Who Isn't Using Patient Portals And Why? Evidence And Implications From A National Sample Of US Adults
| Autor: | Paulina S. Lim, Celeste Campos-Castillo, Denise L. Anthony |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty 020205 medical informatics Adolescent Emerging technologies MEDLINE Sample (statistics) 02 engineering and technology 03 medical and health sciences Young Adult 0302 clinical medicine Sex Factors Patient Portals Surveys and Questionnaires Health care 0202 electrical engineering electronic engineering information engineering medicine Electronic Health Records Humans 030212 general & internal medicine Aged Physician-Patient Relations business.industry Attitude to Computers Health Policy Medical record Patient portal Middle Aged United States Health Information National Trends Survey Health Communication Privacy Family medicine Female business Psychology Medicaid |
| Zdroj: | Health affairs (Project Hope). 37(12) |
| ISSN: | 1544-5208 |
| Popis: | Patient portals that provide secure online access to medical record information and provider communication can improve health care. Yet new technologies can exacerbate existing disparities. We analyzed information about 2,325 insured respondents to the nationally representative 2017 Health Information National Trends Survey to examine characteristics of portal nonusers and reasons for nonuse. Sixty-three percent reported not using a portal during the prior year. In multivariable analysis, we found that nonusers were more likely to be male, be on Medicaid, lack a regular provider, and have less than a college education, compared to users. Similar disparities existed in who reported being offered access to a portal, with nonwhites also less likely to report being offered access. Reasons for nonuse included the desire to speak directly to providers and privacy concerns, both of which require recognition of the important role of provider communication and patient-provider relationships. |
| Databáze: | OpenAIRE |
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