Who Isn’t Using Patient Portals And Why? Evidence And Implications From A National Sample Of US Adults

Anthony, Denise L.; Campos-Castillo, Celeste; Lim, Paulina S.

doi:10.1377/hlthaff.2018.05117

Cited by 224 publications

(214 citation statements)

References 27 publications

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“…Consistent with prior studies analyzing disparities in online health-related use, we observed disparities by age across a range of modalities [ 40 , 41 , 42 , 43 , 44 ]. We observed that use of the internet to look for a healthcare provider and communicate with a healthcare provider decreased among older respondents.…”

Section: Discussionsupporting

confidence: 88%

Social and Demographic Patterns of Health-Related Internet Use Among Adults in the United States: A Secondary Data Analysis of the Health Information National Trends Survey

Calixte

Rivera

Oridota

et al. 2020

IJERPH

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National surveys of U.S. adults have observed significant increases in health-related internet use (HRIU), but there are documented disparities. The study aims to identify social and demographic patterns of health-related internet use among U.S. adults. Using data from the Health Information National Trends Survey (HINTS) 4 cycle 3 and HINTS 5 cycle 1, we examined HRIU across healthcare, health information seeking, and participation on social media. Primary predictors were gender, race/ethnicity, age, education, income, and nativity with adjustments for smoking and survey year. We used multivariable logistic regression with survey weights to identify independent predictors of HRIU. Of the 4817 respondents, 43% had used the internet to find a doctor; 80% had looked online for health information. Only 20% had used social media for a health issue; 7% participated in an online health support group. In multivariable models, older and low SES participants were significantly less likely to use the internet to look for a provider, use the internet to look for health information for themselves or someone else, and less likely to use social media for health issues. Use of the internet for health-related purposes is vast but varies significantly by demographics and intended use.

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Section: Discussionsupporting

confidence: 88%

Social and Demographic Patterns of Health-Related Internet Use Among Adults in the United States: A Secondary Data Analysis of the Health Information National Trends Survey

Calixte

Rivera

Oridota

et al. 2020

IJERPH

View full text Add to dashboard Cite

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“…For patients on low incomes, the cost of compatible devices could hinder telehealth. For older patients, comfort with technology might be a barrier 5 . Finally, patients in remote areas might not have access to appropriate broadband services 6 .…”

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confidence: 99%

Telehealth in urology after the COVID-19 pandemic

Gadzinski

Ellimoottil

2020

Nat Rev Urol

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“…Proliferation and addition of online portals to Electronic Health Records by health institutions across the USA occurred due to the Meaningful Use Stage 2 incentive mandated by the implementation of the 2009 Health Information Technology for Economic and Clinical Health Act [3,4]. Despite the huge investment in patient portals and their assumed benefits to public health, adoption rates have been low [9], with studies showing rates between 28% and 47% [3,4,9]. Previous studies have identified various factors and/ or barriers for this low adoption rate and the determinants of patient portal adoption are summarized in Figure 1 [3,4,10].…”

mentioning

confidence: 99%

“…Despite the huge investment in patient portals and their assumed benefits to public health, adoption rates have been low [9], with studies showing rates between 28% and 47% [3,4,9]. Previous studies have identified various factors and/ or barriers for this low adoption rate and the determinants of patient portal adoption are summarized in Figure 1 [3,4,10]. Patient portal adoption is impacted by health inequity and disparity in socioeconomic status (income, education level, insurance type, chronic disease status, health literacy, age), and consequently, the digital divide [11].…”

mentioning

confidence: 99%

“…Low patient portal use in vulnerable populations may result in intervention-generated inequity, which is a situation whereby an intervention inadvertently worsens existing health disparities instead of improving them [11,12]. Significant factors associated with patient portal use include having received a higher education level; being female, Caucasian, and non-Medicaid patients; having Internet access, higher income, and patient trust in healthcare providers and the healthcare system [3,4,13]. Factors with significant negative impacts on patient portal use include privacy, security concerns, and user-friendliness [14].…”

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confidence: 99%

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Impact of Digital Divide on the Adoption of Online Patient Portals for Self-Motivated Patients

Otokiti

Williams²,

Warsame

2020

Healthc Inform Res

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Online patient portals are web-based applications that give patients direct and secure 24-hour access to their Electronic Health Records. Through such portals, they can view information like laboratory results, medication history, and discharge summaries. Patients can also perform various activities, such as securely message their providers, request prescription refills, and schedule appointments [1]. Patient portal use can increase patient engagement [2-4] and thereby improve the quality of care provided to individual patients [5]. Patient engagement is a set of behaviors by patients, family members, health professionals, and a set of organizational policies and procedures that foster the inclusion of patients and family members as active members of a collaborative healthcare team in partnership with providers and provider organizations [6]. Patient engagement translates to public health benefits on a larger scale because it results in increased levels of screening and preventive care, efficient utilization of health resources, and reduction in

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Who Isn’t Using Patient Portals And Why? Evidence And Implications From A National Sample Of US Adults

Cited by 224 publications

References 27 publications

Social and Demographic Patterns of Health-Related Internet Use Among Adults in the United States: A Secondary Data Analysis of the Health Information National Trends Survey

Social and Demographic Patterns of Health-Related Internet Use Among Adults in the United States: A Secondary Data Analysis of the Health Information National Trends Survey

Telehealth in urology after the COVID-19 pandemic

Impact of Digital Divide on the Adoption of Online Patient Portals for Self-Motivated Patients

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