A systematic review of the effectiveness of patient education through patient portals

• Published in: JAMIA open Vol. 6; no. 1; p. ooac085
• Main Authors: Johnson, Adam M, Brimhall, Andrew S, Johnson, Erica T, Hodgson, Jennifer, Didericksen, Katharine, Pye, Joseph, Harmon, G J Corey, Sewell, Kerry B
• Format: Journal Article
• Language: English
• Published: United States Oxford University Press 01.04.2023
• Subjects: Educational materials; Equipment and supplies; Health care reform; Medical records; Medical research; Medicine, Experimental; Patient compliance; Patient education; Systematic review; Teaching; Web portals; patient education; personal health records
• ISSN: 2574-2531; 2574-2531
• DOI: 10.1093/jamiaopen/ooac085

Lay Summary Patient portals provide patients access to health records, lab results, medication refills, educational materials, secure messaging, appointment scheduling, and telehealth visits, allowing patients to take a more active role in their health care decisions and management. This article systematically reviewed all literature regarding patient education through patient portals to determine its effectiveness in improving patient engagement and ability to manage their health conditions. The results found that efforts are being made to raise awareness of educational resources in patient portals, that patients are increasingly utilizing these resources, that patients are finding them useful, and that they are improving health outcomes. It seems that patient portals are becoming a powerful tool for patient engagement and show promise as a means of improving patients’ health. Continued efforts need to be made to raise awareness of patient educational resources in patient portals so that patients utilize these resources to increase their knowledge, skills, and confidence for managing their own health and health care. Abstract Objective The objective of this study was to systematically review all literature studying the effect of patient education on patient engagement through patient portals. Introduction Patient portals provide patients access to health records, lab results, medication refills, educational materials, secure messaging, appointment scheduling, and telehealth visits, allowing patients to take a more active role in their health care decisions and management. A debate remains around whether these additional aids actually improve patient engagement and increase their ability to manage their own health conditions. This systematic review looks specifically at the effect of educational materials included in patient portals. Materials and Methods In accordance with PRISMA guidelines, the literature search was mapped across 5 databases (PubMed, CINAHL, Scopus, PsychINFO, Embase), and implemented on June 2, 2020. Results Fifty-two studies were included in the review. Forty-six (88.5%) reported rates of patient utilization of educational resources in the patient portal. Thirty (57.9%) shared patients’ perceptions of the usefulness of the education materials. Twenty-one (40.4%) reported changes in health outcomes following educational interventions through the patient portal. This review found that efforts are indeed being made to raise awareness of educational resources in patient portals, that patients are increasingly utilizing these resources, that patients are finding them useful, and that they are improving health outcomes. Conclusion It seems that patient portals are becoming a powerful tool for patient education and engagement, and show promise as a means of achieving the quadruple aim of healthcare. Moving forward, research should establish more uniform methods of measurement in order to strengthen the literature surrounding the effectiveness of patient education through patient portals.