Laukka, E., Huhtakangas, M., Heponiemi, T., Kujala, S., Kaihlanen, A.-M., Gluschkoff, K., & Kanste, O. (2020). Health Care Professionals’ Experiences of Patient-Professional Communication Over Patient Portals: Systematic Review of Qualitative Studies. Journal of Medical Internet Research, 22(12), e21623. https://doi.org/10.2196/21623
Health care professionals’ experiences of patient-professional communication over patient portals : systematic review of qualitative studies
|Author:||Laukka, Elina1,2; Huhtakangas, Moona2; Heponiemi, Tarja1;|
1Finnish Institute for Health and Welfare, Social and Health System Research Unit, Helsinki, Finland
2Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
3Department of Computer Science, Aalto University, Espoo, Finland
4Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
|Online Access:||PDF Full Text (PDF, 0.4 MB)|
|Persistent link:|| http://urn.fi/urn:nbn:fi-fe20201221101645
|Publish Date:|| 2020-12-21
Background: The popularity of web-based patient-professional communication over patient portals is constantly increasing. Good patient-professional communication is a prerequisite for high-quality care and patient centeredness. Understanding health care professionals’ experiences of web-based patient-professional communication is important as they play a key role in engaging patients to use portals. More information is needed on how patient-professional communication could be supported by patient portals in health care.
Objective: This systematic review of qualitative studies aims to identify how health care professionals experience web-based patient-professional communication over the patient portals.
Methods: Abstract and full-text reviews were conducted by 2 reviewers independently. A total of 4 databases were used for the study: CINAHL (EBSCO), ProQuest (ABI/INFORM), Scopus, and PubMed. The inclusion criteria for the reviewed studies were as follows: the examination of health care professionals’ experiences, reciprocal communication between patients and health care professionals, peer-reviewed scientific articles, and studies published between 2010 and 2019. The Joanna Briggs Institute’s quality assessment criteria were used in the review process. A total of 13 included studies were analyzed using a thematic synthesis, which was conducted by 3 reviewers.
Results: A total of 6 analytical themes concerning health care professionals’ experiences of web-based patient-professional communication were identified. The themes were related to health care professionals’ work, change in communication over patient portals, patients’ use of patient portals, the suitability of patient portals for communication, the convenience of patient portals for communication, and change in roles.
Conclusions: Health care professionals’ experiences contain both positive and negative insights into web-based patient-professional communication over patient portals. Most commonly, the positive experiences seem to be related to the patients and patient outcomes, such as having better patient engagement. Health care professionals also have negative experiences, for example, web-based patient-professional communication sometimes has deficiencies and has a negative impact on their workload. These negative experiences may be explained by the poor functionality of the patient portals and insufficient training and resources. To reduce health care professionals’ negative experiences of web-based patient-professional communication, their experiences should be taken into account by policy makers, health care organizations, and information technology enterprises when developing patient portals. In addition, more training regarding web-based patient-professional communication and patient portals should be provided to health care professionals.
Journal of medical internet research
|Type of Publication:||
A2 Review article in a scientific journal
|Field of Science:||
3141 Health care science
This work was supported by the Strategic Research Council at the Academy of Finland under grant number 327145.
© Elina Laukka, Moona Huhtakangas, Tarja Heponiemi, Sari Kujala, Anu-Marja Kaihlanen, Kia Gluschkoff, Outi Kanste. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 08.12.2020. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.