Cresswell, K, Rigby, MJ, Georgiou, A, Shui-Yee Wong, Z, Kukhareva, P, Medlock, S, F De Keizer, N, Magrabi, F, Scott, P and Ammenwerth, E (2022) The Role of Formative Evaluation in Promoting Digitally-based Health Equity and Reducing Bias for Resilient Health Systems: The Case of Patient Portals. Yearbook of Medical Informatics. ISSN 2364-0502

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OBJECTIVES: Patient portals are increasingly implemented to improve patient involvement and engagement. We here seek to provide an overview of ways to mitigate existing concerns that these technologies increase inequity and bias and do not reach those who could benefit most from them. METHODS: Based on the current literature, we review the limitations of existing evaluations of patient portals in relation to addressing health equity, literacy and bias; outline challenges evaluators face when conducting such evaluations; and suggest methodological approaches that may address existing shortcomings. RESULTS: Various stakeholder needs should be addressed before deploying patient portals, involving vulnerable groups in user-centred design, and studying unanticipated consequences and impacts of information systems in use over time. CONCLUSIONS: Formative approaches to evaluation can help to address existing shortcomings and facilitate the development and implementation of patient portals in an equitable way thereby promoting the creation of resilient health systems.

Item Type: Article
Additional Information: This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon.
Uncontrolled Keywords: Patient portal, health equity, digital divide, formative evaluation, digital health
Subjects: H Social Sciences > H Social Sciences (General)
Divisions: Faculty of Humanities and Social Sciences > School of Social, Political and Global Studies
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Depositing User: Symplectic
Date Deposited: 20 Jun 2022 10:40
Last Modified: 20 Jun 2022 10:40

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