Association Between Patient Portal Activities and End-of-Life Outcomes Among Deceased Patients in the Last 12 Months of Life
Year: 2024
Type: article
Study design: Observational Study
Abstract: Objective:The objective of this study was to examine the association between portal use and end-of-life (EOL) outcomes in the last year of life. Methods:A retrospective cohort (n = 6,517) study at Kaiser Permanente Colorado among adults with serious illness deceased between January 1, 2016, and June 30, 2019. Portal use was categorized into engagement types: no use, nonactive, active without a provider, and active with a provider. EOL outcomes were hospitalizations in the month before death, last-year advance directive completion, and hospice use. Association between EOL outcomes and levels of portal use was assessed using χ2 statistics and generalized linear models. Results:Higher portal engagement types were associated with higher rates of hospitalizations (p = 0.0492), advance directive completion (p = 0.0226), and hospice use (p = 0.0070). Conclusion:Portal use in the last year of life was associated with increases in a poor EOL outcome, hospitalizations, and beneficial EOL outcomes, advance directives, and hospice care.
Source: Journal of Palliative Medicine
Institutions: University of Colorado Anschutz, Kaiser Permanente
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
Awards: Social Convoy Palliative Care (Convoy-Pal) Mobile Health for Older Adults with Advanced Heart Failure, G5574285002, Advancing Geriatrics Infrastructure and Network Growth (AGING) Initiative, Psilocybin Therapy for Advanced Cancer-related Psychiatric Distress, Multidisciplinary Research Training in Palliative Care, Decision trajectories of patients at the end of life: An epidemiological exploration of MAID and the impact on caregivers and clinicians, Enhancing and Strengthening Dementia Palliative Care Clinical Trials
OpenAlex ID: W4399897095