Who Isn't Using Patient Portals And Why? Evidence And Implications From A National Sample Of US Adults
Who Isn't Using Patient Portals And Why? Evidence And Implications From A National Sample Of US Adults
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DOI：
10.1377/hlthaff.2018.05117
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发表时间：
2018-12-01
期刊：
影响因子：
9.7
通讯作者：
Lim, Paulina S.
中科院分区：
文献类型：
--
作者：
Anthony, Denise L.;Campos-Castillo, Celeste;Lim, Paulina S.
提供安全在线访问医疗记录信息和提供者沟通的患者门户可以改善医疗保健。然而新技术可能会加剧现有的差距。我们分析了全国代表性的 2017 年健康信息国家趋势调查中 2,325 名参保受访者的信息，以研究门户网站非用户的特征和不使用的原因。 63% 的受访者表示去年没有使用过门户网站。在多变量分析中，我们发现与用户相比，非用户更有可能是男性、享受医疗补助、缺乏固定的医疗服务提供者以及受过大学教育的程度较低。类似的差异也存在于那些报告被提供访问门户的人中，非白人也不太可能报告被提供访问权限。不使用的原因包括希望直接与提供者交谈和隐私问题，这两点都需要认识到提供者沟通和患者与提供者关系的重要作用。
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.