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Patient-Provider Internet PortalsPatient Outcomes and Use

SHAW, RYAN J. MS, RN; FERRANTI, JEFFREY MD, MS

CIN: Computers, Informatics, Nursing:
doi: 10.1097/NCN.0b013e318224b597
Continuing Education
Abstract

An important emerging information technology tool is the electronic health record with a patient-provider Internet portal. Patient-provider Internet portals offer a venue for providing patient access to personal health data. In this study, we conducted a cross-sectional secondary data analysis to describe the types of diabetes patients who utilize the patient-provider Internet portal and examine any preliminary differences in patient outcomes. Data from this study suggest that a significant portion of patients (29.7%) with diabetes utilize the portal. Clinical outcome results indicated that portal use was not a significant predictor of low-density lipoprotein and total cholesterol levels. However, portal use was a statistically significant predictor of glycosylated hemoglobin (HbA1c) (P < .001). As patient-provider Internet portals are increasingly implemented and utilized across the nation, both clinical and nonclinical impacts must be evaluated. Patient-provider Internet portals have the ability to provide patients with the opportunity tobe increasingly involved in their own care,enhance patient-provider communication, and potentially reduce inequity, improve clinical outcomes, and increase access to care.

Author Information

Author Affiliations: Duke University School of Nursing (Mr Shaw), Duke Health Technology Solutions (Mr Shaw and Dr Ferranti), and Duke University School of Medicine (Dr Ferranti), Durham, NC.

The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: Ryan J. Shaw, MS, RN, Duke University School of Nursing, DUMC 3322 307 Trent Dr, 3080, Durham, NC 27710 (ryan.shaw@duke.edu).

© 2011 Lippincott Williams & Wilkins, Inc.