2017 HSC Section 2 - Practice Management

JOURNAL OF MEDICAL INTERNET RESEARCH

Irizarry et al

Figure 1. Literature review flow chart.

and 4 were cohort studies (3.3%) ( Table 2 ). Only 11 articles explicitly identified a guiding theoretical framework, with the Chronic Care Model being the most common among them. The year 2011 was a turning point in the number of published articles, which coincides with the initiation of CMS EHR incentives program. The topical areas that showed the greatest increase in volume were patient adoption and utility ( Table 1 ). See Multimedia Appendix 1 for a brief description of each article and the topical areas addressed. The following section describes each topical area and discusses relevant implications for research, development, and implementation of patient portals.

Results Overview

We grouped the studies into five major topics based on the research questions, explicit and implicit aims of the studies, and related measures addressed. The topics identified included patient adoption, provider endorsement, health literacy, usability, and utility ( Table 1 ). Of the 120 articles that were reviewed, 66 (55.0%) were non-experimental descriptive, 26 (21.7%) were qualitative or mixed-methods, 14 (11.7%) were randomized controlled trials, 10 were pilot studies or case reports (8.3%),

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