Determining Patient’s Interest in Patient Portal Use in a Primary Care Clinic to Improve Portal Adoption

  • Martina A. ClarkeEmail author
  • Kelly C. Karls
Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 957)


Patients accessing their personal health information has the potential to improve their healthcare decision-making. Despite the potential benefits of patient portals and government reform, adoption has been poor. The objective of this project is to determine patients’ awareness of their patient portal and their interest in portal functionalities to assist with increasing patient portal adoption. Forty-two patients completed a 9-item survey at a primary care clinic. Descriptive statistics were used to summarize the data. 83% of patients were interested in having access to their health information. 55% were aware of the patient portal and only 35% were signed up. The main reason for not signing up was unawareness of service (35%). Majority of participants (77%) were most interested in viewing personal health information and 50% were interested in secure messaging. These results provide valuable information about patient’s interest in accessing the patient portal and provides information on functionalities of interest.


Patients Personal health record Needs assessment Data display Communication Primary health care Information need Patient-centered care 


  1. 1.
    CMS: Medicaid EHR Incentive Program Stage 3 Patient Electronic Access to Health Information (2016)Google Scholar
  2. 2.
    Delbanco, T., et al.: Inviting patients to read their doctors’ notes: a quasi-experimental study and a look ahead. Ann. Intern. Med. 157(7), 461–470 (2012)CrossRefGoogle Scholar
  3. 3.
    Honeyman, A., Cox, B., Fisher, B.: Potential impacts of patient access to their electronic care records. Inform. Prim. Care 13(1), 55–60 (2005)Google Scholar
  4. 4.
    Klein-Fedyshin, M.S.: Consumer health informatics-integrating patients, providers, and professionals online. Med. Ref. Serv. Q. 21(3), 35–50 (2002)CrossRefGoogle Scholar
  5. 5.
    Ross, S.E., Lin, C.T.: The effects of promoting patient access to medical records: a review. J. Am. Med. Inform. Assoc. 10(2), 129–138 (2003)CrossRefGoogle Scholar
  6. 6.
    Patient Ability to Electronically View, Download & Transmit (VDT) Health Information. Step 5: Achieve Meaningful Use Stage 2 2014 Monday, February 24, 2014. Accessed 10 Dec 2016
  7. 7.
    Fricton, J.R., Davies, D.: Personal Health Records to Improve Health Information Exchange and Patient Safety Advances in Patient Safety: New Directions and Alternative Approaches. Technology and Medication Safety, vol. 4, Henriksen, K., et al. (eds.), Rockville (2008)Google Scholar
  8. 8.
    Kruse, C.S., et al.: Patient and provider attitudes toward the use of patient portals for the management of chronic disease: a systematic review. J. Med. Internet Res. 17(2), e40 (2015)MathSciNetCrossRefGoogle Scholar
  9. 9.
    Blumenthal, D., Dixon, J.: Health-care reforms in the USA and England: areas for useful learning. Lancet 380(9850), 1352–1357 (2012)CrossRefGoogle Scholar
  10. 10.
    Irizarry, T., DeVito Dabbs, A., Curran, C.R.: Patient portals and patient engagement: a state of the science review. J. Med. Internet Res. 17(6), e148 (2015)CrossRefGoogle Scholar
  11. 11.
    Steinbrook, R.: Health care and the American recovery and reinvestment act. N. Engl. J. Med. 360(11), 1057–1060 (2009)CrossRefGoogle Scholar
  12. 12.
    Clarke, M.A., et al.: Patients’ views on clinic visit notes sections and their importance in self-care. In: 9th International Conference on Applied Human Factors and Ergonomics (AHFE 2018). Podium Presentation. Orlando, FL (2018)Google Scholar
  13. 13.
    Woods, S.S., et al.: Patient experiences with full electronic access to health records and clinical notes through the My HealtheVet Personal Health Record Pilot: qualitative study. J. Med. Internet Res. 15(3), e65 (2013)CrossRefGoogle Scholar
  14. 14.
    Tom, J.O., et al.: Integrated personal health record use: association with parent-reported care experiences. Pediatrics 130(1), e183–e190 (2012)CrossRefGoogle Scholar
  15. 15.
    Wieland, D., et al.: Patient portal readiness among postpartum patients in a safety net setting. Appl. Clin. Inform. 8(3), 698–709 (2017)CrossRefGoogle Scholar
  16. 16.
    Isselmann, E., Pierce, S.: Annual Xerox EHR Survey: Americans Open to Viewing Test Results, Handling Healthcare Online. Healthcare Services (2014)Google Scholar
  17. 17.
    Peacock, S., et al.: Patient portals and personal health information online: perception, access, and use by US adults. J. Am. Med. Inform. Assoc. 24(e1), e173–e177 (2017)Google Scholar
  18. 18.
    Stage 7 Case in Point: Nebraska Medicine (2016). Accessed 10 Nov 2016. Archived at WebCite®:
  19. 19.
    Electronic Medical Record Adoption Model (EMRAM) SM (2014). Accessed 10 Nov 2016. Archived at WebCite®:
  20. 20.
    Center, P.R.: Mobile fact sheet. Pew Research Center: Internet, Science & Tech (2017)Google Scholar
  21. 21.
    Tarrell, A., et al.: Computer skills drive user decision for personal health record. In: Academy Health Annual Research Meeting. Poster Presentation. New Orleans, LA (2017)Google Scholar
  22. 22.
    Wildenbos, G.A., Peute, L., Jaspers, M.: Facilitators and barriers of electronic health record patient portal adoption by older adults: a literature study. Stud. Health Technol. Inform. 235, 308–312 (2017)Google Scholar
  23. 23.
    Powell, K.R.: Patient-perceived facilitators of and barriers to electronic portal use: a systematic review. Comput. Inform. Nurs. 35(11), 565–573 (2017)CrossRefGoogle Scholar
  24. 24.
    Haun, J.N., et al.: Large-scale survey findings inform patients’ experiences in using secure messaging to engage in patient-provider communication and self-care management: a quantitative assessment. J. Med. Internet Res. 17(12), e282 (2015)CrossRefGoogle Scholar
  25. 25.
    Steitz, B., et al.: Long-term patterns of patient portal use for pediatric patients at an academic medical center. Appl. Clin. Inform. 8(3), 779–793 (2017)CrossRefGoogle Scholar
  26. 26.
    Lawrence, D.: Footing the bill: patient portals, part I. Healthc. Inform. 26(5), 20, 22, 36 (2009)Google Scholar
  27. 27.
    Tavares, J., Goulao, A., Oliveira, T.: Electronic health record portals adoption: empirical model based on UTAUT2. Inform. Health Soc. Care 43(2), 109–125 (2018)CrossRefGoogle Scholar
  28. 28.
    Collins, S.A., et al.: Information needs, Infobutton Manager use, and satisfaction by clinician type: a case study. J. Am. Med. Inform. Assoc. 16(1), 140–142 (2009)CrossRefGoogle Scholar
  29. 29.
    Currie, L.M., et al.: Clinical information needs in context: an observational study of clinicians while using a clinical information system. AMIA Annu. Symp. Proc. 190–194 (2003)Google Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Internal MedicineUniversity of Nebraska Medical CenterOmahaUSA
  2. 2.Nebraska MedicineOmahaUSA

Personalised recommendations