Geographic Location Impacts Patient Portal Use via Desktop and Mobile Devices.

Disparities in patient portal use are impacted by individuals' access to technology and the internet as well as their skills and health behaviors. An individual's geographic location may impact these factors as well as contribute to their decision to use a portal, their choice of device to access th...

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Publicado en:Journal of Medical Systems Vol. 46; no. 12; pp. 1 - 11
Autores principales: MacEwan, Sarah R., Sieck, Cynthia J., McAlearney, Ann Scheck
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Dec2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2022
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10916-022-01881-5
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        atl: Geographic Location Impacts Patient Portal Use via Desktop and Mobile Devices.
      aug:
        au:
          MacEwan, Sarah R.
          Sieck, Cynthia J.
          McAlearney, Ann Scheck
        affil: Division of General Internal Medicine, College of Medicine, The Ohio State University, 700 Ackerman Road, Suite 4000, 43202, Columbus, OH, USA
      sug:
        subj:
          Geographic Locations
          Patient Portals Utilization
          Digital Divide
          Human
          Information Technology
          Chi Square Test
          Confidence Intervals
          Descriptive Statistics
          Multiple Logistic Regression
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Disparities in patient portal use are impacted by individuals' access to technology and the internet as well as their skills and health behaviors. An individual's geographic location may impact these factors as well as contribute to their decision to use a portal, their choice of device to access the portal, and their use of portal functions. This study evaluated patient portal use by geographic location according to three comparators: proximity to the medical center offering the portal, urban/rural classification, and degree of digital distress. Patients residing farther from the medical center, in rural areas, or in areas of higher digital distress were less likely to be active portal users. Patients in areas of higher digital distress were more likely to use the mobile portal application instead of the desktop portal website alone. Users of the mobile portal application used portal functions more frequently, and being a mobile user had a greater impact on the use of some portal functions by patients residing in areas of higher digital distress. Mobile patient portal applications have the potential to increase portal use, but work is needed to ensure equitable internet access, to promote mobile patient portal applications, and to cultivate individuals' skills to use portals.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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