What is it about?

Patient portals give patients access to a personal health record and enable patients to contact their physician digitally. The health system - whether it is integrated or fragmented - play a decisive role in the benefits for patients. In this paper we describe three patient portals in the Netherlands and explain why the portals failed to develop.

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Why is it important?

E-health is seen as the promise for better health care. In the Netherlands, the development of patient portals has stopped. We need to understand why. This study shows that we need to invest in interorganisational cooperation to overcome the fragmentation in the system. It is the context that makes or breaks a patient portal.

Perspectives

In 2012 we started a study to design and evaluate patient portals in the Netherlands. We could not conduct the study as we planned as the patient portals hardly developed between 2012 en 2014. In this study we explain why the patient portals were not further developed.

Mrs Antoinette A. de Bont
Erasmus University Rotterdam

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This page is a summary of: Developing patient portals in a fragmented healthcare system, International Journal of Medical Informatics, October 2015, Elsevier,
DOI: 10.1016/j.ijmedinf.2015.07.001.
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