Perceptions of Patient Portal Use for Advance Directive Documentation among Older Adults with Multiple Chronic Conditions

Jennifer Dickman Portz; Hillary D Lum; Sheana Bull; Rebecca S Boxer; David B Bekelman; Kelsey L Ford; Kathy Gleason; Alejandra Casillas; Elizabeth A Bayliss

doi:10.1080/15524256.2020.1771806

Perceptions of Patient Portal Use for Advance Directive Documentation among Older Adults with Multiple Chronic Conditions

J Soc Work End Life Palliat Care. 2020 Jul-Sep;16(3):238-249. doi: 10.1080/15524256.2020.1771806. Epub 2020 Jun 1.

Authors

Jennifer Dickman Portz^{1

2

3}, Hillary D Lum^{4

5}, Sheana Bull³, Rebecca S Boxer², David B Bekelman^{1

5}, Kelsey L Ford³, Kathy Gleason², Alejandra Casillas⁶, Elizabeth A Bayliss^{2

7}

Affiliations

¹ Division of General Internal Medicine, University of Colorado School of Medicine at the Anschutz Medical Campus, Aurora, Colorado, USA.
² Institute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado, USA.
³ Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
⁴ Division of Geriatric Medicine, University of Colorado School of Medicine at the Anschutz Medical Campus, Aurora, Colorado, USA.
⁵ VA Eastern Colorado Health Care System, Denver, Colorado, USA.
⁶ Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California, USA.
⁷ Department of Family Medicine, University of Colorado School of Medicine at the Anschutz Medical Campus, Aurora, Colorado, USA.

Abstract

Patient portals can play an innovative role in facilitating advanced care planning (ACP) and documenting advance directives (ADs) among older adults with multiple chronic conditions. The objective of this qualitative sub-study was to (1) understand older adults' use of an ACP patient portal section and (2) obtain user-design input on AD documentation features. Although some older adults may be reluctant, participants reported likely to use a portal for ADs with proper portal design and support.

Keywords: Digital health; advance care planning; advance directive; health information technology; patient portal.

MeSH terms

Advance Directives / psychology*
Aged
Aged, 80 and over
Documentation / methods*
Female
Humans
Male
Multiple Chronic Conditions / epidemiology*
Patient Portals*
Perception
Qualitative Research
Socioeconomic Factors

Abstract

MeSH terms

Grants and funding