Diabetes care providers' opinions and working methods after four years of experience with a diabetes patient web portal; a survey among health care providers in general practices and an outpatient clinic

BMC Fam Pract. 2018 Jun 21;19(1):94. doi: 10.1186/s12875-018-0781-y.

Abstract

Background: To gain insight into the opinions and working methods of diabetes care providers after using a diabetes web portal for 4 years in order to understand the role of the provider in patients' web portal use.

Methods: Survey among physicians and nurses from general practices and an outpatient clinic, correlated with data from the common web portal.

Results: One hundred twenty-eight questionnaires were analysed (response rate 56.6%). Responders' mean age was 46.2 ± 9.8 years and 43.8% were physicians. The majority was of opinion that the portal improves patients' diabetes knowledge (90.6%) and quality of care (72.7%). Although uploading glucose diary (93.6%) and patient access to laboratory and clinical notes (91.2 and 71.0%) were considered important, these features were recommended to patients in only 71.8 and 19.5% respectively. 64.8% declared they informed their patients about the portal and 45.3% handed-out the information leaflet and website address. The portal was especially recommended to type 1 diabetes patients (78.3%); those on insulin (84.3%) and patients aged< 65 years (72.4%). Few found it timesaving (21.9%). Diabetes care providers' opinions were not associated with patients' portal use.

Conclusions: Providers are positive about patients web portals but still not recommend or encourage the use to all patients. There seems room for improvement in their working methods.

Keywords: Communication; Diabetes portal; Diabetes self-management; E-health; Patient web portal; Physician attitudes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Ambulatory Care Facilities*
  • Attitude of Health Personnel*
  • Diabetes Mellitus* / psychology
  • Diabetes Mellitus* / therapy
  • Female
  • General Practice*
  • Health Education / methods
  • Health Personnel / statistics & numerical data*
  • Humans
  • Information Dissemination / methods
  • Male
  • Middle Aged
  • Patient Portals*
  • Patient Preference / statistics & numerical data*
  • Public Opinion
  • Self-Management* / education
  • Self-Management* / methods
  • Self-Management* / psychology
  • Telemedicine / methods