title: Predictors and intensity of online access to electronic medical records among patients with cancer.
abstract: BACKGROUND
  Electronic portals are secure Web-based servers that provide patients with real-time access to their personal health record (PHR). These applications are now widely used at cancer centers nationwide, but their impact has not been well studied. This study set out to determine predictors and patterns of use of a Web-based portal for accessing PHRs and communicating with health providers among patients with cancer.
  
  
  METHODS
  Retrospective analysis of enrollment in and use of MyChart, a PHR portal for the Epic electronic medical record system, among patients seen at a National Cancer Institute-designated cancer center. Predictors of MyChart use were analyzed through univariable and multivariable regression models.
  
  
  RESULTS
  A total of 6,495 patients enrolled in MyChart from 2007 to 2012. The median number of log-ins over this period was 57 (interquartile range 17-137). The most common portal actions were viewing test results (37%), viewing and responding to clinic messages (29%), and sending medical advice requests (6.4%). Increased portal use was significantly associated with younger age, white race, and an upper aerodigestive malignancy diagnosis. Thirty-seven percent of all log-ins and 31% of all medical advice requests occurred outside clinic hours. Over the study period, the average number of patient log-ins per year more than doubled.
  
  
  CONCLUSIONS
  Among patients with cancer, PHR portal use is frequent and increasing. Younger patients, white patients, and patients with upper aerodigestive malignancies exhibit the heaviest portal use. Understanding the implications of this new technology will be central to the delivery of safe and effective care.
authors.affiliation: University of Texas Southwestern Medical Center, Dallas, TX david.gerber@utsouthwestern.edu.
authors.forename: David E
authors.initials: DE
authors.lastname: Gerber
authors.affiliation: University of Texas Southwestern Medical Center, Dallas, TX.
authors.forename: Andrew L
authors.initials: AL
authors.lastname: Laccetti
authors.affiliation: University of Texas Southwestern Medical Center, Dallas, TX.
authors.forename: Beibei
authors.initials: B
authors.lastname: Chen
authors.affiliation: University of Texas Southwestern Medical Center, Dallas, TX.
authors.forename: Jingsheng
authors.initials: J
authors.lastname: Yan
authors.affiliation: University of Texas Southwestern Medical Center, Dallas, TX.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Cai
authors.affiliation: University of Texas Southwestern Medical Center, Dallas, TX.
authors.forename: Samantha
authors.initials: S
authors.lastname: Gates
authors.affiliation: University of Texas Southwestern Medical Center, Dallas, TX.
authors.forename: Yang
authors.initials: Y
authors.lastname: Xie
authors.affiliation: University of Texas Southwestern Medical Center, Dallas, TX.
authors.forename: Simon J Craddock
authors.initials: SJ
authors.lastname: Lee
mesh_terms: D022126:Access to Information; D000328:Adult; D000368:Aged; D057286:Electronic Health Records; D005260:Female; D055991:Health Records, Personal; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D054547:National Cancer Institute (U.S.); D009369:Neoplasms / Q000175:diagnosis*; D010358:Patient Participation; D012189:Retrospective Studies; D012984:Software; D014481:United States