Patients with complex chronic conditions: Health care use and clinical events associated with access to a patient portal.

ABSTRACT:

Background

For patients with diabetes, many with multiple complex chronic conditions, using a patient portal can support self-management and coordination of health care services, and may impact the frequency of in-person health care visits.

Objective

To examine the impact of portal access on the number of outpatient visits, emergency visits, and preventable hospitalizations.

Design

Observational study comparing patients' visit rates with and without portal access, using marginal structural modeling with inverse probability weighting estimates to account for potential bias due to confounding and attrition.

Setting

Large integrated delivery system which implemented a patient portal (2006-2007).

Patients

We examined 165,447 patients with diabetes defined us

SUBMITTER: Reed ME 

PROVIDER: S-EPMC6583978 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature