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The impact of a comprehensive electronic patient portal on the health service use: an interrupted time-series analysis
| dc.contributor.author | Martínez Nicolás, Ismael | |
| dc.contributor.author | Lê Cook, Benjamin | |
| dc.contributor.author | Flores, Michael | |
| dc.contributor.author | Olmo Rodríguez, Marta del | |
| dc.contributor.author | Hernández Rodríguez, Corazón | |
| dc.contributor.author | Llamas Sillero, Pilar | |
| dc.contributor.author | Baca-Garcia, Enrique | |
| dc.date.accessioned | 2023-01-17T13:34:43Z | |
| dc.date.available | 2023-01-17T13:34:43Z | |
| dc.date.issued | 2019 | |
| dc.identifier.uri | http://repositorio.ucm.cl/handle/ucm/4396 | |
| dc.description.abstract | Background: There is little empirical research on the potential benefit that electronic patient portals (EPP) can have on the care quality and health outcomes of diverse multi-ethnic international populations. The purpose of this study is to determine the extent to which an EPP was associated with improvements in health service use. Methods: Using a quasi-experimental interrupted time-series approach, we assessed health service use before (April 2012–September 2015) and after (October 2015–December 2016) the implementation of a comprehensive EPP at four hospitals in Madrid, Spain. Primary outcomes were number of outpatient visits, any hospital admission, any 30-day all-cause readmission and any emergency department visit. Results: Implementation of the EPP was associated with a significant decline in readmissions. Among patients with chronic heart failure, EPP implementation was associated with a significant decline for all outcome measures, and among patients with COPD, a decline in all outcomes except readmissions. Among patients diagnosed with malignant hematological diseases, no significant changes were identified. Conclusions: EPPs hold promise for reducing hospital readmissions. Certain patient populations with chronic conditions may differentially benefit from portal use depending on their needs for communication with their providers. | es_CL |
| dc.language.iso | en | es_CL |
| dc.rights | Atribución-NoComercial-SinDerivadas 3.0 Chile | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/cl/ | * |
| dc.source | European Journal of Public Health, 29(3), 413-418 | es_CL |
| dc.title | The impact of a comprehensive electronic patient portal on the health service use: an interrupted time-series analysis | es_CL |
| dc.type | Article | es_CL |
| dc.ucm.indexacion | Scopus | es_CL |
| dc.ucm.indexacion | Isi | es_CL |
| dc.ucm.doi | doi.org/10.1093/eurpub/cky257 | es_CL |
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