How Do Patients with Mental Health Diagnoses Use Online Patient Portals? An Observational Analysis from the Veterans Health Administration

Adm Policy Ment Health. 2019 Sep;46(5):596-608. doi: 10.1007/s10488-019-00938-x.

Abstract

Online patient portals may be effective for engaging patients with mental health conditions in their own health care. This retrospective database analysis reports patient portal use among Veterans with mental health diagnoses. Unadjusted and adjusted odds of portal feature use was calculated using logistic regressions. Having experienced military sexual trauma or having an anxiety disorder, post-traumatic stress disorder, or depression were associated with increased odds of portal use; bipolar, substance use, psychotic and adjustment disorders were associated with decreased odds. Future research should examine factors that influence portal use to understand diagnosis-level differences and improve engagement with such tools.

Keywords: Engagement; Health information technology; Mental health; Patient portals; Veterans.

Publication types

  • Observational Study
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Female
  • Humans
  • Male
  • Mental Disorders / epidemiology*
  • Mental Health / statistics & numerical data*
  • Middle Aged
  • Patient Portals / statistics & numerical data*
  • Residence Characteristics
  • Retrospective Studies
  • Sex Factors
  • Socioeconomic Factors
  • United States
  • United States Department of Veterans Affairs
  • Veterans / statistics & numerical data*