Skip to main content

Main menu

  • Home
  • Content
    • Current Issue
    • Online First
    • Multimedia
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Call for Papers
  • Info for
    • Authors
    • Reviewers
    • Media
    • Job Seekers
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • RSS
    • Email Alerts
    • Journal Club
    • Annals Forum (Archive)
  • Contact
    • Feedback
    • Contact Us
  • Careers

User menu

  • My alerts

Search

  • Advanced search
Annals of Family Medicine
  • My alerts
Annals of Family Medicine

Advanced Search

  • Home
  • Content
    • Current Issue
    • Online First
    • Multimedia
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Call for Papers
  • Info for
    • Authors
    • Reviewers
    • Media
    • Job Seekers
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • RSS
    • Email Alerts
    • Journal Club
    • Annals Forum (Archive)
  • Contact
    • Feedback
    • Contact Us
  • Careers
  • Follow annalsfm on Twitter
  • Visit annalsfm on Facebook
Research ArticleOriginal Research

Engaging Primary Care Patients to Use a Patient-Centered Personal Health Record

Alex H. Krist, Steven H. Woolf, Ghalib A. Bello, Roy T. Sabo, Daniel R. Longo, Paulette Kashiri, Rebecca S. Etz, John Loomis, Stephen F. Rothemich, J. Eric Peele and Jeffrey Cohn
The Annals of Family Medicine September 2014, 12 (5) 418-426; DOI: https://doi.org/10.1370/afm.1691
Alex H. Krist
1Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia
2Fairfax Family Practice Residency, Fairfax, Virginia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: ahkrist@vcu.edu
Steven H. Woolf
1Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia
3Center on Society and Health, Virginia Commonwealth University, Richmond, Virginia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ghalib A. Bello
4Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Roy T. Sabo
1Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia
4Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Daniel R. Longo
1Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Paulette Kashiri
1Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Rebecca S. Etz
1Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
John Loomis
2Fairfax Family Practice Residency, Fairfax, Virginia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Stephen F. Rothemich
1Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
J. Eric Peele
5RTI International, Research Triangle Park, North Carolina
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jeffrey Cohn
6Broadlands Family Medicine, Ashburn, Virginia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • eLetters
  • PDF
Loading

Abstract

PURPOSE Health care leaders encourage clinicians to offer portals that enable patients to access personal health records, but implementation has been a challenge. Although large integrated health systems have promoted use through costly advertising campaigns, other implementation methods are needed for small to medium-sized practices where most patients receive their care.

METHODS We conducted a mixed methods assessment of a proactive implementation strategy for a patient portal (an interactive preventive health record [IPHR]) offered by 8 primary care practices. The practices implemented a series of learning collaboratives with practice champions and redesigned workflow to integrate portal use into care. Practice implementation strategies, portal use, and factors influencing use were assessed prospectively.

RESULTS A proactive and customized implementation strategy designed by practices resulted in 25.6% of patients using the IPHR, with the rate increasing 1.0% per month over 31 months. Fully 23.5% of IPHR users signed up within 1 day of their office visit. Older patients and patients with comorbidities were more likely to use the IPHR, but blacks and Hispanics were less likely. Older age diminished as a factor after adjusting for comorbidities. Implementation by practice varied considerably (from 22.1% to 27.9%, P <.001) based on clinician characteristics and workflow innovations adopted by practices to enhance uptake.

CONCLUSIONS By directly engaging patients to use a portal and supporting practices to integrate use into care, primary care practices can match or potentially surpass the usage rates achieved by large health systems.

  • personal health records
  • informatics
  • primary health care
  • patient-centered care
  • health promotion
  • Received for publication March 2, 2014.
  • Revision received June 27, 2014.
  • Accepted for publication July 8, 2014.
  • © 2014 Annals of Family Medicine, Inc.
View Full Text
PreviousNext
Back to top

In this issue

The Annals of Family Medicine: 12 (5)
The Annals of Family Medicine: 12 (5)
Vol. 12, Issue 5
September/October 2014
  • Table of Contents
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
  • The Issue in Brief
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on Annals of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Engaging Primary Care Patients to Use a Patient-Centered Personal Health Record
(Your Name) has sent you a message from Annals of Family Medicine
(Your Name) thought you would like to see the Annals of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
3 + 10 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Engaging Primary Care Patients to Use a Patient-Centered Personal Health Record
Alex H. Krist, Steven H. Woolf, Ghalib A. Bello, Roy T. Sabo, Daniel R. Longo, Paulette Kashiri, Rebecca S. Etz, John Loomis, Stephen F. Rothemich, J. Eric Peele, Jeffrey Cohn
The Annals of Family Medicine Sep 2014, 12 (5) 418-426; DOI: 10.1370/afm.1691

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Get Permissions
Share
Engaging Primary Care Patients to Use a Patient-Centered Personal Health Record
Alex H. Krist, Steven H. Woolf, Ghalib A. Bello, Roy T. Sabo, Daniel R. Longo, Paulette Kashiri, Rebecca S. Etz, John Loomis, Stephen F. Rothemich, J. Eric Peele, Jeffrey Cohn
The Annals of Family Medicine Sep 2014, 12 (5) 418-426; DOI: 10.1370/afm.1691
Reddit logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • INTRODUCTION
    • METHODS
    • RESULTS
    • DISCUSSION
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • eLetters
  • PDF

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • High Volume Portal Usage Impacts Practice Resources
  • Perceptions of older adults in Ontario, Canada on the implementation and impact of a primary care programme, Health Teams Advancing Patient Experience: Strengthening Quality (Health TAPESTRY): a descriptive qualitative study
  • Halyos: A patient-facing visual EHR interface for longitudinal risk awareness
  • Engaging patients through an iBooks-based patient portal tutorial
  • Guiding Principles for Team-Based Pediatric Care
  • Patient-Entered Wellness Data and Tailored Electronic Recommendations Increase Preventive Care
  • Harnessing Information Technology to Inform Patients Facing Routine Decisions: Cancer Screening as a Test Case
  • Implementing and using a patient portal: a qualitative exploration of patient and provider perspectives on engaging patients
  • Integrating Quantitative and Qualitative Results in Health Science Mixed Methods Research Through Joint Displays
  • In This Issue: Raise the Gaze
  • Google Scholar

More in this TOC Section

  • Patient Satisfaction With Medical Care for Chronic Low Back Pain: A Pain Research Registry Study
  • Disparities in Shared Decision-Making Research and Practice: The Case for Black American Patients
  • Health TAPESTRY Ontario: A Multi-Site Randomized Controlled Trial Testing Implementation and Reproducibility
Show more Original Research

Similar Articles

Subjects

  • Person groups:
    • Older adults
    • Vulnerable populations
  • Methods:
    • Mixed methods
  • Other research types:
    • Health services
  • Core values of primary care:
    • Access

Keywords

  • personal health records
  • informatics
  • primary health care
  • patient-centered care
  • health promotion

Content

  • Current Issue
  • Past Issues
  • Past Issues in Brief
  • Multimedia
  • Articles by Type
  • Articles by Subject
  • Multimedia
  • Supplements
  • Online First
  • Calls for Papers

Info for

  • Authors
  • Reviewers
  • Media
  • Job Seekers

Engage

  • E-mail Alerts
  • e-Letters (Comments)
  • RSS
  • Journal Club
  • Submit a Manuscript
  • Subscribe
  • Family Medicine Careers

About

  • About Us
  • Editorial Board & Staff
  • Sponsoring Organizations
  • Copyrights & Permissions
  • Contact Us
  • eLetter/Comments Policy

© 2023 Annals of Family Medicine