2025
Patient portal messaging to address delayed follow-up for uncontrolled diabetes: a pragmatic, randomised clinical trial
Nagler A, Horwitz L, Ahmed A, Mukhopadhyay A, Dapkins I, King W, Jones S, Szerencsy A, Pulgarin C, Gray J, Mei T, Blecker S. Patient portal messaging to address delayed follow-up for uncontrolled diabetes: a pragmatic, randomised clinical trial. BMJ Quality & Safety 2025, bmjqs-2024-018249. PMID: 40348403, DOI: 10.1136/bmjqs-2024-018249.Peer-Reviewed Original ResearchPatient portal messagesPatient portalsPortal messagesIntervention groupHbA1c testingRandomised clinical trialsIncrease patient engagementPoorly controlled diabetesAcademic health systemDelayed follow-upHbA1c test resultsUsual carePatient engagementDiabetes carePoor glycaemic controlFollow-up testingHealth systemPatient messagesAmbulatory practiceControl groupClinical trialsPrimary outcomeGlycaemic monitoringHbA1c resultsDays of randomisationMultilevel Intervention to Increase Patient Portal Use in Adults With Type 2 Diabetes Who Access Health Care at Community Health Centers: Single Arm, Pre-Post Pilot Study
Whittemore R, Jeon S, Akyirem S, Chen H, Lipson J, Minchala M, Wagner J. Multilevel Intervention to Increase Patient Portal Use in Adults With Type 2 Diabetes Who Access Health Care at Community Health Centers: Single Arm, Pre-Post Pilot Study. JMIR Formative Research 2025, 9: e67293. PMID: 40131327, DOI: 10.2196/67293.Peer-Reviewed Original ResearchConceptsCommunity health centersPatient portal useDigital health literacyPortal useHealth literacyMultilevel interventionsType 2 diabetesSocial determinants of healthDiabetes self-management educationCommunity health workersImprove health equityDeterminants of healthSelf-management educationDiabetes self-efficacyHealth-related outcomesBarriers to clinical integrationPre-post designHemoglobin A<sub>1c</sub> levelDiabetes distressHealth equityPatient portalsSocial determinantsDeliver carePortal accountHealth appsAssessment of health conditions from patient electronic health record portals vs self-reported questionnaires: an analysis of the INSPIRE study
Khera R, Sawano M, Warner F, Coppi A, Pedroso A, Spatz E, Yu H, Gottlieb M, Saydah S, Stephens K, Rising K, Elmore J, Hill M, Idris A, Montoy J, O’Laughlin K, Weinstein R, Venkatesh A, Weinstein R, Gottlieb M, Santangelo M, Koo K, Derden A, Gottlieb M, Gatling K, Ahmed Z, Gomez C, Guzman D, Hassaballa M, Jerger R, Kaadan A, Venkatesh A, Spatz E, Kinsman J, Malicki C, Lin Z, Li S, Yu H, Mannan I, Yang Z, Liu M, Venkatesh A, Spatz E, Ulrich A, Kinsman J, Malicki C, Dorney J, Pierce S, Puente X, Salah W, Nichol G, Stephens K, Anderson J, Schiffgens M, Morse D, Adams K, Stober T, Maat Z, O’Laughlin K, Gentile N, Geyer R, Willis M, Zhang Z, Chang G, Lyon V, Klabbers R, Ruiz L, Malone K, Park J, Rising K, Kean E, Chang A, Renzi N, Watts P, Kelly M, Schaeffer K, Grau D, Cheng D, Shutty C, Charlton A, Shughart L, Shughart H, Amadio G, Miao J, Hannikainen P, Elmore J, Wisk L, L’Hommedieu M, Chandler C, Eguchi M, Roldan K, Moreno R, Rodriguez R, Wang R, Montoy J, Kemball R, Chan V, Chavez C, Wong A, Arreguin M, Hill M, Site R, Kane A, Nikonowicz P, Sapp S, Idris A, McDonald S, Gallegos D, Martin K, Saydah S, Plumb I, Hall A, Briggs-Hagen M. Assessment of health conditions from patient electronic health record portals vs self-reported questionnaires: an analysis of the INSPIRE study. Journal Of The American Medical Informatics Association 2025, 32: 784-794. PMID: 40036551, PMCID: PMC12012333, DOI: 10.1093/jamia/ocaf027.Peer-Reviewed Original ResearchElectronic health recordsSelf-report questionnairesSelf-reportHealth conditionsElectronic health record portalsElectronic health record platformsEHR elementsSelf-reported health conditionsElectronic health record dataSelf-reported conditionsAssessment of health conditionEvaluation of health conditionsPrevalence of conditionsPatient portalsTraditional self-reportPrevalence of comorbiditiesHealth recordsEHR dataEHR phenotypesDiagnosis codesHospitalization riskComputable phenotypeNationwide studyCohen's kappaPatient characteristics
2024
Release of complex imaging reports to patients, do radiologists trust AI to help?
Amin K, Davis M, Naderi A, Forman H. Release of complex imaging reports to patients, do radiologists trust AI to help? Current Problems In Diagnostic Radiology 2024, 54: 147-150. PMID: 39676024, DOI: 10.1067/j.cpradiol.2024.12.008.Peer-Reviewed Original ResearchRadiology reportsArtificial intelligenceImprove patient comprehensionAcademic medical centerEight-question surveyManual checkingPatient portalsCentury Cures ActArtificial intelligence systemsArtificial intelligence technologyPatient comprehensionOpinions of radiologistsClinical fellowsIntelligent systemsCures ActMedical CenterImaging ReportingIntelligence technologyRadiology attendingsContact informationPatientsRadiologistsRadiologyLeveraging an Electronic Health Record Patient Portal to Help Patients Formulate Their Health Care Goals: Mixed Methods Evaluation of Pilot Interventions
Naimark J, Tinetti M, Delbanco T, Dong Z, Harcourt K, Esterson J, Charpentier P, Walker J. Leveraging an Electronic Health Record Patient Portal to Help Patients Formulate Their Health Care Goals: Mixed Methods Evaluation of Pilot Interventions. JMIR Formative Research 2024, 8: e56332. PMID: 39207829, PMCID: PMC11393498, DOI: 10.2196/56332.Peer-Reviewed Original ResearchConceptsPatient portalsPatient prioritiesElectronic health record patient portalEnd-of-life carePatient Priorities CareFamily medicine practiceMixed methods evaluationHealth care goalsComplex medication regimensEnd-of-lifeMedian completion timeMedian session timePrevisit questionnaireCare goalsInvited patientsPilot interventionPriority careSession timeHealth priorityFocus groupsPhone interviewsYears of ageMedication regimensMedicine practiceEPIC questionnaireRecommendations to Address Barriers to Patient Portal Use Among Persons With Diabetes Seeking Care at Community Health Centers: Interview Study With Patients and Health Care Providers
Akyirem S, Wagner J, Chen H, Lipson J, Minchala M, Cortez K, Whittemore R. Recommendations to Address Barriers to Patient Portal Use Among Persons With Diabetes Seeking Care at Community Health Centers: Interview Study With Patients and Health Care Providers. JMIR Diabetes 2024, 9: e58526. PMID: 39284181, PMCID: PMC11443204, DOI: 10.2196/58526.Peer-Reviewed Original ResearchPatient portal useCommunity health centersPortal useDiabetes self-managementPatient portalsClinician burdenHealth centersSelf-managementLow health literacyImprove health equityQualitative descriptive designPatient-clinician communicationHealth care providersBilingual research assistantsPerspective of adultsHealth care facilitiesHealth literacyHealth equityDescriptive designAddress barriersAssociated with significant improvementsCare providersSpanish interviewHealth informationCare facilities
2023
Routine saliva testing for SARS-CoV-2 in children: Methods for partnering with community childcare centers
Rayack E, Askari H, Zirinsky E, Lapidus S, Sheikha H, Peno C, Kazemi Y, Yolda-Carr D, Liu C, Grubaugh N, Ko A, Wyllie A, Spatz E, Oliveira C, Bei A. Routine saliva testing for SARS-CoV-2 in children: Methods for partnering with community childcare centers. Frontiers In Public Health 2023, 11: 1003158. PMID: 36817891, PMCID: PMC9936085, DOI: 10.3389/fpubh.2023.1003158.Peer-Reviewed Original ResearchConceptsParents/guardiansOnline patient portalYounger age groupsSARS-CoV-2Age groupsSurveillance programSaliva collectionSARS-CoV-2 testingSARS-CoV-2 screeningWeekly saliva samplesRT-PCR testingChildcare centre staffCritical age groupRoutine surveillance toolRoutine testing programsChildcare centersCOVID-19 transmissionAsymptomatic screeningSaliva collection methodNasal swabsPatient portalsSymptomatic testingPublic health dataSaliva samplesChildcare facilities
2022
Telehealth care before and during COVID-19: trends and quality in a large health system
Luna P, Lee M, Greeno R, DeLucia N, London Y, Hoffman P, Burg M, Harris K, Spatz ES, Mena-Hurtado C, Smolderen KG. Telehealth care before and during COVID-19: trends and quality in a large health system. JAMIA Open 2022, 5: ooac079. PMID: 36204596, PMCID: PMC9531686, DOI: 10.1093/jamiaopen/ooac079.Peer-Reviewed Original ResearchTelehealth visitsQuality of careTelehealth useCOVID-19Cross-sectional observational studyHigher visit volumeCOVID-19 surgeLarge health systemSatisfaction surveyMost patientsPatient satisfactionObservational studyTelehealth carePatient's perspectiveVisit volumeHigh satisfaction ratingsPatient portalsPatient experiencePatientsCare deliveryHealth systemVisitsHigh satisfaction levelsCareGood technical qualityDesign and Development of Halyos: A Patient-Facing Visual EHR Interface for Longitudinal Risk Awareness
Mataraso S, Socrates V, Lekschas F, Gehlenborg N. Design and Development of Halyos: A Patient-Facing Visual EHR Interface for Longitudinal Risk Awareness. ACI Open 2022, 06: e123-e128. DOI: 10.1055/s-0042-1749191.Peer-Reviewed Original ResearchSubstitutable Medical ApplicationsInteroperable interfaceWeb applicationInteractive visualizationEHR interfaceResource platformEHR systemsHealth dataPatient portalsClinical measurementsVisualizationMedical applicationsFuture valuesApplicationsInterfaceEHRPlatformPortalRisk scorePatientsTechnologyInformationLongitudinal informationProvidersAbstract ObjectivePatient Portal Messaging for Asynchronous Virtual Care During the COVID-19 Pandemic: Retrospective Analysis
Huang M, Khurana A, Mastorakos G, Wen A, He H, Wang L, Liu S, Wang Y, Zong N, Prigge J, Costello B, Shah N, Ting H, Fan J, Patten C, Liu H. Patient Portal Messaging for Asynchronous Virtual Care During the COVID-19 Pandemic: Retrospective Analysis. JMIR Human Factors 2022, 9: e35187. PMID: 35171108, PMCID: PMC9084445, DOI: 10.2196/35187.Peer-Reviewed Original ResearchCOVID-19 symptomsRetrospective analysisPortal messagesVirtual careCOVID-19Sociodemographic factorsCOVID-19-related carePatient portal messagingCOVID-19 test resultsPatient sociodemographic factorsPatient portal messagesCOVID-19 pandemicCOVID-19 testHealth care issuesPatient messagingPortal messagingMayo ClinicPatient responseCare plansPatient portalsNew casesCare issuesAppointment cancellationsPatientsHealth issuesMidwest rural‐urban disparities in use of patient online services for COVID‐19
Huang M, Wen A, He H, Wang L, Liu S, Wang Y, Zong N, Yu Y, Prigge J, Costello B, Shah N, Ting H, Doubeni C, Fan J, Liu H, Patten C. Midwest rural‐urban disparities in use of patient online services for COVID‐19. The Journal Of Rural Health 2022, 38: 908-915. PMID: 35261092, PMCID: PMC9115171, DOI: 10.1111/jrh.12657.Peer-Reviewed Original ResearchConceptsRural patientsUrban patientsCOVID-19Sociodemographic factorsCOVID-19-related careUrban-rural ratioMidwest health systemMayo Clinic patientsPatient sociodemographic factorsHealth carePublic health intervention strategiesHealth intervention strategiesCOVID-19 diagnosisHealth care issuesClinic patientsRural-urban disparitiesPatient portalsPatientsPortal messagesPatient engagementUrban-rural disparitiesCare issuesHealth systemUrban-rural localityIntervention strategiesAddressing virtual care disparities for patients with limited English proficiency.
Tan-McGrory A, Schwamm L, Kirwan C, Betancourt J, Barreto E. Addressing virtual care disparities for patients with limited English proficiency. The American Journal Of Managed Care 2022, 28: 36-40. PMID: 35049259, DOI: 10.37765/ajmc.2022.88814.Peer-Reviewed Original ResearchConceptsVirtual platformPrivacy concernsSoftware interfacePrivacy regulationsVirtual visitsMultiple languagesThird partyPlatformPatient portalsUse of tabletsVirtual careVideoconferencing platformTechnologyInterpretersComputerAccessPhonesPortalScriptsLanguageHealth care organizationsPortal enrollmentInterfaceRolloutApplications
2021
Patient characteristics associated with the successful transition to virtual care: Lessons learned from the first million patients
Zachrison K, Yan Z, Sequist T, Licurse A, Tan-McGrory A, Erskine A, Schwamm L. Patient characteristics associated with the successful transition to virtual care: Lessons learned from the first million patients. Journal Of Telemedicine And Telecare 2021, 29: 621-631. PMID: 34120506, DOI: 10.1177/1357633x211015547.Peer-Reviewed Original ResearchConceptsVirtual participantsVirtual participationBehavioral health visitsVirtual carePatient characteristicsHealth visitsInternet accessElectronic health record dataVideoNon-Hispanic black raceLarge integrated health systemHealth record dataAmbulatory care patientsIntegrated health systemVisit frequencyUse of telehealthOutcomes of interestPatient portalsAmbulatory visitsCare patientsBlack raceVisit typeVulnerable patientsCOVID patientsLimited English proficiencyCurrent state of radiology report release in electronic patient portals
Holder J, Tocino I, Facchini D, Nardecchia N, Staib L, Crawley D, Pahade JK. Current state of radiology report release in electronic patient portals. Clinical Imaging 2021, 74: 22-26. PMID: 33429142, DOI: 10.1016/j.clinimag.2020.12.020.Peer-Reviewed Original Research
2020
Evaluating Recruitment Strategies for a Randomized Clinical Trial with Heart Failure Patients
Conley S, O’Connell M, Linsky S, Moemeka L, Darden JW, Gaiser EC, Jacoby D, Yaggi H, Redeker NS. Evaluating Recruitment Strategies for a Randomized Clinical Trial with Heart Failure Patients. Western Journal Of Nursing Research 2020, 43: 785-790. PMID: 33158412, PMCID: PMC8099934, DOI: 10.1177/0193945920970229.Peer-Reviewed Original ResearchConceptsClinic-based recruitmentMultiple recruitment strategiesPatient portalsClinical trialsElectronic databasesChronic stable heart failureElectronic medical record databaseRecruitment strategiesStable heart failureHeart failure patientsChronic medical conditionsRandomized clinical trialsMedical record databaseBaseline data collectionCognitive behavioral therapyFailure patientsHeart failureMedical recordsMedical conditionsPatientsRecruitment goalsRecord databaseBehavioral therapySupport groupsTrialsRapidly scaling video visits during COVID-19: The ethos of virtual care at Yale Medicine
Hoffman PE, London YR, Weerakoon TS, DeLucia NL. Rapidly scaling video visits during COVID-19: The ethos of virtual care at Yale Medicine. Healthcare 2020, 8: 100482. PMID: 33129179, PMCID: PMC7528872, DOI: 10.1016/j.hjdsi.2020.100482.Peer-Reviewed Original ResearchConceptsEnd-user knowledgePatient portalsCentralized communicationOperational workflowPersonalized supportVideo visitsIntraorganizational relationshipsEvaluation processOperational consistencyPortalDifferent stakeholdersOverall patient experiencePatient-provider relationshipRapid scalingNon-clinical staffTechnical literacyActive collaborationVirtual careWorkflowElectronic health record trainingEHRPatient experienceVisitsPerson servicesDifferent levels
2019
Evaluation of the Patient Request Process for Radiology Imaging in U.S. Hospitals.
Lye CT, Krumholz HM, Eckroate JE, Daniel JG, deBronkart D, Mann MK, Hsiao AL, Forman HP. Evaluation of the Patient Request Process for Radiology Imaging in U.S. Hospitals. Radiology 2019, 292: 409-413. PMID: 31184560, DOI: 10.1148/radiol.2019190473.Peer-Reviewed Original Research
2012
Understanding patient‐provider communication entered via a patient portal system
Sun S, Zhou X, Denny J, Rosenbloom T, Xu H. Understanding patient‐provider communication entered via a patient portal system. Proceedings Of The American Society For Information Science And Technology 2012, 49: 1-4. DOI: 10.1002/meet.14504901175.Peer-Reviewed Original ResearchUnderstanding patient‐provider communication entered via a patient portal system
Sun S, Zhou X, Denny J, Rosenbloom T, Xu H. Understanding patient‐provider communication entered via a patient portal system. Proceedings Of The American Society For Information Science And Technology 2012, 49: 1-4. DOI: 10.1002/meet.14504901387.Peer-Reviewed Original Research
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