Meaningful use and the patient portal: patient enrollment, use, and satisfaction with patient portals at a later-adopting center

Am J Med Qual. 2015 Mar-Apr;30(2):105-13. doi: 10.1177/1062860614523488. Epub 2014 Feb 21.


Many physicians are adopting patient portals in response to governmental incentives for meaningful use (MU), but the stage 2 requirements for portal use may be particularly challenging for newer electronic health record (EHR) users. This study examined enrollment, use based on MU requirements, and satisfaction in a recently adopting fee-for-service multispecialty system. Between 2010 and 2012, overall portal enrollment increased from 13.2% to 23.1% but varied substantially by physician specialty. In 2013, more than 97% of physicians would have met requirements for a stage 2 MU utilization measure requiring that patients download personal health information, but only 38% of all physicians (87% of primary care physicians [PCPs] and 37% of other specialists) would have met e-mail requirements. Satisfaction with the portal overall and with portal-based e-mails was high. These results suggest that later-adopting PCPs can succeed in providing satisfactory record and e-mail access but specialists may find reaching e-mail thresholds more difficult.

Keywords: electronic health records; meaningful use; medical informatics; patient satisfaction.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Electronic Health Records*
  • Female
  • Humans
  • Male
  • Meaningful Use*
  • Middle Aged
  • Patient Portals / statistics & numerical data*
  • Surveys and Questionnaires
  • Young Adult