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Electronic health record (EHR) systems are capable of providing portals for patients to access medical records and laboratory tests, as well as to communicate with physicians by e-mail. Some studies suggest, and enthusiasts hope, that virtual visits and physician communications by e-mail will decrease need for face-to-face medical visits, improve outcomes, and lower costs.
Through an integrated healthcare system in Denver that uses a comprehensive EHR with a patient portal, researchers compared about 44,000 members who voluntarily signed up for online access to medical records and clinician e-mail with 44,000 who did not. The two groups were matched for demographics, chronic disease burden, and baseline office visits. Portal users attended a…