An evaluation of patient web portal engagement: An exploratory study of patients with hypertension and diabetes

Nyla L. Fleming, Deborah Cullen, Gaye Luna

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The American healthcare system will need to oversee increasing numbers of patients with chronic disease while coping with a nursing and primary care provider shortage. One way to improve chronic disease self-management is by using patient-centered health information technology such as the patient web portal (PWP). In this exploratory evaluation, we conducted a one-year retrospective analysis of web portals usage by 187 diabetic, hypertensive or diabetic and hypertensive patients at an outpatient family practice clinic managed by nurse practitioners. PWP usage by hypertensive and diabetic chronically ill patients, gender, and PWP feature use were evaluated. Data suggest that female patients were significantly more likely to activate their PWPs than males, and the preferred PWP feature was secure messaging. The diagnosis of hypertension versus diabetes or both conditions did predict the likelihood of PWP use (p <.05). PWP use provided opportunities for the patients to be engaged in their healthcare, and this exploratory evaluation exhibits how nurses may use PWPs to improve chronic disease self-management by encouraging self-management behaviors. Strategies to improve PWP activity and use among men should be considered in the future. Nursing knowledge of portal use and limitations is important for chronic disease management.

Original languageEnglish (US)
Pages (from-to)1
Number of pages1
JournalOnline Journal of Nursing Informatics
Volume19
Issue number3
StatePublished - 2016

Fingerprint

Hypertension
Chronic Disease
Self Care
Disease Management
Delivery of Health Care
Medical Informatics
Nurse Practitioners
Family Practice
Nursing Care
Patient Portals
Primary Health Care
Nursing
Outpatients
Nurses

Keywords

  • Diabetes
  • Health information technology
  • Hypertension
  • Patient engagement
  • Patient web portals
  • Self-management

ASJC Scopus subject areas

  • Health Informatics
  • Nursing (miscellaneous)

Cite this

An evaluation of patient web portal engagement : An exploratory study of patients with hypertension and diabetes. / Fleming, Nyla L.; Cullen, Deborah; Luna, Gaye.

In: Online Journal of Nursing Informatics, Vol. 19, No. 3, 2016, p. 1.

Research output: Contribution to journalArticle

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