In this section
@article{Kc:2026:10.2196/83483,
author = {Kc, S and Hopkinson, NS and Neves, AL and Majeed, A and Laverty, AA},
doi = {10.2196/83483},
journal = {Online J Public Health Inform},
title = {Impact of Patient Portals on Asthma and Chronic Obstructive Pulmonary Disease-Related Quality-of-Care Outcomes: Systematic Review.},
url = {http://dx.doi.org/10.2196/83483},
volume = {18},
year = {2026}
}
TY - JOUR
AB - BACKGROUND: Patient portals are increasingly used to support self-management and facilitate care coordination in people with chronic diseases. Although some asthma quality-of-care gains and modest chronic obstructive pulmonary disease (COPD) improvements have been reported in wider digital health studies, a comprehensive review of patient portal-specific evidence is lacking. OBJECTIVE: This study aimed to systematically synthesize evidence on the impacts of patient portals on adult asthma and COPD outcomes across 6 quality-of-care domains (effectiveness, patient-centeredness, equity, efficiency, safety, and timeliness). METHODS: We searched 5 databases (MEDLINE/PubMed, Embase, PsycINFO, CINAHL, and Google Scholar) for quantitative evaluations published up to March 2026 (CRD42022316044). The Newcastle-Ottawa Scale and Cochrane Risk of Bias-2 tool were used for quality assessments, and certainty of evidence was evaluated using the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) approach. Findings were narratively synthesized using the SWiM (Synthesis Without Meta-analysis) framework. RESULTS: We identified 4038 records, and 16 papers published between 2007 and 2024 met the inclusion criteria (asthma=13, COPD=2, both=1). Three were randomized controlled trials, all rated high risk of bias. Of the other studies, 5 had low risk, 6 had moderate risk, and 2 had high risk of bias. Effectiveness and patient-centeredness were most frequently reported, with 12 papers each. Eight papers were on equity, 5 each on efficiency and safety, and 4 on timeliness. In asthma, modest disease control improvements were reported in 27.8% (42/151) of participants using patient portals with home visit support versus portal use alone (35/150, 23.3%). In COPD, one large, interrupted time series study (N=909,724) reported post-implementation reductions in hospitalizations (slope change from 1.33 to -4.38 per 10,000 patients per month; P<.001) but no mortality benefit
AU - Kc,S
AU - Hopkinson,NS
AU - Neves,AL
AU - Majeed,A
AU - Laverty,AA
DO - 10.2196/83483
PY - 2026///
SN - 1947-2579
TI - Impact of Patient Portals on Asthma and Chronic Obstructive Pulmonary Disease-Related Quality-of-Care Outcomes: Systematic Review.
T2 - Online J Public Health Inform
UR - http://dx.doi.org/10.2196/83483
UR - https://www.ncbi.nlm.nih.gov/pubmed/42636455
VL - 18
ER -