The impact of patient portal use on health outcomes is unclear, according to a systematic review of studies. Moreover, the researchers said, the evidence to date shows that portals are unlikely to have substantial effects on efficiency and utilization of services, at least in the short term. Physicians' use of patient portals is growing rapidly, because Meaningful Use Stage 2 requires providers to share records electronically with patients. It's widely believed that these portals can help increase patient engagement in healthcare, so the evidence about the actual effects of patient portals is important.