| dc.creator | Martínez Nicolás, Ismael | |
| dc.creator | Lê Cook, Benjamin | |
| dc.creator | Flores, Michael | |
| dc.creator | Olmo Rodríguez, Marta del | |
| dc.creator | Hernández Rodríguez, Corazón | |
| dc.creator | Llamas Sillero, Pilar | |
| dc.creator | Baca-Garcia, Enrique | |
| dc.date | 2023-01-17T13:34:43Z | |
| dc.date | 2023-01-17T13:34:43Z | |
| dc.date | 2019 | |
| dc.date.accessioned | 2024-05-02T20:30:25Z | |
| dc.date.available | 2024-05-02T20:30:25Z | |
| dc.identifier | http://repositorio.ucm.cl/handle/ucm/4396 | |
| dc.identifier.uri | https://repositorioslatinoamericanos.uchile.cl/handle/2250/9274640 | |
| dc.description | 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. | |
| dc.language | en | |
| dc.rights | Atribución-NoComercial-SinDerivadas 3.0 Chile | |
| dc.rights | http://creativecommons.org/licenses/by-nc-nd/3.0/cl/ | |
| dc.source | European Journal of Public Health, 29(3), 413-418 | |
| dc.title | The impact of a comprehensive electronic patient portal on the health service use: an interrupted time-series analysis | |
| dc.type | Article | |
