Who are we reaching through the patient portal: engaging the already engaged?

Main Article Content

Judith Hoffman Hibbard
Jessica Greene

Abstract

A key assumption underlying the drive to increase patient use of a patient portal is that such use will increase patient engagement and activation. In this cross-sectional analysis we examine the question of who uses the patient portal, MyChart. Specifically, we examine the Patient Activation Measure (PAM) scores among patients receiving primary care in a large delivery system to assess how it relates to referrals to use the patient portal, as well as actual usage. A total of 16,357 patients are included in the analysis who had an office visit during a six-month period in 2010 and who had a PAM score in their EHR. The findings show that higher activated patients are more likely to be referred to the patient portal and among that group, the higher activated are more likely to actually use it. Policy and practice implications are discussed. 

Article Details

Section
Clinical and Electronic Communication
Author Biography

Judith Hoffman Hibbard, University of Oregon

Professor of Health PolicyDepartment of Planning Public Policy, and, ManagementUniversity of Oregon-1209Eugene, OR

References

Tang, P,C & Lansky, D. (2005). The Missing Link: bridging the patient-provider health information gap. Health Affairs 24, 1290-95.

Wynia M, & Dunn, K. (2010). Dreams and nightmares: practical and ethical issues for patients and physicians using personal health records. Journal of Law Medicine & Ethics 38, 64-73.

Zhou, Y.Y., Kanter, M.H., Wang, J.J. & Garrido, T. (2010). Improved quality at Kaiser Permanente through e-mail between physicians and patients.Health Affairs 29, 1370-1375.

Weingart, S.N., Rind, D., Tofias, Z. & Sands, D.Z. (2006). Who uses the patient internet portal? The PatientSite experience. Journal of the American Medical Association 13 (1),91-95.

Hibbard, J. H., Stockard, J., Mahoney, E.R. & Tusler, M. (2004). Development of the Patient Activation Measure (PAM): conceptualizing and measuring activation in patients and consumers. Health Services Research 39,1005-1026.

Hibbard, J. H., Mahoney, E.R., Stockard, J. & Tusler, M. (2005). Development and testing of a short form of the Patient Activation Measure.Health Services Research 40, 1918-1930.

Becker, E. & Roblin, D. (2008). Translating primary care practice climate into patient activation: The role of patient trust in physician.Medical Care 46, 795-805.

Fowles, J., Terry, P., Xi, M., Hibbard, J.H., Bloom, C.T. & Harvey, L. (2009). Measuring self-management of patients’ and employees’ health: Further validation of the

Patient Activation Measure (PAM) based on its relation to employee characteristics. Patient Education and Counseling 77,116-122.

Hibbard, J.H., Mahoney, E., Stock R. & Tusler, M. (2007). Do increases in patient activation result in improvedself-management behaviors? Health Services Research 42,1443-1463.

Mosen, D., Schmittdiel, J., Hibbard, J.H., Sobel, D., Remmers, C. & Bellows, J. (2007). Is patient activation associated with outcomes of care for adults with chronic conditions? Journal of Ambulatory Care Management30, 21-27.