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Impact of patient use of an online patient portal on diabetes outcomes
- Source :
- Canadian journal of diabetes. 38(1)
- Publication Year :
- 2013
-
Abstract
- Objective To assess the effect of patient use of an online patient portal on diabetes outcomes. Methods Patients included were those with diabetes who were newly referred to a Vancouver-based tertiary care diabetologist between April 2008 and October 2012. Each patient was assessed by the diabetologist, received initial diabetes education and was referred, as necessary, for further education and self-management training. All patients who provided an e-mail address at registration were invited to open an online patient portal account. The portal provided access to diabetes education material, personal laboratory values and a messaging system allowing communication with the diabetologist and staff. Patients who logged in 1 or more times were defined as portal users (n=50); patients who never logged in to the portal were defined as non-users (n=107). A1C was measured at 2 time points: at baseline (i.e. initial, in-clinic visit) and at last follow up (visit no less than 6 months and no more than 2 years after the initial visit). Because usership is self-selected, propensity score matching was used to create comparable user/non-user groups based on available baseline covariates. Results Compared to non-users, a higher proportion of users achieved A1C ≤7% at follow up (56% vs. 32%) (p=0.031). Conclusion Accessing an online patient portal is associated with improved glycemic control.
- Subjects :
- Adult
Male
medicine.medical_specialty
Pediatrics
Endocrinology, Diabetes and Metabolism
Last follow up
Diabetes education
Tertiary care
Endocrinology
Initial visit
Diabetes mellitus
Internal Medicine
medicine
Diabetes Mellitus
Electronic Health Records
Humans
Health Education
Glycemic
Aged
Retrospective Studies
Internet
business.industry
Patient portal
General Medicine
Middle Aged
medicine.disease
Telemedicine
Self Care
Propensity score matching
Physical therapy
Female
business
Subjects
Details
- ISSN :
- 14992671
- Volume :
- 38
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Canadian journal of diabetes
- Accession number :
- edsair.doi.dedup.....1750461f797636c753384c80d96dc0e8