Systematic review of engagement with patient portals among older adults

Project Details

Description

Purpose
To conduct a systematic review of the literature on implementing patient portals. The systematic review is needed to support an NIHR HS&DR grant application on "Developing a Blueprint to Optimise Successful Engagement with Patient Portals Among Older Adults: an Implementation Study in Three Global Digital Exemplar Acute NHS Trusts", due for submission 10/09/2020.

Why is this a priority for the partnership?
Patient portals link to a patient's medical records and provide immediate access to such things as test results, appointment bookings, repeat prescriptions and secure messaging with healthcare professionals. They are accessible from any location via a password-protected website. People aged over 65 years old are the highest users of healthcare services.

They suffer from more ill health, particularly long-term health conditions, such as diabetes. While people aged over 65 years old have found access to patient portals helpful, they are less likely to access them than younger people. Despite widespread introduction of patient portals across acute NHS Trusts, there are no evidence-based strategies for successful engagement. Engagement strategies, such as advertisement campaigns or patient/carer/staff training, must be tailored to population groups and context to be effective. This tailoring can improve equity within the patient group, e.g. by providing on-site access to tablets (e.g. iPads) and training in portal use for patients and carers of people with physical or mental health conditions that might affect ease of portal use, such as arthritis or dementia.

The aim of the NIHR HS&DR grant application is to help over-65's and their carers better use patient portals to make the most of the benefits. The findings will help develop an NHS guide (known as a Blueprint) that details how best to support older people to use patient portals.

The grant application was submitted to HS&DR in March 2019, it received positive feedback, but was not funded due to lack of a literature review to suport its justification. We have received advice from the Research Design Service to re-submit the grant with minimal refinements, but with unclusion of a systematic review on the implementation of patient portals. This application to UEA Health and Social Care Partners is to support the conduct of the systematic review over the next three months (June-August).

There is an opportunity for UEA Health and Social Care Partners to be co-authors on the systematic review if it falls within their area of interest. UEA Health and Social Care Partners may form part of the Steering Committee for the grant. Further, the Blueprint developed as part of this research project is intended to support other Trusts planning to implement patient portals.

AcronymPORTAL
StatusFinished
Effective start/end date1/06/201/09/20