Applying Multiple Methods to Comprehensively Evaluate a Patient Portal's Effectiveness to Convey Information to Patients
Patient portals have yet to achieve their full potential for enhancing health communication and improving health outcomes. Although the Patient Protection and Affordable Care Act in the United States mandates the utilization of patient portals, and usage continues to rise, their impact has not been...
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| Veröffentlicht in: | Journal of medical Internet research 2016-05, Vol.18 (5), p.e112-e112 |
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| creator | Alpert, Jordan M Krist, Alex H Aycock, Rebecca A Kreps, Gary L |
| description | Patient portals have yet to achieve their full potential for enhancing health communication and improving health outcomes. Although the Patient Protection and Affordable Care Act in the United States mandates the utilization of patient portals, and usage continues to rise, their impact has not been as profound as anticipated.
The objective of our case study was to evaluate how well portals convey information to patients. To demonstrate how multiple methodologies could be used to evaluate and improve the design of patient-centered portals, we conducted an in-depth evaluation of an exemplar patient-centered portal designed to promote preventive care to consumers.
We used 31 critical incident patient interviews, 2 clinician focus groups, and a thematic content analysis to understand patients' and clinicians' perspectives, as well as theoretical understandings of the portal's use.
We gathered over 140 critical incidents, 71.8% (102/142) negative and 28.2% (40/142) positive. Positive incident categories were (1) instant medical information access, (2) clear health information, and (3) patient vigilance. Negative incident categories were (1) standardized content, (2) desire for direct communication, (3) website functionality, and (4) difficulty interpreting laboratory data. Thematic analysis of the portal's immediacy resulted in high scores in the attributes enhances understanding (18/23, 78%), personalization (18/24, 75%), and motivates behavior (17/24, 71%), but low levels of interactivity (7/24, 29%) and engagement (2/24, 8%). Two overarching themes emerged to guide portal refinements: (1) communication can be improved with directness and interactivity and (2) perceived personalization must be greater to engage patients.
Results suggest that simple modifications, such as increased interactivity and personalized messages, can make portals customized, robust, easily accessible, and trusted information sources. |
| doi_str_mv | 10.2196/jmir.5451 |
| format | Article |
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The objective of our case study was to evaluate how well portals convey information to patients. To demonstrate how multiple methodologies could be used to evaluate and improve the design of patient-centered portals, we conducted an in-depth evaluation of an exemplar patient-centered portal designed to promote preventive care to consumers.
We used 31 critical incident patient interviews, 2 clinician focus groups, and a thematic content analysis to understand patients' and clinicians' perspectives, as well as theoretical understandings of the portal's use.
We gathered over 140 critical incidents, 71.8% (102/142) negative and 28.2% (40/142) positive. Positive incident categories were (1) instant medical information access, (2) clear health information, and (3) patient vigilance. Negative incident categories were (1) standardized content, (2) desire for direct communication, (3) website functionality, and (4) difficulty interpreting laboratory data. Thematic analysis of the portal's immediacy resulted in high scores in the attributes enhances understanding (18/23, 78%), personalization (18/24, 75%), and motivates behavior (17/24, 71%), but low levels of interactivity (7/24, 29%) and engagement (2/24, 8%). Two overarching themes emerged to guide portal refinements: (1) communication can be improved with directness and interactivity and (2) perceived personalization must be greater to engage patients.
Results suggest that simple modifications, such as increased interactivity and personalized messages, can make portals customized, robust, easily accessible, and trusted information sources.</description><identifier>ISSN: 1438-8871</identifier><identifier>ISSN: 1439-4456</identifier><identifier>EISSN: 1438-8871</identifier><identifier>DOI: 10.2196/jmir.5451</identifier><identifier>PMID: 27188953</identifier><language>eng</language><publisher>Canada: Gunther Eysenbach MD MPH, Associate Professor</publisher><subject>Access to Information ; Adolescent ; Adult ; Aged ; Ambulatory care ; Clinical information ; Clinical outcomes ; Communication ; Consumers ; Content analysis ; Critical incidents ; Design ; Electronic Health Records - statistics & numerical data ; Female ; Focus Groups ; Health Communication - methods ; Health education ; Health information ; Health status ; Humans ; Information sources ; Interviews ; Laboratories ; Male ; Medical practices ; Medical records ; Medical research ; Middle Aged ; Original Paper ; Patient Portals - statistics & numerical data ; Patient Protection & Affordable Care Act 2010-US ; Patient Protection and Affordable Care Act - statistics & numerical data ; Patient-centered care ; Patients ; Physicians ; Preventive medicine ; Research methodology ; Researchers ; Usability ; Vigilance ; Web portals ; Young Adult</subject><ispartof>Journal of medical Internet research, 2016-05, Vol.18 (5), p.e112-e112</ispartof><rights>Copyright Gunther Eysenbach MD MPH, Associate Professor May 2016</rights><rights>2016. This work is licensed under http://creativecommons.org/licenses/by/2.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Jordan M Alpert, Alex H Krist, Rebecca A Aycock, Gary L Kreps. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 17.05.2016. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c431t-9da88baf7116262c331e6a421843c72e9ebc87521b1fbad780e4c25fc56cd8383</citedby><cites>FETCH-LOGICAL-c431t-9da88baf7116262c331e6a421843c72e9ebc87521b1fbad780e4c25fc56cd8383</cites><orcidid>0000-0001-5980-129X ; 0000-0003-4060-9155 ; 0000-0002-4726-4359 ; 0000-0002-7066-4748</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,724,777,781,861,882,12827,27905,27906,30980</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27188953$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alpert, Jordan M</creatorcontrib><creatorcontrib>Krist, Alex H</creatorcontrib><creatorcontrib>Aycock, Rebecca A</creatorcontrib><creatorcontrib>Kreps, Gary L</creatorcontrib><title>Applying Multiple Methods to Comprehensively Evaluate a Patient Portal's Effectiveness to Convey Information to Patients</title><title>Journal of medical Internet research</title><addtitle>J Med Internet Res</addtitle><description>Patient portals have yet to achieve their full potential for enhancing health communication and improving health outcomes. Although the Patient Protection and Affordable Care Act in the United States mandates the utilization of patient portals, and usage continues to rise, their impact has not been as profound as anticipated.
The objective of our case study was to evaluate how well portals convey information to patients. To demonstrate how multiple methodologies could be used to evaluate and improve the design of patient-centered portals, we conducted an in-depth evaluation of an exemplar patient-centered portal designed to promote preventive care to consumers.
We used 31 critical incident patient interviews, 2 clinician focus groups, and a thematic content analysis to understand patients' and clinicians' perspectives, as well as theoretical understandings of the portal's use.
We gathered over 140 critical incidents, 71.8% (102/142) negative and 28.2% (40/142) positive. Positive incident categories were (1) instant medical information access, (2) clear health information, and (3) patient vigilance. Negative incident categories were (1) standardized content, (2) desire for direct communication, (3) website functionality, and (4) difficulty interpreting laboratory data. Thematic analysis of the portal's immediacy resulted in high scores in the attributes enhances understanding (18/23, 78%), personalization (18/24, 75%), and motivates behavior (17/24, 71%), but low levels of interactivity (7/24, 29%) and engagement (2/24, 8%). Two overarching themes emerged to guide portal refinements: (1) communication can be improved with directness and interactivity and (2) perceived personalization must be greater to engage patients.
Results suggest that simple modifications, such as increased interactivity and personalized messages, can make portals customized, robust, easily accessible, and trusted information sources.</description><subject>Access to Information</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Ambulatory care</subject><subject>Clinical information</subject><subject>Clinical outcomes</subject><subject>Communication</subject><subject>Consumers</subject><subject>Content analysis</subject><subject>Critical incidents</subject><subject>Design</subject><subject>Electronic Health Records - statistics & numerical data</subject><subject>Female</subject><subject>Focus Groups</subject><subject>Health Communication - methods</subject><subject>Health education</subject><subject>Health information</subject><subject>Health status</subject><subject>Humans</subject><subject>Information sources</subject><subject>Interviews</subject><subject>Laboratories</subject><subject>Male</subject><subject>Medical practices</subject><subject>Medical records</subject><subject>Medical research</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Patient Portals - statistics & numerical data</subject><subject>Patient Protection & Affordable Care Act 2010-US</subject><subject>Patient Protection and Affordable Care Act - statistics & numerical data</subject><subject>Patient-centered care</subject><subject>Patients</subject><subject>Physicians</subject><subject>Preventive medicine</subject><subject>Research methodology</subject><subject>Researchers</subject><subject>Usability</subject><subject>Vigilance</subject><subject>Web portals</subject><subject>Young Adult</subject><issn>1438-8871</issn><issn>1439-4456</issn><issn>1438-8871</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9kU1v1DAQhiMEoh9w4A8gSxwohy0Zx06cC1K1WqBSK3qAs-U4k65Xjh1sZ8X-exx1qQoHTmONn3nn4y2KN1BeUmjrj7vRhEvOODwrToFVYiVEA8-fvE-Ksxh3ZUlL1sLL4oQ2IETLq9Pi19U02YNx9-R2tslMFsktpq3vI0merP04Bdyii2aP9kA2e2VnlZAocqeSQZfInQ9J2feRbIYBdcqcw3gsdns8kGs3-DBm2rsle6yLr4oXg7IRXx_jefHj8-b7-uvq5tuX6_XVzUqzCtKq7ZUQnRoagJrWVFcVYK0YBcEq3VBssdOi4RQ6GDrVN6JEpikfNK91LypRnRefHnSnuRux17l3UFZOwYwqHKRXRv7948xW3vu9ZPlwdV1mgYujQPA_Z4xJjiZqtFY59HOU0LTLYYE1GX33D7rzc3B5PUk5UEE5h_J_FOSJKWelaDP14YHSwccYcHgcGUq5uC4X1-XiembfPt3xkfxjc_UbvUmqCA</recordid><startdate>20160517</startdate><enddate>20160517</enddate><creator>Alpert, Jordan M</creator><creator>Krist, Alex H</creator><creator>Aycock, Rebecca A</creator><creator>Kreps, Gary L</creator><general>Gunther Eysenbach MD MPH, Associate Professor</general><general>JMIR Publications Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>E3H</scope><scope>F2A</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CNYFK</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>KB0</scope><scope>M0S</scope><scope>M1O</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-5980-129X</orcidid><orcidid>https://orcid.org/0000-0003-4060-9155</orcidid><orcidid>https://orcid.org/0000-0002-4726-4359</orcidid><orcidid>https://orcid.org/0000-0002-7066-4748</orcidid></search><sort><creationdate>20160517</creationdate><title>Applying Multiple Methods to Comprehensively Evaluate a Patient Portal's Effectiveness to Convey Information to Patients</title><author>Alpert, Jordan M ; 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Although the Patient Protection and Affordable Care Act in the United States mandates the utilization of patient portals, and usage continues to rise, their impact has not been as profound as anticipated.
The objective of our case study was to evaluate how well portals convey information to patients. To demonstrate how multiple methodologies could be used to evaluate and improve the design of patient-centered portals, we conducted an in-depth evaluation of an exemplar patient-centered portal designed to promote preventive care to consumers.
We used 31 critical incident patient interviews, 2 clinician focus groups, and a thematic content analysis to understand patients' and clinicians' perspectives, as well as theoretical understandings of the portal's use.
We gathered over 140 critical incidents, 71.8% (102/142) negative and 28.2% (40/142) positive. Positive incident categories were (1) instant medical information access, (2) clear health information, and (3) patient vigilance. Negative incident categories were (1) standardized content, (2) desire for direct communication, (3) website functionality, and (4) difficulty interpreting laboratory data. Thematic analysis of the portal's immediacy resulted in high scores in the attributes enhances understanding (18/23, 78%), personalization (18/24, 75%), and motivates behavior (17/24, 71%), but low levels of interactivity (7/24, 29%) and engagement (2/24, 8%). Two overarching themes emerged to guide portal refinements: (1) communication can be improved with directness and interactivity and (2) perceived personalization must be greater to engage patients.
Results suggest that simple modifications, such as increased interactivity and personalized messages, can make portals customized, robust, easily accessible, and trusted information sources.</abstract><cop>Canada</cop><pub>Gunther Eysenbach MD MPH, Associate Professor</pub><pmid>27188953</pmid><doi>10.2196/jmir.5451</doi><orcidid>https://orcid.org/0000-0001-5980-129X</orcidid><orcidid>https://orcid.org/0000-0003-4060-9155</orcidid><orcidid>https://orcid.org/0000-0002-4726-4359</orcidid><orcidid>https://orcid.org/0000-0002-7066-4748</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Access to Information Adolescent Adult Aged Ambulatory care Clinical information Clinical outcomes Communication Consumers Content analysis Critical incidents Design Electronic Health Records - statistics & numerical data Female Focus Groups Health Communication - methods Health education Health information Health status Humans Information sources Interviews Laboratories Male Medical practices Medical records Medical research Middle Aged Original Paper Patient Portals - statistics & numerical data Patient Protection & Affordable Care Act 2010-US Patient Protection and Affordable Care Act - statistics & numerical data Patient-centered care Patients Physicians Preventive medicine Research methodology Researchers Usability Vigilance Web portals Young Adult |
| title | Applying Multiple Methods to Comprehensively Evaluate a Patient Portal's Effectiveness to Convey Information to Patients |
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