Correlates of Patient Portal Enrollment and Activation in Primary Care Pediatrics
Correlates of Patient Portal Enrollment and Activation in Primary Care Pediatrics
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DOI：
10.1016/j.acap.2013.02.002
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发表时间：
2013-05-01
影响因子：
3.1
通讯作者：
Sharif, Iman
中科院分区：
文献类型：
--
作者：
Ketterer, Tara;West, David W.;Sharif, Iman
目的：为了确定人口统计学，实践网站，和临床预测的患者门户网站注册和激活之间的儿科primary care population.METHODS：我们进行了一个横断面分析的初级保健数据库的学术儿童医院，介绍了一个病人的门户网站在2007年12月。在4年的时间里，38%的人注册了门户网站;其中26%的人激活了账户。对于青少年，医疗补助接受者，低收入家庭，亚洲或其他种族和西班牙裔，门户网站注册的调整几率较低，而对于有更多办公室接触的患者，以及问题列表上存在自闭症的患者，门户网站注册的调整几率较高。一旦入组，门户激活的几率[调整后的比值比（95%置信区间）]降低：医疗补助[0.55（0.50-0.61）1和无保险[0.79（0.64-0.97）]（相对于私人保险），黑色[0.53（0.49-0.57）]和其他[0.80（0.71-0.91）]（vs白色人种），西班牙裔[0.77（0.62-0.97）]，并增加了：婴儿年龄[1.26（1.15-1.37）]（与学龄），在居民连续性实践场所的出勤率[1.91（1.23-2.97）]，远离实践（与2英里以下）[4.5-8.8英里：1.14（1.02-1.29）;超过8.8英里：1.19（1.07-1.33）]，办公室接触次数较多（vs 1-3）[4-7次接触：1.40（1.24-1.59）; 8-12次遭遇战：1.58（1.38-1.81）; 13+遭遇战：2.09（1.72-2.55）]，并且在问题列表上有3个或更多项目（vs 0）[1.19结论：在初级保健儿科中，患者门户网站招募/激活存在社会人口统计学差异。出席驻地连续性实践现场，住得离实践更远，有更多的办公室遭遇，并有更多的问题列表项目增加了门户网站激活的几率。
OBJECTIVE: To identify the demographic, practice site, and clinical predictors of patient portal enrollment and activation among a pediatric primary care population.METHODS: We conducted a cross-sectional analysis of the primary care database of an academic children's hospital that introduced a patient portal in December 2007.RESULTS: We analyzed data for 84,015 children. Over a 4-year period, 38% enrolled in the portal; of these, 26% activated the account. The adjusted odds of portal enrollment was lower for adolescents, Medicaid recipients, low-income families, Asian or other race, and Hispanic ethnicity, and higher for patients with more office encounters, and presence of autism on the problem list. Once enrolled, the odds of portal activation [adjusted odds ratio (95% confidence interval)] was decreased for: Medicaid [0.55 (0.50-0.61)1 and uninsured [0.79 (0.64-0.97)] (vs private insurance), black [0.53 (0.49-0.57)] and other [0.80 (0.71-0.91)] (vs white race), Hispanic ethnicity [0.77 (0.62-0.97)], and increased for: infant age [1.26 (1.15-1.37)] (vs school age), attendance at a resident continuity practice site [1.91 (1.23-2.97)], living further away from the practice (vs under 2 miles)[4.5-8.8 miles: 1.14 (1.02-1.29); more than 8.8 miles: 1.19 (1.07-1.33)], having more office encounters (vs 1-3) [4-7 encounters: 1.40 (1.24-1.59); 8-12 encounters: 1.58 (1.38-1.81); 13+ encounters: 2.09 (1.72-2.55)], and having 3 or more items on the problem list (vs 0) [1.19 (1.07-1.33)].CONCLUSIONS: Sociodemographic disparities exist in patient portal enrollment/activation in primary care pediatrics. Attendance at a resident continuity practice site, living farther away from the practice, having more office encounters, and having more problem list items increased the odds of portal activation.