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Patient Portals: Who uses them? What features do they use? And do they reduce
hospital readmissions?
#MMPMID27437056
Griffin A
; Skinner A
; Thornhill J
; Weinberger M
Appl Clin Inform
2016[]; 7
(2
): 489-501
PMID27437056
show ga
BACKGROUND: Patient portals have demonstrated numerous benefits including
improved patient-provider communication, patient satisfaction with care, and
patient engagement. Recent literature has begun to illustrate how patients use
selected portal features and an association between portal usage and improved
clinical outcomes. OBJECTIVES: This study sought to: (1) identify patient
characteristics associated with the use of a patient portal; (2) determine the
frequency with which common patient portal features are used; and (3) examine
whether the level of patient portal use (non-users, light users, active users) is
associated with 30-day hospital readmission. METHODS: My UNC Chart is the patient
portal for the UNC Health Care System. We identified adults discharged from three
UNC Health Care hospitals with acute myocardial infarction, congestive heart
failure, or pneumonia and classified them as active, light, or non-users of My
UNC Chart. Multivariable analyses were conducted to compare across user groups;
logistic regression was used to predict whether patient portal use was associated
with 30-day readmission. RESULTS: Of 2,975 eligible patients, 83.4% were
non-users; 8.6% were light users; and 8.0% were active users of My UNC Chart. The
messaging feature was used most often. For patients who were active users, the
odds of being readmitted within 30 days was 66% greater than patients who were
non-users (p<0.05). There was no difference in 30-day readmission between
non-users and light users. CONCLUSIONS: The vast majority of patients who were
given an access code for My UNC Chart did not use it within 30 days of discharge.
Of those who used the portal, active users had a higher odds of being readmitted
within 30 days. Health care systems should consider strategies to: (1) increase
overall use of patient portals and (2) target patients with the highest
comorbidity scores to reduce hospital readmissions.
|Aged
[MESH]
|Female
[MESH]
|Heart Failure/therapy
[MESH]
|Humans
[MESH]
|Male
[MESH]
|Middle Aged
[MESH]
|Myocardial Infarction/therapy
[MESH]
|Patient Portals/*statistics & numerical data
[MESH]
|Patient Readmission/*statistics & numerical data
[MESH]
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