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

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


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