scholarly journals Difference Between Users and Nonusers of a Patient Portal in Health Behaviors and Outcomes: Retrospective Cohort Study

10.2196/13146 ◽  
2019 ◽  
Vol 21 (10) ◽  
pp. e13146 ◽  
Author(s):  
Jing Huang ◽  
Yong Chen ◽  
J Richard Landis ◽  
Kevin B Mahoney
Keyword(s):  
Cohort Study ◽  
Health Behaviors ◽  
Health Outcomes ◽  
Preventive Health ◽  
Patient Portal ◽  
Communication Tool ◽  
Patient Portals ◽  
Chronic Health ◽  
Preventive Health Behaviors ◽  
The Impact

Background Patient portals are frequently used in modern health care systems as an engagement and communication tool. An increased focus on the potential value of these communication channels to improve health outcomes is warranted. Objective This paper aimed to quantify the impact of portal use on patients’ preventive health behavior and chronic health outcomes. Methods We conducted a retrospective, observational cohort study of 10,000 patients aged 50 years or older who were treated at the University of Pennsylvania Health System (UPHS) from September 1, 2014, to October 31, 2016. The data were sourced from the UPHS electronic health records. We investigated the association between patient portal use and patients’ preventive health behaviors or chronic health outcomes, controlling for confounders using a novel cardinality matching approach based on propensity scoring and a subsequent bootstrapping method to estimate the variance of association estimates. Results Patient-level characteristics differed substantially between portal users, comprising approximately 59.32% (5932/10000) of the cohort, and nonusers. On average, users were more likely to be younger (63.46 years for users vs 66.08 years for nonusers), white (72.77% [4317/5932] for users vs 52.58% [2139/4068] for nonusers), have commercial insurance (60.99% [3618/5932] for users vs 40.12% [1632/4068] for nonusers), and have higher annual incomes (US $74,172/year for users vs US $62,940/year for nonusers). Even after adjusting for these potential confounders, patient portal use had a positive and clinically meaningful impact on patients’ preventive health behaviors but not on chronic health outcomes. Conclusions This paper contributes to the understanding of the impact of patient portal use on health outcomes and is the first study to identify a meaningful subgroup of patients’ health behaviors that improved with portal use. These findings may encourage providers to promote portal use to improve patients’ preventive health behaviors.

scholarly journals Difference Between Users and Nonusers of a Patient Portal in Health Behaviors and Outcomes: Retrospective Cohort Study (Preprint)

2018 ◽  
Author(s):  
Jing Huang ◽  
Yong Chen ◽  
J Richard Landis ◽  
Kevin B Mahoney
Keyword(s):  
Cohort Study ◽  
Health Behaviors ◽  
Health Outcomes ◽  
Preventive Health ◽  
Patient Portal ◽  
Communication Tool ◽  
Patient Portals ◽  
Chronic Health ◽  
Preventive Health Behaviors ◽  
The Impact

BACKGROUND Patient portals are frequently used in modern health care systems as an engagement and communication tool. An increased focus on the potential value of these communication channels to improve health outcomes is warranted. OBJECTIVE This paper aimed to quantify the impact of portal use on patients’ preventive health behavior and chronic health outcomes. METHODS We conducted a retrospective, observational cohort study of 10,000 patients aged 50 years or older who were treated at the University of Pennsylvania Health System (UPHS) from September 1, 2014, to October 31, 2016. The data were sourced from the UPHS electronic health records. We investigated the association between patient portal use and patients’ preventive health behaviors or chronic health outcomes, controlling for confounders using a novel cardinality matching approach based on propensity scoring and a subsequent bootstrapping method to estimate the variance of association estimates. RESULTS Patient-level characteristics differed substantially between portal users, comprising approximately 59.32% (5932/10000) of the cohort, and nonusers. On average, users were more likely to be younger (63.46 years for users vs 66.08 years for nonusers), white (72.77% [4317/5932] for users vs 52.58% [2139/4068] for nonusers), have commercial insurance (60.99% [3618/5932] for users vs 40.12% [1632/4068] for nonusers), and have higher annual incomes (US $74,172/year for users vs US $62,940/year for nonusers). Even after adjusting for these potential confounders, patient portal use had a positive and clinically meaningful impact on patients’ preventive health behaviors but not on chronic health outcomes. CONCLUSIONS This paper contributes to the understanding of the impact of patient portal use on health outcomes and is the first study to identify a meaningful subgroup of patients’ health behaviors that improved with portal use. These findings may encourage providers to promote portal use to improve patients’ preventive health behaviors.

scholarly journals The Impact of Preventive Health Behaviors and Risk Factors on Health Status of Ghanaians

2013 ◽  
Vol 5 (5) ◽  
Author(s):  
Bashiru I.I. Saeed ◽  
A.R Abdul-Aziz ◽  
Samuel Blay Nguah ◽  
Xicang Zhao
Keyword(s):  
Risk Factors ◽  
Health Status ◽  
Health Behaviors ◽  
Preventive Health ◽  
Preventive Health Behaviors ◽  
The Impact

Selfless or Selfish? The Impact of Message Framing and Egoistic Motivation on Narcissists’ Compliance with Preventive Health Behaviors during COVID-19

2021 ◽  
Author(s):  
Tobias Otterbring ◽  
Alexandra Festila ◽  
Michal Folwarczny
Keyword(s):  
Health Behaviors ◽  
Message Framing ◽  
Face Mask ◽  
Preventive Health ◽  
World Health ◽  
Personal Hygiene ◽  
Preventive Health Behaviors ◽  
Positive Message ◽  
Framing Strategies ◽  
The Impact

COVID-19 is one of the greatest international health crises in recent years. Due to the highly contagious nature of the virus, the World Health Organization has recommended that people comply with a set of preventive measures to reduce the infection rate (e.g., social distancing, wearing a face mask, thorough personal hygiene). Such recommendations imply certain personal restrictions, with people typically differing in the extent to which they are willing to comply with said recommendations. The present large-sampled study (N = 800) aimed to investigate whether narcissism levels and message framing strategies affect individuals’ willingness to accept personal restrictions and, consequently, comply with a set of preventive health behaviors. Results reveal that people high (vs. low) in narcissism are less likely to accept personal restrictions and to comply with preventive health behaviors. However, negative (vs. positive) message framing increases narcissists’ willingness to comply with such behaviors. This effect can be explained through an increased willingness of narcissistic participants to accept personal restrictions to protect themselves (egoistic motivation) but not through a willingness to protect vulnerable people (altruistic motivation). These findings suggest that individuals who remain uncooperative during pandemics could be more effectively addressed with adapted message framing strategies and incentives tailor-made for their distinct personalities.

scholarly journals The Impact of Digital Patient Portals on Health Outcomes, System Efficiency, and Patient Attitudes: Updated Systematic Literature Review

10.2196/26189 ◽  
2021 ◽  
Vol 23 (9) ◽  
pp. e26189
Author(s):  
Elettra Carini ◽  
Leonardo Villani ◽  
Angelo Maria Pezzullo ◽  
Andrea Gentili ◽  
Andrea Barbara ◽  
...  
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Outcomes ◽  
Utilization Rate ◽  
Patient Portal ◽  
System Efficiency ◽  
Patient Attitudes ◽  
Patient Portals ◽  
The Impact ◽  
Health Care Efficiency

Background Patient portals are becoming increasingly popular worldwide even though their impact on individual health and health system efficiency is still unclear. Objective The aim of this systematic review was to summarize evidence on the impact of patient portals on health outcomes and health care efficiency, and to examine user characteristics, attitudes, and satisfaction. Methods We searched the PubMed and Web of Science databases for articles published from January 1, 2013, to October 31, 2019. Eligible studies were primary studies reporting on the impact of patient portal adoption in relation to health outcomes, health care efficiency, and patient attitudes and satisfaction. We excluded studies where portals were not accessible for patients and pilot studies, with the exception of articles evaluating patient attitudes. Results Overall, 3456 records were screened, and 47 articles were included. Among them, 11 studies addressed health outcomes reporting positive results, such as better monitoring of health status, improved patient-doctor interaction, and improved quality of care. Fifteen studies evaluated the impact of digital patient portals on the utilization of health services with mixed results. Patient characteristics were described in 32 studies, and it was reported that the utilization rate usually increases with age and female gender. Finally, 30 studies described attitudes and defined the main barriers (concerns about privacy and data security, and lack of time) and facilitators (access to clinical data and laboratory results) to the use of a portal. Conclusions Evidence regarding health outcomes is generally favorable, and patient portals have the potential to enhance the doctor-patient relationship, improve health status awareness, and increase adherence to therapy. It is still unclear whether the use of patient portals improves health service utilization and efficiency.

scholarly journals The Impact of Digital Patient Portals on Health Outcomes, System Efficiency, and Patient Attitudes: Updated Systematic Literature Review (Preprint)

2020 ◽  
Author(s):  
Elettra Carini ◽  
Leonardo Villani ◽  
Angelo Maria Pezzullo ◽  
Andrea Gentili ◽  
Andrea Barbara ◽  
...  
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Outcomes ◽  
Utilization Rate ◽  
Patient Portal ◽  
System Efficiency ◽  
Patient Attitudes ◽  
Patient Portals ◽  
The Impact ◽  
Health Care Efficiency

BACKGROUND Patient portals are becoming increasingly popular worldwide even though their impact on individual health and health system efficiency is still unclear. OBJECTIVE The aim of this systematic review was to summarize evidence on the impact of patient portals on health outcomes and health care efficiency, and to examine user characteristics, attitudes, and satisfaction. METHODS We searched the PubMed and Web of Science databases for articles published from January 1, 2013, to October 31, 2019. Eligible studies were primary studies reporting on the impact of patient portal adoption in relation to health outcomes, health care efficiency, and patient attitudes and satisfaction. We excluded studies where portals were not accessible for patients and pilot studies, with the exception of articles evaluating patient attitudes. RESULTS Overall, 3456 records were screened, and 47 articles were included. Among them, 11 studies addressed health outcomes reporting positive results, such as better monitoring of health status, improved patient-doctor interaction, and improved quality of care. Fifteen studies evaluated the impact of digital patient portals on the utilization of health services with mixed results. Patient characteristics were described in 32 studies, and it was reported that the utilization rate usually increases with age and female gender. Finally, 30 studies described attitudes and defined the main barriers (concerns about privacy and data security, and lack of time) and facilitators (access to clinical data and laboratory results) to the use of a portal. CONCLUSIONS Evidence regarding health outcomes is generally favorable, and patient portals have the potential to enhance the doctor-patient relationship, improve health status awareness, and increase adherence to therapy. It is still unclear whether the use of patient portals improves health service utilization and efficiency.

Socioeconomic and Health Programme Effects Upon the Behavioral Management of Diarrhoeal Disease in Northeast Thailand

1990 ◽  
Vol 4 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Earmpom Thongkrajai ◽  
Pramote Thongkrajai ◽  
John Stoeckel ◽  
Somsong Na-nakhon ◽  
Busara Karenjanabutr ◽  
...  
Keyword(s):  
Health Behaviors ◽  
Diarrhoeal Disease ◽  
Preventive Health ◽  
Baseline Survey ◽  
Behavioral Management ◽  
Preventive Health Behaviors ◽  
Health Complications ◽  
The Impact ◽  
Health Programme ◽  
Health Programmes

This study investigates the effects of socioeconomic and health programme factors on preventive and curative health behaviors and assesses the impact of preventive health behaviors on the incidence of diarrhoea among children under five years of age. Methodological approaches included focus groups to uncover local definitions of diarrhoeal disease, a baseline survey which collected data on maternal preventive health behaviors for 1, 364 children, and a monitoring system which collected data on the incidence of diarrhoea and on maternal curative behaviors among the same group of children. Results indicate that socioeconomic status and exposure to health programmes showed significant relationships with selected maternal preventive behaviors. Children whose mothers washed their hands before breastfeeding, gave their child food immediately after cooking and warmed foods each time before meals had significantly lower proportions with diarrhoea than children of mothers who did not practice these behaviors, and 70 percent of the children with diarrhoea were exposed to high risk of severe dehydration and related health complications. Implications of these findings for health programmes are discussed.

A Population Study of Health Status Among Sexual Minority Older Adults in Select U.S. Geographic Regions

2019 ◽  
Vol 46 (3) ◽  
pp. 426-435 ◽  
Author(s):  
Hongying Dai ◽  
Ilan H. Meyer
Keyword(s):  
Older Adults ◽  
Substance Use ◽  
Health Disparities ◽  
Sexual Orientation ◽  
Health Behaviors ◽  
Health Outcomes ◽  
Sexual Minority ◽  
Preventive Health ◽  
Health Conditions ◽  
Preventive Health Behaviors

Objective. This study seeks to examine the health disparities of sexual minority older adults. Method. We used a probability sample of adults older than 50 years in select U.S. regions from the 2014, 2015, and 2016 Behavioral Risk Factor Surveillance System with administration of the sexual orientation question ( n = 350,778). Binary and multinomial logistic regression models were performed to examine health disparities in general health conditions, lifetime chronic health conditions, limitations in activities, substance use, access to care and preventive health behaviors by sexual minority status (straight, gay/lesbian, bisexual, other, and nonresponse), stratified by sex (male vs. female) and age group (50-64 vs. 65+ years). Results. Compared with their straight peers, sexual minority older adults had disparities in some health outcomes, including a higher prevalence of depressive disorder and substance use. However, the disparities were not uniform across gender and age groups. Both men and women sexual minorities had some advantages as well, related to preventive health behaviors (e.g., HIV testing), as compared with their straight peers. Nonrespondents in sexual orientation generally had better health outcomes than their straight peers. Conclusions. This study identifies health disparities among subgroups of lesbians, gay men, and bisexuals older adults and highlights the need to assess variability related to gender, sexual identity, and age of this high-risk population.

Gender and Reasons for Preventive Health Behaviors

2006 ◽  
Author(s):  
Ruby R. Brougham ◽  
Daniel Yoo ◽  
Christopher Saunders ◽  
Josie Driscoll ◽  
Richard John
Keyword(s):  
Health Behaviors ◽  
Preventive Health ◽  
Preventive Health Behaviors
Sign in / Sign up

Export Citation Format

Share Document