Lisa V. Grossman|Ruth Masterson Creber|Natalie C. Benda|Drew Wright|David K. Vawdrey|Jessica S. Ancker
Interventions to increase patient portal use in vulnerable populations: a systematic review
Columbia University|Cornell University|Cornell University|Cornell University|Columbia University|Presbyterian Hospital|New York Hospital Queens|NewYork–Presbyterian Hospital|Cornell University
abstract background 100 studies document disparities patient portal use among vulnerable populations developing testing strategies reduce disparities use essential ensure portals benefit populations objective systematically review impact interventions designed 1 increase portal use predictors use vulnerable patient populations 2 reduce disparities use materials methods librarian searched ovid medline embase cinahl cochrane reviews studies published september 1 2018 two reviewers independently selected englishlanguage research articles evaluated interventions designed impact eligible outcome one reviewer extracted data categorized interventions another assessed accuracy two reviewers independently assessed risk bias results 18 included studies 15 83 assessed interventions impact portal use 7 39 predictors use 1 6 disparities use interventions studied focused individual 13 26 50 opposed facilitating conditions tool task environment organization seips model twelve studies 67 reported statistically significant increase portal use predictors use reduced disparities five studies 28 high unclear risk bias conclusion individually focused interventions evidence increasing portal use vulnerable populations interventions affecting system elements tool task environment organization sufficiently studied draw conclusions given wellestablished evidence disparities use limited research effective interventions research move beyond identifying disparities systematically addressing multiple levels