Table 3. Factors Associated With Care Partner Uptake and Use of the Patient Portal by the SEIPS Model.
SEIPS factor | No. of identified studies by study design | Total studies, No. | ||||||
---|---|---|---|---|---|---|---|---|
Qualitative | Quantitative | |||||||
Facilitator | Barrier | Neither | Facilitator | Barrier | NS | Neither | ||
Work system factors (person-patient) | ||||||||
Need for assistance with health system navigation | 3 | 1 | 0 | 3 | 0 | 0 | 0 | 7 |
Illness severity | 1 | 0 | 1 | 4 | 1 | 0 | 0 | 7 |
Adolescents: younger age | 0 | 0 | 1 | 2 | 0 | 0 | 1 | 4 |
Adults: older age | 0 | 0 | 0 | 3 | 0 | 0 | 1 | 4 |
Mental health condition | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 2 |
White race | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 2 |
Work system factors (person-care partner) | ||||||||
Health literacy level/educational level | 2 | 0 | 0 | 3 | 0 | 3 | 0 | 8 |
Female gender | 0 | 0 | 0 | 5 | 0 | 1 | 0 | 6 |
Relationship to patient: family vs nonfamily | 1 | 0 | 0 | 5 | 0 | 0 | 0 | 6 |
White race | 0 | 0 | 0 | 3 | 0 | 2 | 0 | 5 |
Household income | 0 | 0 | 0 | 3 | 1 | 1 | 0 | 5 |
Technology experience | 1 | 0 | 0 | 2 | 0 | 0 | 0 | 3 |
Work system factors: environment (physical, socioorganizational, external) | ||||||||
Organizational policy and functionality to enable proxy access | 0 | 1 | 1 | 0 | 1 | 0 | 2 | 5 |
Clinic staff awareness of proxy access | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 |
State laws | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
Internet access | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Work system factors (tasks) | ||||||||
Access to information | 5 | 0 | 3 | 3 | 0 | 0 | 1 | 12 |
Coordination of care | 2 | 0 | 0 | 6 | 0 | 0 | 0 | 8 |
Processes factors: how work is done and how it flows (care processes) | ||||||||
Privacy and security | 2 | 2 | 3 | 0 | 0 | 0 | 1 | 8 |
Review of proxy access status | 1 | 0 | 2 | 0 | 0 | 0 | 4 | 7 |
Convenience of access type | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
Abbreviations: NS, nonsignificant; SEIPS, System Engineering Initiative for Patient Safety.