 clinical medicine
0202 electrical engineering
electronic engineering
information engineering
030212 general & internal medicine
Child
Health Policy
Outcome measures
Patient portal
Primary care utilization
Middle Aged
Computer Science Applications
Child
Preschool
lcsh:R858-859.7
Female
Research Article
Adult
medicine.medical_specialty
Adolescent
Health Informatics
Primary care
lcsh:Computer applications to medicine. Medical informatics
Appointments and Schedules
Young Adult
03 medical and health sciences
Patient Portals
medicine
Humans
Disease burden
Aged
Retrospective Studies
Primary Health Care
business.industry
Infant
Newborn
Infant
Retrospective cohort study
Emergency medicine
Patient Compliance
Disease process
Panel-DID
business
Facilities and Services Utilization
Causal inference
Zdroj: BMC Medical Informatics and Decision Making, Vol 18, Iss 1, Pp 1-12 (2018)
BMC Medical Informatics and Decision Making
ISSN: 1472-6947
DOI: 10.1186/s12911-018-0669-8
Popis: Background The objective of this study was to investigate the impact of patient portal adoption on patients’ primary care utilization and appointment adherence. Methods We conducted a retrospective observational study using a panel difference-in-differences (DID) framework to investigate the use of primary care services by patients, adjusting for their disease burden and allowing for time-dependent portal effect. A large dataset with 46,544 patients of University of Florida (UF) Health during the study period July 2013 – June 2016 was used. The main outcome measures are disease burden adjusted rates of office visits arrived, no-show, and cancellation to primary care physicians (PCPs) per quarter between patient portal adopters (denoted as users) and non-users. Results At the time of adoption, the quarterly PCP office visit rate ratio (RR) of patient portal users to non-users was 1.33 (95% CI, 1.27–1.39; p 0.05 for all cases). Conclusions Patient portal users’ disease burden adjusted PCP office visit rate was significantly reduced in one and a half year and thereafter post portal adoption. PCP appointment no-show rate was also significantly reduced and cancellation rate was not affected, implying improved care engagement of patients.
Databáze: OpenAIRE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje