Diabetes Care Providers' Opinions and Working Methods After Four Years of Experience with a Diabetes Patient Web Portal; a Survey Among Health Care Providers in General Practices and an Outpatient Clinic

Overview

Journal BMC Fam Pract

Publisher Biomed Central

Specialties Health Services
Public Health

Date 2018 Jun 23

PMID 29929483

Citations 4

Authors

Maaike C M Ronda

Lioe-Ting Dijkhorst-Oei

Rimke C Vos

Guy E H M Rutten

Affiliations

Soon will be listed here.

Abstract

Background: To gain insight into the opinions and working methods of diabetes care providers after using a diabetes web portal for 4 years in order to understand the role of the provider in patients' web portal use.

Methods: Survey among physicians and nurses from general practices and an outpatient clinic, correlated with data from the common web portal.

Results: One hundred twenty-eight questionnaires were analysed (response rate 56.6%). Responders' mean age was 46.2 ± 9.8 years and 43.8% were physicians. The majority was of opinion that the portal improves patients' diabetes knowledge (90.6%) and quality of care (72.7%). Although uploading glucose diary (93.6%) and patient access to laboratory and clinical notes (91.2 and 71.0%) were considered important, these features were recommended to patients in only 71.8 and 19.5% respectively. 64.8% declared they informed their patients about the portal and 45.3% handed-out the information leaflet and website address. The portal was especially recommended to type 1 diabetes patients (78.3%); those on insulin (84.3%) and patients aged< 65 years (72.4%). Few found it timesaving (21.9%). Diabetes care providers' opinions were not associated with patients' portal use.

Conclusions: Providers are positive about patients web portals but still not recommend or encourage the use to all patients. There seems room for improvement in their working methods.

Citing Articles

Digital Facilitation to Support Patient Access to Web-Based Primary Care Services: Scoping Literature Review.

Leach B, Parkinson S, Gkousis E, Abel G, Atherton H, Campbell J J Med Internet Res. 2022; 24(7):e33911.

PMID: 35834301 PMC: 9335178. DOI: 10.2196/33911.

Perspectives and Views of Primary Care Professionals Regarding DiabeText, a New mHealth Intervention to Support Adherence to Antidiabetic Medication in Spain: A Qualitative Study.

Zamanillo-Campos R, Serrano-Ripoll M, Taltavull-Aparicio J, Gervilla-Garcia E, Ripoll J, Fiol-deRoque M Int J Environ Res Public Health. 2022; 19(7).

PMID: 35409916 PMC: 8999018. DOI: 10.3390/ijerph19074237.

The Challenge of Sustainable Access to Telemonitoring Tools for People with Diabetes in Europe: Lessons from COVID-19 and Beyond.

Choudhary P, Bellido V, Graner M, Altpeter B, Cicchetti A, Durand-Zaleski I Diabetes Ther. 2021; 12(9):2311-2327.

PMID: 34390477 PMC: 8363869. DOI: 10.1007/s13300-021-01132-9.

How the Use of a Patient-Accessible Health Record Contributes to Patient-Centered Care: Scoping Review.

Benjamins J, Haveman-Nies A, Gunnink M, Goudkuil A, de Vet E J Med Internet Res. 2021; 23(1):e17655.

PMID: 33427683 PMC: 7834934. DOI: 10.2196/17655.

References

Weppner W, Ralston J, Koepsell T, Grothaus L, Reid R, Jordan L . Use of a shared medical record with secure messaging by older patients with diabetes. Diabetes Care. 2010; 33(11):2314-9. PMC: 2963486. DOI: 10.2337/dc10-1124. View

Leveille S, Mejilla R, Ngo L, Fossa A, Elmore J, Darer J . Do Patients Who Access Clinical Information on Patient Internet Portals Have More Primary Care Visits?. Med Care. 2015; 54(1):17-23. DOI: 10.1097/MLR.0000000000000442. View

Weingart S, Rind D, Tofias Z, Sands D . Who uses the patient internet portal? The PatientSite experience. J Am Med Inform Assoc. 2005; 13(1):91-5. PMC: 1380201. DOI: 10.1197/jamia.M1833. View

Schillinger D, Piette J, Grumbach K, Wang F, Wilson C, Daher C . Closing the loop: physician communication with diabetic patients who have low health literacy. Arch Intern Med. 2003; 163(1):83-90. DOI: 10.1001/archinte.163.1.83. View

Kruse C, Argueta D, Lopez L, Nair A . Patient and provider attitudes toward the use of patient portals for the management of chronic disease: a systematic review. J Med Internet Res. 2015; 17(2):e40. PMC: 4376181. DOI: 10.2196/jmir.3703. View

Miller Jr D, Latulipe C, Melius K, Quandt S, Arcury T . Primary Care Providers' Views of Patient Portals: Interview Study of Perceived Benefits and Consequences. J Med Internet Res. 2016; 18(1):e8. PMC: 4733220. DOI: 10.2196/jmir.4953. View

Ralston J, Hirsch I, Hoath J, Mullen M, Cheadle A, Goldberg H . Web-based collaborative care for type 2 diabetes: a pilot randomized trial. Diabetes Care. 2008; 32(2):234-9. PMC: 2628685. DOI: 10.2337/dc08-1220. View

Holbrook A, Thabane L, Keshavjee K, Dolovich L, Bernstein B, Chan D . Individualized electronic decision support and reminders to improve diabetes care in the community: COMPETE II randomized trial. CMAJ. 2009; 181(1-2):37-44. PMC: 2704409. DOI: 10.1503/cmaj.081272. View

Campmans-Kuijpers M, Baan C, Lemmens L, Rutten G . Change in quality management in diabetes care groups and outpatient clinics after feedback and tailored support. Diabetes Care. 2014; 38(2):285-92. DOI: 10.2337/dc14-1860. View

10.

Andreassen H, Bujnowska-Fedak M, Chronaki C, Dumitru R, Pudule I, Santana S . European citizens' use of E-health services: a study of seven countries. BMC Public Health. 2007; 7:53. PMC: 1855923. DOI: 10.1186/1471-2458-7-53. View

11.

Witry M, Doucette W, Daly J, Levy B, Chrischilles E . Family physician perceptions of personal health records. Perspect Health Inf Manag. 2010; 7:1d. PMC: 2805556. View

12.

Grunloh C, Cajander A, Myreteg G . "The Record is Our Work Tool!"-Physicians' Framing of a Patient Portal in Sweden. J Med Internet Res. 2016; 18(6):e167. PMC: 4940602. DOI: 10.2196/jmir.5705. View

13.

Callen J, Giardina T, Singh H, Li L, Paoloni R, Georgiou A . Emergency physicians' views of direct notification of laboratory and radiology results to patients using the Internet: a multisite survey. J Med Internet Res. 2015; 17(3):e60. PMC: 4376154. DOI: 10.2196/jmir.3721. View

14.

Zwaanswijk M, Verheij R, Wiesman F, Friele R . Benefits and problems of electronic information exchange as perceived by health care professionals: an interview study. BMC Health Serv Res. 2011; 11:256. PMC: 3200179. DOI: 10.1186/1472-6963-11-256. View

15.

Sarkar U, Karter A, Liu J, Adler N, Nguyen R, Lopez A . Social disparities in internet patient portal use in diabetes: evidence that the digital divide extends beyond access. J Am Med Inform Assoc. 2011; 18(3):318-21. PMC: 3078675. DOI: 10.1136/jamia.2010.006015. View

16.

Delbanco T, Walker J, Bell S, Darer J, Elmore J, Farag N . Inviting patients to read their doctors' notes: a quasi-experimental study and a look ahead. Ann Intern Med. 2012; 157(7):461-70. PMC: 3908866. DOI: 10.7326/0003-4819-157-7-201210020-00002. View

17.

Yamin C, Emani S, Williams D, Lipsitz S, Karson A, Wald J . The digital divide in adoption and use of a personal health record. Arch Intern Med. 2011; 171(6):568-74. DOI: 10.1001/archinternmed.2011.34. View

18.

Liss D, Reid R, Grembowski D, Rutter C, Ross T, Fishman P . Changes in office visit use associated with electronic messaging and telephone encounters among patients with diabetes in the PCMH. Ann Fam Med. 2014; 12(4):338-43. PMC: 4096471. DOI: 10.1370/afm.1642. View

19.

Crotty B, Mostaghimi A, Landon B . Preparing residents for future practice: report of a curriculum for electronic patient-doctor communication. Postgrad Med J. 2013; 89(1056):554-9. DOI: 10.1136/postgradmedj-2012-131688. View

20.

Black H, Gonzalez R, Priolo C, Schapira M, Sonnad S, Hanson 3rd C . True "meaningful use": technology meets both patient and provider needs. Am J Manag Care. 2015; 21(5):e329-37. View