eHealth Literacy and Patient Portal Use and Attitudes: Cross-sectional Observational Study.
eHealth Literacy and Patient Portal Use and Attitudes: Cross-sectional Observational Study.
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DOI：
10.2196/40105
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发表时间：
2023-01-27
影响因子：
2.7
通讯作者：
Press, Valerie
中科院分区：
文献类型：
--
作者：
Deshpande, Nikita;Arora, Vineet M.;Vollbrecht, Hanna;Meltzer, David;Press, Valerie
关键词：
在整个COVID-19大流行期间，患者门户网站已成为更广泛使用的患者护理提供工具。然而，并非所有个人都具有使用患者门户的同等访问权限或能力。本研究的目的是评估电子健康素养（eHL）和患者门户网站的认识，使用和态度之间的关系住院患者。住院患者完成患者门户网站调查;评估eHL（eHealth素养量表）。多变量logistic回归分析校正了年龄、自我报告的种族、性别和教育程度，P<0.006（Bonferroni校正）。在274名参与者中，大多数被确定为黑人（n=166，61%）和女性（n=140，51%），平均年龄为56.5（SD 16.7）岁，178（65%）报告了一些大学或更高的教育程度。四分（n=79，28%）的eHL较低（平均27，SD 9.5），这与门户网站访问意识的几率较低相关（比值比0.11，95% CI 0.05-0.23; P<.001），曾使用过门户网站（比值比0.19，95% CI 0.10-0.36; P<.001），门户网站的感知有用性较低（比值比0.20，95% CI 0.10-0.38; P= 0.001），以及未来几年计划使用门户网站的可能性较低（比值比0.12，95% CI 0.06-0.25; P<0.001）。随着COVID-19大流行的时间推移，患者门户网站的感知有用性有增加的趋势（53% vs 62%，P= 0.08），但平均eHL并没有随着时间的推移而增加（P= 0.81）。低eHL与较少的意识，使用，并认为有用的门户网站。通过COVID-19大流行，门户网站的感知有用性可能会增加，但患者的eHL却没有。为低eHL患者量身定制的干预措施可以确保在COVID-19大流行期间提供更公平的医疗保健服务。
Throughout the COVID-19 pandemic, patient portals have become more widely used tools of patient care delivery. However, not all individuals have equivalent access or ability to use patient portals. The aim of this study is to evaluate the relationships between eHealth literacy (eHL) and patient portal awareness, use, and attitudes among hospitalized patients. Inpatients completed patient portal surveys; eHL was assessed (eHealth Literacy Scale). Multivariable logistic regression analyses adjusted for age, self-reported race, gender, and educational attainment were completed with significance at P<.006 (Bonferroni correction). Among 274 participants, most identified as Black (n=166, 61%) and female (n=140, 51%), mean age was 56.5 (SD 16.7) years, and 178 (65%) reported some college or higher educational attainment. One-quarter (n=79, 28%) had low eHL (mean 27, SD 9.5), which was associated with lower odds of portal access awareness (odds ratio 0.11, 95% CI 0.05-0.23; P<.001), having ever used portals (odds ratio 0.19, 95% CI 0.10-0.36; P<.001), less perceived usefulness of portals (odds ratio 0.20, 95% CI 0.10-0.38; P=.001), and lower likelihood of planning to use portals in the coming years (odds ratio 0.12, 95% CI 0.06-0.25; P<.001). As time through the COVID-19 pandemic passed, there was a trend toward increased perceived usefulness of patient portals (53% vs 62%, P=.08), but average eHL did not increase through time (P=.81). Low eHL was associated with less awareness, use, and perceived usefulness of portals. Perceived usefulness of portals likely increased through the COVID-19 pandemic, but patients’ eHL did not. Interventions tailored for patients with low eHL could ensure greater equity in health care delivery through the COVID-19 pandemic.
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影响因子：
4.9
作者：
Wei, Kwok-Kee;Teo, Hock-Hai;Tan, Bernard C. Y.
通讯作者：
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影响因子：
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作者：
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影响因子：
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DOI：
10.1097/cin.0000000000000146
发表时间：
2015-04
期刊：
Computers, informatics, nursing : CIN
影响因子：
--
作者：
Chung SY;Nahm ES
通讯作者：
Nahm ES
影响因子：
5.7
作者：
Vollbrecht H;Arora VM;Otero S;Carey KA;Meltzer DO;Press VG
通讯作者：
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