Trial Outcomes & Findings for Consumer Health IT Tools: Impact on Experience, Access, and Outcomes for Patients With Complex Chronic Conditions (NCT NCT02292940)

Results Overview

Number of ambulatory care sensitive conditions (ACSC) hospitalizations per 1000 patients per month among those who accessed the portal and those who did not access the portal.

Recruitment status

COMPLETED

Target enrollment

168477 participants

Primary outcome timeframe

Data from 2006-2007

Results posted on

2021-03-10

Participant Flow

Adult patients with at least 10-month membership in 2005

Note: the participants in the Medical Record only arm of the study and the participants in the Survey arm of the study are two different groups of participants. The Medical Record arm of the study includes data from January 2006 to December 2007. The Survey was completed between March 2015 and April 2016.

Participant milestones

Participant milestones
Measure	Adult Patients With Chronic Conditions: Medical Record Data Medical record data of adult patients with diabetes and/or complex chronic conditions in a large integrated delivery system.	Adult Patients With Chronic Conditions: Survey Data Survey data completed by adult patients with diabetes and/or complex chronic conditions in a large integrated delivery system. Participants were given the option to complete the survey by mail, by phone with a research assistant, or online.
Overall Study STARTED	165477	3000
Overall Study COMPLETED	165477	1824
Overall Study NOT COMPLETED	0	1176

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Consumer Health IT Tools: Impact on Experience, Access, and Outcomes for Patients With Complex Chronic Conditions

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Adult Patients With Chronic Conditions: Medical Record Data n=165 Participants Medical record data of adult patients with diabetes and/or complex chronic conditions in a large integrated delivery system.	Adult Patients With Chronic Conditions Survey Data n=1824 Participants Survey data competed by adult patients with diabetes and/or complex chronic conditions in a large integrated delivery system. Participants were given the option to complete the survey by mail, by phone with a research assistant, or online	Total n=167301 Participants Total of all reporting groups
Age, Categorical <=18 years	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Age, Categorical Between 18 and 65 years	92,005 Participants n=5 Participants	941 Participants n=7 Participants	92946 Participants n=5 Participants
Age, Categorical >=65 years	73,472 Participants n=5 Participants	883 Participants n=7 Participants	74355 Participants n=5 Participants
Sex: Female, Male Female	79,594 Participants n=5 Participants	948 Participants n=7 Participants	80542 Participants n=5 Participants
Sex: Female, Male Male	85,883 Participants n=5 Participants	876 Participants n=7 Participants	86759 Participants n=5 Participants
Region of Enrollment United States	165,477 Participants n=5 Participants	1824 Participants n=7 Participants	167301 Participants n=5 Participants

PRIMARY outcome

Timeframe: Data from 2006-2007

Population: Only those participants who had an event (ACSC Hospitalization) were included in this analysis.

Number of ambulatory care sensitive conditions (ACSC) hospitalizations per 1000 patients per month among those who accessed the portal and those who did not access the portal.

Outcome measures

Outcome measures
Measure	ACSC Hospitalizations for Those Accessing the Portal n=36 Participants ACSC Hospitalizations for those accessing the portal.	ACSC Hospitalizations - Non Portal Users. n=128 Participants ACSC Hospitalizations for those who did not access the portal.
Number of Ambulatory Care Sensitive Conditions (ACSC) Hospitalizations. Portal Users vs Those Who Are Not Portal Users	6.2 hospitalizations/1000 participants/month	7.0 hospitalizations/1000 participants/month

PRIMARY outcome

Timeframe: March 2015-April 2016

Population: Only those participants completing a survey and indicating that they used the portal were included in this analysis.

Patient-reported reasons for using the patient portal

Outcome measures

Outcome measures
Measure	ACSC Hospitalizations for Those Accessing the Portal n=1392 Participants ACSC Hospitalizations for those accessing the portal.	ACSC Hospitalizations - Non Portal Users. ACSC Hospitalizations for those who did not access the portal.
Patient Self-report Survey Data Use portal because it is convenient	1252 participants	—
Patient Self-report Survey Data Use portal to access data/information	1284 participants	—
Patient Self-report Survey Data Say the portal integrates with other health care	1285 participants	—

Adverse Events

Adult Patients With Complex Chronic Conditions

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Adult Patients With Complex Chronic Conditions: Survey Data

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Mary Reed, DrPH

Northern California Kaiser Permanente, Division of Research

Phone: 510-891-3808

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place