The objectives of this study were to assess, for pediatric primary care patients in one large health system in which most patients are insured and have access to primary care: (1) characteristics of active users, nonactive users (who activated a portal account but have not used the portal), and nonusers (2) patterns of adolescent and their proxy portal use and (3) practice variations in pediatric portal use. One way to assess variations in pediatric portal use is to examine utilization throughout a health system so that variations are likely due to patient or provider factors rather than technical, health system, or community-based factors. 10, 11 Better understanding of pediatric and adolescent portal use will help health system leaders meet patient needs. Further, little is known about variations in pediatric portal among children, adolescent self-use of the portal, or variations across pediatric providers. Most studies of pediatric portal utilization have relied on parent-reported use and perceptions rather than portal-based metrics.
10 However, this study included both primary care and subspecialty patients, and the authors highlighted the need for examining pediatric portal use in primary care populations. 8, 9 A study from one institution assessed pediatric portal usage between 20 and noted rapid uptake, substantial use by parents or guardians, and moderate use by older adolescents. 6 A few pediatric studies have noted a positive association between portal use and higher treatment engagement 7 and improved communication between parents and health providers 8 and among health providers. A 2014 systematic review noted high parental satisfaction with the concept of the portal, yet only scant evidence for improvement in quality of care due to the portal. 2–5Įven less is known about pediatric portal use, including activation (ie, signing up for the portal), frequency of use, types of services used, or impact on quality or outcomes. 1 Variations exist: studies, mostly on adults, have noted that patients with lower socioeconomic status, with lower health literacy, and of minority backgrounds are less likely to use the portal. 1 A recent online national survey of insured adults found that among those with a healthcare visit in the past year, 37% had used the portal within 12 months. Patient portal use has grown tremendously.
The patient portal, an online service or website that connects the patient to the electronic health record (EHR), can support this goal via 2-way communication with healthcare providers, access to upcoming appointments and to laboratory information, billing, prescription refill requests, medication and problem lists, and health summaries such as vaccination dates. Milani has a strong interest in human rights and has made access to top-quality care a priority by founding the Center for Health and Human Rights in 2012, a non-profit making healthcare accessible to underserved populations.A goal for most health systems is to engage patients in their own health care. Milani is certified in opioid addiction treatment and is designated as a Civil Surgeon by the Department of Homeland Security.ĭr. Milani moved to Northern Virginia to continue practicing family medicine and later opened his private practice, Virginia Family Medicine, in 2006.ĭr Milani has developed a scientifically based weight management program utilizing the best evidence medicine has to offer and modern methodologies designed to provide a safe and extremely effective experience.
He earned his medical degree from the University of Virginia School of Medicine in Charlottesville, Virginia, in 1995. His interest in medicine began while earning his Bachelor of Science in biology at George Mason University, from which he graduated in 1990. Milani serves as a preceptor for medical students and is a member of the School Health Advisory Committee for Fairfax County Public Schools. Milani enjoys learning, teaching, and practicing medicine equally. A Diplomate of the American Academy of Family Physicians, he has published several of his own research publications.
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