Patient portal use and hospital outcomes
| العنوان: | Patient portal use and hospital outcomes |
|---|---|
| المؤلفون: | Lisa Nordan, Hope E Greig, Nancy L. Dawson, James M. Naessens, Duaa Aljabri, Colleen S. Thomas, Adrian G. Dumitrascu, M. Caroline Burton |
| المصدر: | J Am Med Inform Assoc |
| بيانات النشر: | Oxford University Press (OUP), 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, 020205 medical informatics, MEDLINE, Health Informatics, 02 engineering and technology, Research and Applications, Patient Readmission, 03 medical and health sciences, Liver disease, 0302 clinical medicine, Patient Portals, Patient experience, 0202 electrical engineering, electronic engineering, information engineering, Electronic Health Records, Humans, Medicine, Hospital Mortality, 030212 general & internal medicine, Mortality, Propensity Score, Adverse effect, Aged, Retrospective Studies, Patient Access to Records, business.industry, Patient portal, Retrospective cohort study, Middle Aged, medicine.disease, Hospitalization, Treatment Outcome, Hospital outcomes, Emergency medicine, Propensity score matching, Florida, Female, business |
| الوصف: | Objectives To determine whether use of a patient portal during hospitalization is associated with improvement in hospital outcomes, 30-day readmissions, inpatient mortality, and 30-day mortality. Materials and Methods We performed a retrospective propensity score–matched study that included all adult patients admitted to Mayo Clinic Hospital in Jacksonville, Florida, from August 1, 2012, to July 31, 2014, who had signed up for a patient portal account prior to hospitalization (N = 7538). Results Out of the admitted patients with a portal account, 1566 (20.8%) accessed the portal while in the hospital. Compared to patients who did not access the portal, patients who accessed the portal were younger (58.8 years vs 62.3 years), had fewer elective admissions (54.2% vs 64.1%), were more frequently admitted to medical services (45.8% vs 35.2%), and were more likely to have liver disease (21.9% vs 12.9%) and higher disease severity scores (0.653 vs 0.456). After propensity score matching, there was no statistically significant difference between the 2 cohorts with respect to 30-day readmission (P = .13), inpatient mortality (P = .82), or 30-day mortality (P = .082). Conclusion Use of the patient portal in the inpatient setting may not improve hospital outcomes. Future research should examine the association of portal use with more immediate inpatient health outcomes such as patient experience, patient engagement, medication reconciliation, and prevention of adverse events. |
| تدمد: | 1527-974X 1067-5027 |
| DOI: | 10.1093/jamia/ocx149 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7115a3f52b8606733b5b3fb678c754bc https://doi.org/10.1093/jamia/ocx149 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....7115a3f52b8606733b5b3fb678c754bc |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1527974X 10675027 |
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| DOI: | 10.1093/jamia/ocx149 |