Patient portals were supposed to be healthcare’s digital front door. But what’s the use of a door if nobody opens it? After years of investments in portal technology, patient adoption remains dismally low. Nearly half of patients use their healthcare portal less than once a month , including 16% who have never logged in at all.

This stark reality raises an urgent question for health system executives: why aren’t patients engaging with these online tools, and how can we fix it?

Why patients aren’t logging in

Several factors are keeping portal usage stuck in the doldrums. The top reasons patients give for not using portals include:

Lack of awareness or invitation – Many patients simply aren’t aware a portal exists for them, or they were never properly invited and onboarded. 27% of

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