Factors Associated with Reducing Disparities in Electronic Personal Heath Records Use Among Non-Hispanic White and Hispanic Adults.
Factors Associated with Reducing Disparities in Electronic Personal Heath Records Use Among Non-Hispanic White and Hispanic Adults.
复制标题
与减少非西班牙裔白人和西班牙裔成年人电子个人健康记录使用差异相关的因素。
DOI：
10.1007/s40615-022-01307-5
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发表时间：
2023
影响因子：
3.9
通讯作者：
Sambamoorthi,Usha
中科院分区：
文献类型：
--
作者：
Wang,Hao;Manning,SydneyE;Ho,AmyF;Sambamoorthi,Usha
个人健康记录（PHR）的使用改善了个人的健康结果。由于记录在案的种族差异，《医生促进人权法》的采用率仍然很低。我们的目的是确定与减少种族和民族之间的差异在西班牙裔成年人在PHR use.MethodsParticipants包括非西班牙裔白色（NHW）和西班牙裔成年人（年龄≥ 18岁）在2018年和2019年参加了健康信息全国趋势调查的因素。我们确定PHR的使用是过去12个月的在线医疗记录访问。我们考虑了三个因素（1。在手机上访问mHealth应用程序，2.有一个通常的护理来源，和3。电子通信（电子通信）与医疗保健提供者），以促进PHR的使用。在控制一般特征（即，结果西班牙裔使用PHR的比例低于非卫生工作者（42.0%vs53.5%，P <0.001）。当调整个人一般特征时，与医疗保健提供者的电子通信与PHR使用相关的调整优势比（AOR）为1.49（1.19- 1.86，P < .001），使用移动健康App的AOR为2.06（1.62- 2.6，P < .001），有常规护理来源的AOR为2.60（1.86- 3.63，P < .001）。然而，在调整了促进PHR使用的三个因素后，种族差异没有统计学意义（AOR = 0.90，95%CI = 0.66，1.22，P = 0.48）。结论：当PHR的使用通过常规的护理来源、积极的电子通信和使用移动健康应用程序来促进时，种族差异减少。侧重于这三个因素的干预措施可能会减少种族/民族差异。
ObjectivesPersonal health records (PHR) use has improved individuals’ health outcomes. The adoption of PHR remains low with documented racial disparities. We aim to determine factors associated with reducing racial and ethnic disparities among Hispanic adults in PHR use.MethodsParticipants included non-Hispanic White (NHW) and Hispanic adults (age ≥ 18 years) enrolled in Health Information National Trends Survey in 2018 and 2019. We identified PHR use as online medical record access in the last 12 months. We considered three factors (1. accessing mHealth Apps on the phone, 2. having a usual source of care, and 3. electronically communicating (e-communication) with healthcare providers) as facilitating PHR use. Multivariable logistic regressions with replicate weights were analyzed to determine factors associated with racial/ethnic disparities in PHR use after controlling for general characteristics (i.e., sex, age, education, insurance status, and income).ResultsA lower percentage of Hispanics than NHWs used PHR (42.0% vs. 53.5%,P< .001). When adjusted for individual general characteristics, the adjusted odds ratio (AOR) of e-communication with healthcare providers associated with PHR use was 1.49 (1.19–1.86,P< .001), AOR was 2.06 (1.62–2.6,P< .001) on accessing to mHealth App, and 2.60 (1.86–3.63,P< .001) on having a usual source of care. However, the racial difference was not statistically significant after adjusting three factors promoting PHR use (AOR = 0.90, 95% CI = 0.66, 1.22,P= .48).ConclusionsEthnic disparities were reduced when PHR use was facilitated by having a usual source of care, active e-communication, and having access to mHealth apps. Interventions focusing on these three factors may potentially reduce racial/ethnic disparities.