Journal
CURRENT DIABETES REPORTS
Volume 10, Issue 6, Pages 422-435Publisher
CURRENT MEDICINE GROUP
DOI: 10.1007/s11892-010-0151-1
Keywords
Patient web portal; Systematic review; Diabetes; Evaluation; Usability; Electronic health record; Personal health record; Glycemic control; Satisfaction; Type 1; Type 2; Providers; Caregivers; Self-care; Behaviors; Quality of life; Diabetes distress; Management; Communication
Categories
Funding
- NIDDK [P60 DK020593, DK 070026]
- AHRQ [R18 HS018168]
- Department of Defense
- AHRQ [540063, 5R18HS018168-03] Funding Source: Federal RePORTER
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Patient web portals (PWPs), defined as the integration of electronic medical records and patient health records, have been related to enhanced patient outcomes. A literature review was conducted to characterize the design and evaluation of PWPs to improve health care processes and outcomes in diabetes. A summary of 26 articles revealed the positive impact PWPs have on patient outcomes, patient-provider communication, disease management, and access to and patient satisfaction with health care. Innovative and useful approaches included the evaluation of specific components of the PWPs, assessing the impact of PWPs on mediators of health behaviors, such as patient distress, identification of barriers to use, and patient willingness to pay for access. Future research should focus on relevant processes that mediate patient and provider use, impact on health care utilization, and a patient-centered approach to the design and integration of educational opportunities afforded through PWPs.
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