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DOI: 10.4338/ACI-2014-10-RA-0098
A National Survey of Parent Perspectives on Use of Patient Portals for Their Children’s Health Care
Publication History
received:
05 November 2014
accepted:
15 January 2015
Publication Date:
19 December 2017 (online)
Summary
Objectives: To assess parents’ current utilization and future willingness to use patient portals to interact with their child’s health care provider.
Methods: A cross-sectional survey of a nationally representative sample of US parents was conducted using an established online panel. Bivariate analyses assessed associations between current utilization and future willingness to use patient portals, parental concerns, and demographic variables.
Results: Among the 1,420 parent respondents, 40% did not know whether their child’s health practice offers the option of setting up a patient portal for their child. Of the 21% of parents who reported being offered the option of setting up a patient portal for their child, 59% had done so. Among parents who had the option but chose not to set up a patient portal for their child, lack of time and low perceived need were the main reasons cited. Current use and likelihood of future use was highest for viewing lab results and immunization records. The most common concern about patient portals was the security of the child portal system.
Conclusions: Current use of patient portals by parents is low. Only about half of parents currently using or likely to use a portal perceive value in using portals for certain tasks, which suggests that providers will need to continue traditional communication mechanisms to reach their entire patient population.
Citation: Clark SJ, Costello LE, Gebremariam A, Dombkowski KJ. A national survey of parent perspectives on use of patient portals for children’s health care. Appl Clin Inf 2015; 6: 110–119
http://dx.doi.org/10.4338/ACI-2014-10-RA-0098
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References
- 1 Health Information Technology for Economic and Clinical Health (HITECH) Act, 42 USC §§13001-13424 (2009). Available at: http://www.healthit.gov/sites/default/files/hitech_act_excerpt_from_arra_with_index.pdf . Accessed: October 22, 2014.
- 2 Centers for Medicare & Medicaid Services (CMS).. Electronic Health Record Incentive Program—Stage 2, Final Rule. Fed Regist 2012; 77 (171) 53968-54162. Available at: http://www.gpo.gov/fdsys/pkg/FR-2012-09-04/pdf/2012-21050.pdf . Accessed: October 22, 2014.
- 3 National Learning Consortium.. Fact sheet: how to optimize patient portals for patient engagement and meet Meaningful Use requirements. May 2013. Available online at: http://www.healthit.gov/sites/default/files/nlc_how_to_optimizepatientportals_for_patientengagement.pdf . Accessed: October 22, 2014.
- 4 Office of the National Coordinator for Health Information Technology (ONC). What is a patient portal? Available at: http://www.healthit.gov/providers-professionals/faqs/what-patient-portal . Accessed December 19, 2014.
- 5 Goel MS, Brown TL, Williams A, Cooper AJ, Hasnain-Wynia R, Baker DW. Patient reported barriers to enrolling in a patient portal. J Am Med Inform Assoc 2011; 18 (Suppl. 01) i8-i12.
- 6 Ancker JS, Barrón Y, Rockoff ML, Hauser D, Pichardo M, Szerencsy A, Calman N. Use of an electronic patient portal among disadvantaged populations. J Gen Intern Med 2011; 26 (10) 1117-1123.
- 7 Wakefield DS, Kruse RL, Wakefield BJ, Koopman RJ, Keplinger LE, Canfield SM, Mehr DR. Consistency of patient preferences about a secure internet-based patient communications portal: contemplating, enrolling, and using. Am J Med Qual 2012; 27 (06) 494-502.
- 8 Goldzweig CL, Orshansky G, Paige NM, Towfigh AA, Haggstrom DA, Miake-Lye I, Beroes JM, Shekelle PG. Electronic patient portals: evidence on health outcomes, satisfaction, efficiency, and attitudes: a systematic review. Ann Intern Med 2013; 159 (10) 677-687.
- 9 Tom JO, Mangione-Smith R, Solomon C, Grossman DC. Integrated personal health record use: association with parent-reported care experiences. Pediatrics 2012; 130 (01) e183-e190.
- 10 Byczkowski TL, Munafo JK, Britto MT. Variation in use of Internet-based patient portals by parents of children with chronic disease. Arch Pediatr Adolesc Med 2011; 165 (05) 405-411.
- 11 Britto MT, Hesse EA, Kamdar OJ, Munafo JK. Parents’ perceptions of a patient portal for managing their child’s chronic illness. J Pediatr 2013; 163 (01) 280-281. e2.
- 12 Britto MT, Jimison HB, Munafo JK, Wissman J, Rogers ML, Hersh W. Usability testing finds problems for novice users of pediatric portals. Pediatr Adolesc Med 2009; 16 (05) 660-669.
- 13 Byczkowski TL, Munafo JK, Britto MT. Family perceptions of the usability and value of chronic disease web-based patient portals. Health Informatics J 2014; 20 (02) 151-162.
- 14 Nagykaldi Z, Aspy CB, Chou A, Mold JW. Impact of a wellness portal on the delivery of patient-centered preventive care. J Am Board Fam Med 2012; 25 (02) 158-167.
- 15 Ketterer T, West DW, Sanders VP, Hossain J, Kondo MC, Sharif I. Correlates of patient portal enrollment and activation in primary care pediatrics. Acad Pediatr 2013; 13 (03) 264-271.
- 16 National Poll on Children’s Health. Available at: http://mottnpch.org. Accessed October 22, 2014.
- 17 GfK.. KnowledgePanel® design summary. 2013. Available at: http://www.knowledgenetworks.com/knpanel/docs/knowledgepanel%28R%29-design-summary-description.pdf . Accessed December 19, 2014.
- 18 Hashikawa AN, Brousseau DC, Singer DC, Gebremariam A, Davis MM. Emergency department and urgent care for children excluded from child care. Pediatrics 2014; 134 (01) e120-e127.
- 19 Hanauer DA, Zheng K, Singer DC, Gebremariam A, Davis MM. Public awareness, perception and use of online physician rating sites. JAMA 2014; 311 (07) 734-735.
- 20 Woolford SJ, Clark SJ, Butchart A, Geiger JD, Davis MM, Fagerlin A. To pay or not to pay: Public perception regarding insurance coverage of obesity treatment. Obesity 2013; 21 (12) E709-E714.
- 21 Leo HL, Clark SJ, Butchart AT, Singer DC, Clark NM, Davis MM. 2009 seasonal and H1N1 influenza vaccination compliance in asthmatic children and adults. J Allergy Clin Immunol 2010; 126 (01) 166-168.
- 22 Zhao Z, Luman ET. Progress toward eliminating disparities in vaccination coverage among U. S. children, 2000–2008. Am J Prev Med 2010; 38 (02) 127-137.
- 23 Clark SJ, Reeves SL, Gebremariam A, Stokley S, Dombkowski KJ. Communication from primary care practices regarding adolescent immunization. Clin Pediatr Published online. November 10, 2014. DOI: 10.1177/0009922814557787.