Providing Access: Differences in Pediatric Portal Activation Begin at Patient Check-in

Bush, Ruth A.; Vemulakonda, Vijaya M.; Richardson, Andrew; Davies, Sara J Deakyne; Chiang, George

doi:10.1055/s-0039-1695792

Cited by 17 publications

(18 citation statements)

References 34 publications

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“…Yet, while age, education, and residence were associated with HRIU, race and ethnic differences no longer exist among cancer survivors engaging in HRIU. As already emphasized by Chou et al, these findings underscore the importance of addressing the needs of a vulnerable population that is at risk of being further disenfranchised and potentially disengaged with their health and care [53].…”

Section: Discussionsupporting

confidence: 66%

Persistent digital divide in health-related internet use among cancer survivors: findings from the Health Information National Trends Survey, 2003–2018

et al. 2020

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Section: Discussionsupporting

confidence: 66%

Persistent digital divide in health-related internet use among cancer survivors: findings from the Health Information National Trends Survey, 2003–2018

et al. 2020

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“… 15 Nevertheless, in our sample, there was widespread internet access, and high levels of interest in patient portals, similar to previous reports of interest in electronic communication with health care providers. 27 It is difficult to know whether caregivers’ reported interest in patient portals would result in utilization, since overall rates of patient portal use in children's hospitals have been low, 29 , 30 particularly among individuals with limited English proficiency. 29 However, given the interest in patient portals among caregivers in this study, it appears worthwhile to ensure availability in Spanish.…”

Section: Discussionmentioning

confidence: 99%

“… 27 It is difficult to know whether caregivers’ reported interest in patient portals would result in utilization, since overall rates of patient portal use in children's hospitals have been low, 29 , 30 particularly among individuals with limited English proficiency. 29 However, given the interest in patient portals among caregivers in this study, it appears worthwhile to ensure availability in Spanish. To make patient portal functionalities fully accessible, processes for responding to messages in Spanish are also needed.…”

Section: Discussionmentioning

confidence: 99%

Spanish-Speaking Parents’ Experiences Accessing Academic Medical Center Care: Barriers, Facilitators and Technology Use

Flower

Wurzelmann

Tucker

et al. 2021

Academic Pediatrics

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Background and Objective Children of Spanish-speaking caregivers face multiple barriers to care in academic medical centers. This study identified barriers and facilitators of health care, and described use of health information technology in order to guide interventions and optimize services. Methods In-depth, audiotaped interviews were conducted with monolingual Spanish-speaking caregivers (N=28) of children receiving care in academic medical center clinics using a structured interview guide. Interviews were transcribed in Spanish, and key themes were identified using thematic analysis. Illustrative quotes for each theme were translated into English. Results Language-specific barriers included: arrival/registration occurring in English, lack of bilingual personnel, heavy reliance on interpreters, long wait times, and challenging phone communication. Non-language-specific barriers included: medical center size and complexity, distance to services, lack of convenient and coordinated appointments, missing work/school, and financial barriers including insurance coverage or lack of citizenship. Caregivers identified interpreters, bilingual physicians and staff, and written materials in Spanish as facilitators of care. Most caregivers had internet access and expressed interest in health information technology, including patient portals, to communicate about their children's health. Conclusions Caregivers of Spanish-speaking children encounter many language-specific barriers, which are compounded by non-language-specific barriers arising from complex health systems and social needs. Caregivers with limited resources described working hard to meet children's complex health care needs despite these barriers. Most caregivers had internet access and interest in patient portals. Academic medical centers may need multifaceted interventions that improve the availability of bilingual staff and interpreters and also address caregivers' social and informational needs.

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“…15 Variability in internet access across sociodemographic characteristics such as gender, race and ethnicity, income, and rurality have also likely contributed to differences and disparities in patient portal adoption and use. [16][17][18][19][20] Studies have identified the lack of infrastructure (e.g., access to broadband internet, smartphones, or computers), limited technical skills, not being offered access to a patient portal, and concerns about data security as factors that limit the adoption and use of these and similar technologies. 7,21,22 For example, El-Toukhy et al 16 found that patients with lower educational attainment, no health insurance, no regular doctor, and lower English proficiency were less likely to access and use specific functions of their patient portals (e.g., refill medications or message a provider).…”

Section: Background and Significancementioning

confidence: 99%

Patient Portals: Useful for Whom and for What? A Cross-Sectional Analysis of National Survey Data

et al. 2021

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Background Patients who use patient portals may be more engaged and empowered in their care; however, differences in who accesses patient portals remain. The characteristics of who uses patient portals more frequently and who perceives them as useful may also differ, as well as which functions people use. Objective We assessed the characteristics of patient portal users to examine who uses them more frequently and who perceives them as useful. In addition, we wanted to see if those who use them more frequently or perceive them to be more useful use different functions or more functions of patient portals. Methods Pooled cross-sectional data from 2017 to 2018 Health Information National Trends Survey (HINTS) were used. Ordinal regression models were developed to assess frequency of use and perceived usefulness by demographics, and multivariable logistic regression models were used to examine the association between the use of 10 patient portal functions and frequency of use and perceived usefulness of patient portals. Results The odds of using patient portals more frequently were higher among those with Bachelor's degrees, incomes between $35,000 and $75,000, and those with two or more chronic conditions. Respondents with three or more chronic conditions had higher odds of rating patient portals as useful. Those who used their patient portal 10 or more times in the past year had higher odds of using all functions except for viewing test results compared with those who used their patient portal one to two times per year. Those who rated patient portals as “very useful” had higher odds of using seven of the functions compared with those who rated them “not very”/“not at all useful.” Conclusion It is important to continue to assess usefulness, frequency of use, and overall patient portal function use to identify opportunities to increase patient engagement with patient portals.

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Providing Access: Differences in Pediatric Portal Activation Begin at Patient Check-in

Cited by 17 publications

References 34 publications

Persistent digital divide in health-related internet use among cancer survivors: findings from the Health Information National Trends Survey, 2003–2018

Persistent digital divide in health-related internet use among cancer survivors: findings from the Health Information National Trends Survey, 2003–2018

Spanish-Speaking Parents’ Experiences Accessing Academic Medical Center Care: Barriers, Facilitators and Technology Use

Patient Portals: Useful for Whom and for What? A Cross-Sectional Analysis of National Survey Data

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