scholarly journals Patient Portal Use Among Older Adults: What Is Really Happening Nationwide?

2018 ◽  
Vol 39 (4) ◽  
pp. 442-450 ◽  
Author(s):  
Eun-Shim Nahm ◽  
Shijun Zhu ◽  
Michele Bellantoni ◽  
Linda Keldsen ◽  
Kathleen Charters ◽  
...  
Keyword(s):  
Older Adults ◽  
Electronic Health Records ◽  
Older Adult ◽  
Chronic Conditions ◽  
Patient Portal ◽  
Perceived Benefits ◽  
Community Settings ◽  
Patient Portals ◽  
Health Records ◽  
Current State

Patient portals (PPs), secure websites that allow patients to access their electronic health records and other health tools, can benefit older adults managing chronic conditions. However, studies have shown a lack of PP use in older adults. Little is known about the way they use PPs in community settings and specific challenges they encounter. The aim of this study was to examine the current state of PP use in older adults, employing baseline data (quantitative and qualitative) from an ongoing nationwide online trial. The dataset includes 272 older adults (mean age, 70.0 years [50-92]) with chronic conditions. Findings showed that the majority of participants (71.3%) were using one or more PPs, but in limited ways. Their comments revealed practical difficulties with managing PPs, perceived benefits, and suggestions for improvement. Further studies with different older adult groups (e.g., clinic patients) will help develop and disseminate more usable PPs for these individuals.

scholarly journals Identifying vulnerable older adult populations by contextualizing geriatric syndrome information in clinical notes of electronic health records

2019 ◽  
Vol 26 (8-9) ◽  
pp. 787-795 ◽  
Author(s):  
Tao Chen ◽  
Mark Dredze ◽  
Jonathan P Weiner ◽  
Hadi Kharrazi
Keyword(s):  
Older Adults ◽  
Electronic Health Records ◽  
Older Adult ◽  
Contextual Information ◽  
Geriatric Syndrome ◽  
Geriatric Syndromes ◽  
Health Records ◽  
Clinical Notes ◽  
Diagnosis Codes ◽  
Electronic Health

Abstract Objective Geriatric syndromes such as functional disability and lack of social support are often not encoded in electronic health records (EHRs), thus obscuring the identification of vulnerable older adults in need of additional medical and social services. In this study, we automatically identify vulnerable older adult patients with geriatric syndrome based on clinical notes extracted from an EHR system, and demonstrate how contextual information can improve the process. Materials and Methods We propose a novel end-to-end neural architecture to identify sentences that contain geriatric syndromes. Our model learns a representation of the sentence and augments it with contextual information: surrounding sentences, the entire clinical document, and the diagnosis codes associated with the document. We trained our system on annotated notes from 85 patients, tuned the model on another 50 patients, and evaluated its performance on the rest, 50 patients. Results Contextual information improved classification, with the most effective context coming from the surrounding sentences. At sentence level, our best performing model achieved a micro-F1 of 0.605, significantly outperforming context-free baselines. At patient level, our best model achieved a micro-F1 of 0.843. Discussion Our solution can be used to expand the identification of vulnerable older adults with geriatric syndromes. Since functional and social factors are often not captured by diagnosis codes in EHRs, the automatic identification of the geriatric syndrome can reduce disparities by ensuring consistent care across the older adult population. Conclusion EHR free-text can be used to identify vulnerable older adults with a range of geriatric syndromes.

scholarly journals Older adults using a patient portal: registration and experiences, one year after implementation

2018 ◽  
Vol 4 ◽  
pp. 205520761879788 ◽  
Author(s):  
Gaby Anne Wildenbos ◽  
Karim Maasri ◽  
Monique Jaspers ◽  
Linda Peute
Keyword(s):  
Older Adults ◽  
Medical History ◽  
Older Adult ◽  
Medical Information ◽  
Data Extraction ◽  
Adult Patients ◽  
Patient Portal ◽  
Patient Portals ◽  
History Information ◽  
One Year

Background and objectives The interest of older adults in using patient portals is rising, yet subject to functional and usability barriers. This study aims to gain insight into registration rates and experiences of older adult patients using a patient portal, one year after implementation in an academic hospital. Methods Registration rates for one year were collected via automated data extraction. Older adult patients’ experiences were collected through a survey, available via the portal in the last three months of the year. Results Older adults were a large user group of the patient portal and appreciated its functionalities. In one year, 10,679 older adult patients (aged 56+) registered, which constituted 47% of total portal registrations. The 131 older adult survey respondents had a mean age of 64.5 years and 40% indicated that they liked to review their medical information and appointments via the portal. Yet, older adults experienced user interaction issues and had higher expectations of content within the portal and patient/provider communication through the portal. Of the survey respondents, 22% experienced usability issues at login and in viewing test results, 15% commented on late or no responses by providers on patients’ sent messages and 24% expected the portal to provide medical history information. Implications: Patient portal designs should be optimized to usability needs of older adults. Portals preferably include medical history information, physicians’ notes and require prompt responses of providers.

scholarly journals Older Adults' Perceptions and Use of Patient Portals: A Comparative Analysis of Two Samples

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 837-837
Author(s):  
Hyojin Son ◽  
Eun-Shim Nahm ◽  
Shijun Zhu ◽  
Elizabeth Galik ◽  
Barbara Van de Castle ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Older Adult ◽  
Health Care System ◽  
Self Efficacy ◽  
Community Sample ◽  
Patient Portal ◽  
Patient Portals ◽  
Perceived Usability ◽  
Care System

Abstract Older adults can benefit from using patient portals. Little is known whether the perceptions and use of patient portals differ among diverse older adult populations. The aim of this study was to assess the difference in perceived usability of patient portals, self-efficacy for using patient portals, and patient portal use between two adult samples aged 65 years or older. One sample was recruited from a health care system, including hospitals and clinics (n = 174), and the other sample was recruited from nationwide communities (n = 126). Conducting a secondary data analysis using two survey datasets, this study performed a series of linear and ordinal logistic regression analyses. The health care system sample had a higher mean number of chronic diseases and proportion of recent hospitalization than the community sample. The health care system sample showed higher perceived usability, self-efficacy, and usage frequency of patient portals compared to the community sample. eHealth literacy was a significant predictor of perceived usability and self-efficacy. Perceived usability was another significant predictor of self-efficacy. Self-efficacy and health condition variables significantly predicted the more frequent use of patient portals. Compared to the health care system sample, the relationship between perceived usability and use of patient portals was stronger and significant in the community sample. These findings suggest that approaches for promoting patient portal use should consider personal characteristics and health conditions of diverse older adult populations. Future research needs to focus on assessing the impact of using patient portals on older adults’ health care outcomes.

scholarly journals Patients’ moral attitudes toward electronic health records: Survey study with vignettes and statements

2021 ◽  
Vol 27 (1) ◽  
pp. 146045822098003
Author(s):  
Tania Moerenhout ◽  
Ignaas Devisch ◽  
Laetitia Cooreman ◽  
Jodie Bernaerdt ◽  
An De Sutter ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
De Novo ◽  
Information Access ◽  
Survey Study ◽  
Sensitive Information ◽  
Patient Portal ◽  
Care Providers ◽  
Health Records ◽  
Electronic Health ◽  
Moral Attitudes

Patient access to electronic health records gives rise to ethical questions related to the patient-doctor-computer relationship. Our study aims to examine patients’ moral attitudes toward a shared EHR, with a focus on autonomy, information access, and responsibility. A de novo self-administered questionnaire containing three vignettes and 15 statements was distributed among patients in four different settings. A total of 1688 valid questionnaires were collected. Patients’ mean age was 51 years, 61% was female, 50% had a higher degree (college or university), and almost 50% suffered from a chronic illness. Respondents were hesitant to hide sensitive information electronically from their care providers. They also strongly believed hiding information could negatively affect the quality of care provided. Participants preferred to be informed about negative test results in a face-to-face conversation, or would have every patient decide individually how they want to receive results. Patients generally had little experience using patient portal systems and expressed a need for more information on EHRs in this survey. They tended to be hesitant to take up control over their medical data in the EHR and deemed patients share a responsibility for the accuracy of information in their record.

Safer Prescribing for Hospitalized Older Adults with an Electronic Health Records‐Based Prescribing Context

2020 ◽  
Vol 68 (9) ◽  
pp. 2123-2127 ◽  
Author(s):  
Kathleen Drago ◽  
Jackie Sharpe ◽  
Bryanna De Lima ◽  
Abdulaziz Alhomod ◽  
Elizabeth Eckstrom
Keyword(s):  
Older Adults ◽  
Electronic Health Records ◽  
Health Records ◽  
Electronic Health ◽  
Hospitalized Older Adults

“It’s My Time”: Older Adults’ Experiences and Perceived Benefits of Participation in an Intergenerational Rock Band

2019 ◽  
Vol 38 (2) ◽  
pp. 187-194
Author(s):  
Natalie Wlodarczyk
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Positive Impact ◽  
Qualitative Content Analysis ◽  
Perceived Benefits ◽  
Structured Interviews ◽  
Rock Band ◽  
Ability Levels ◽  
Free Environment ◽  
First Time

Abstract The purpose of this qualitative content analysis was to explore the experiences and perceived benefits for older adult members who participated in an intergenerational rock band (IGRB) pairing older adults with college students. Participants (n = 29) were first-time older adult IGRB members who completed semi-structured interviews over the course of 5 years. Interviews were completed within 1 week of the conclusion of the semester-long participation in the IGRB. Each interview was digitally recorded, manually transcribed, and analyzed using an iterative approach to thematic analysis. Experiences and perceived benefits associated with participation in the IGRB for these older adults were encompassed by four themes: Staying Active, Wanting to Try Something New, Feeling Connected, and Seeking Positive Experiences. Findings indicate that an IGRB is an innovative, collaborative, and inclusive intergenerational music-making experience that leaves a multifaceted and overall positive impact on its older adult members. Themes suggest that older adults with musical backgrounds may enjoy an experience like an IGRB because it brings a level of familiarity coupled with the opportunity to try something new and different from their previous experiences with music. A key contribution of this study is the importance of promoting a judgment-free environment for singing that is inclusive of all ability levels. Developing a better understanding of older adults’ motivations for participating in an IGRB may help us to plan future music experiences for older adults and broaden our reach to the older adult community.

Perceptions of Patient Portal Use for Advance Directive Documentation among Older Adults with Multiple Chronic Conditions

2020 ◽  
Vol 16 (3) ◽  
pp. 238-249 ◽  
Author(s):  
Jennifer Dickman Portz ◽  
Hillary D. Lum ◽  
Sheana Bull ◽  
Rebecca S. Boxer ◽  
David B. Bekelman ◽  
...  
Keyword(s):  
Older Adults ◽  
Advance Directive ◽  
Chronic Conditions ◽  
Multiple Chronic Conditions ◽  
Patient Portal

Time-to-Event Predictive Modeling for Chronic Conditions Using Electronic Health Records

2014 ◽  
Vol 29 (3) ◽  
pp. 14-20 ◽  
Author(s):  
Yu-Kai Lin ◽  
Hsinchun Chen ◽  
Randall A. Brown ◽  
Shu-Hsing Li ◽  
Hung-Jen Yang
Keyword(s):  
Electronic Health Records ◽  
Predictive Modeling ◽  
Chronic Conditions ◽  
Time To Event ◽  
Health Records ◽  
Electronic Health

scholarly journals Using the Technology Acceptance Model to Explore User Experience, Intent to Use, and Use Behavior of a Patient Portal Among Older Adults With Multiple Chronic Conditions: Descriptive Qualitative Study (Preprint)

2018 ◽  
Author(s):  
Jennifer Dickman Portz ◽  
Elizabeth A Bayliss ◽  
Sheana Bull ◽  
Rebecca S Boxer ◽  
David B Bekelman ◽  
...  
Keyword(s):  
Older Adults ◽  
Technology Acceptance ◽  
Health Management ◽  
Ease Of Use ◽  
Multiple Chronic Conditions ◽  
Patient Portal ◽  
Patient Portals ◽  
Intent To Use ◽  
Acceptance Model ◽  
Use Behavior

BACKGROUND Patient portals offer modern digital tools for older adults with multiple chronic conditions (MCC) to engage in their health management. However, there are barriers to portal adoption among older adults. Understanding portal user interface and user experience (UI and UX) preferences of older adults with MCC may improve the accessibility, acceptability, and adoption of patient portals. OBJECTIVE The aim of this study was to use the Technology Acceptance Model (TAM) as a framework for qualitatively describing the UI and UX, intent to use, and use behaviors among older patients with MCC. METHODS We carried out a qualitative descriptive study of Kaiser Permanente Colorado’s established patient portal, My Health Manager. Older patients (N=24; mean 78.41 (SD 5.4) years) with MCC participated in focus groups. Stratified random sampling was used to maximize age and experience with the portal among participants. The semistructured focus groups used a combination of discussion and think-aloud strategies. A total of 2 coders led the theoretically driven analysis based on the TAM to determine themes related to use behavior, portal usefulness and ease of use, and intent to use. RESULTS Portal users commonly used email, pharmacy, and lab results sections of the portal. Although, generally, the portal was seen to be easy to use, simple, and quick, challenges related to log-ins, UI design (color and font), and specific features were identified. Such challenges inhibited participants’ intent to use the portal entirely or specific features. Participants indicated that the portal improved patient-provider communication, saved time and money, and provided relevant health information. Participants intended to use features that were beneficial to their health management and easy to use. CONCLUSIONS Older adults are interested in using patient portals and are already taking advantage of the features available to them. We have the opportunity to better engage older adults in portal use but need to pay close attention to key considerations promoting usefulness and ease of use.

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