Barriers to Patient Portal Access and Use: Evidence from the Health Information National Trends Survey.
Barriers to Patient Portal Access and Use: Evidence from the Health Information National Trends Survey.
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DOI：
10.3122/jabfm.2020.06.190402
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发表时间：
2020-11
期刊：
影响因子：
--
通讯作者：
Pérez-Stable EJ
中科院分区：
文献类型：
--
作者：
El-Toukhy S;Méndez A;Collins S;Pérez-Stable EJ
患者通过患者门户访问他们的医疗记录，促进信息交换和提供高质量的医疗保健。了解患者访问和使用患者门户有限的特征的因素是必要的。数据来自2017-18年健康信息全国趋势调查5，周期1和2，这是一项具有全国代表性的调查，对象是18岁的美国成年人(N=6,789)。加权多元Logistic回归模拟了患者特征与患者门户及其功能的访问、使用和使用的促进者之间的关联。没有正规医生(AOR 0.4，CI 0.3-0.5)或医疗保险(AOR 0.4，CI 0.2-0.7)、高中(AOR 0.4，CI 0.3-0.5)或有职业/大学教育(AOR 0.5，CI 04-0.7)的个人(与大学/研究生相比)，或英语水平有限(与英语说得很好的人相比)(AOR 0.7，CI 0.5-0.9)不太可能报告访问他们的个人医疗记录。女性(与男性相比)更有可能报告访问他们的医疗记录(AOR 1.5，CI 1.2-1.8)。在患者门户、访问和使用促进者方面也发现了类似的模式。患者特征和患者门户功能的使用之间出现了不太一致的关联。患者门户的访问和使用率较低。拥有初级保健临床医生、患者的教育程度和女性是与患者门户访问和使用相关的因素，但与种族/民族无关。一旦实现访问，患者门户功能的使用在不同的人群中通常是统一的。在所有患者群体中促进患者门户的访问和使用是必要的。
Patient access to their medical records, through patient portals, facilitates information exchange and provision of quality healthcare. Understanding factors that characterize patients with limited access to and use of patient portals is needed. Data were from the 2017-18 Health Information National Trends Survey 5, cycles 1 and 2, a nationally representative survey of US adults ≥18 years old (N=6,789). Weighted multivariate logistic regressions modeled the associations between patient characteristics and access to, facilitators of use, and use of patient portals and their functions. Individuals without (vs. with) a regular doctor (AOR 0.4, CI 0.3-0.5) or health insurance (AOR 0.4, CI 0.2-0.7), those with high school (AOR 0.4, CI 0.3-0.5) or with vocational/some college (AOR 0.5, CI 04.-0.7) education (vs. college/ postgraduate), or those with limited English proficiency (vs. those who speak English very well) (AOR 0.7, CI 0.5-0.9) were less likely to report accessing their personal medical records. Women (vs. men) were more likely to report accessing their medical records (AOR 1.5, CI 1.2-1.8). Similar patterns were found for patient portals access and facilitators of use. Less consistent associations emerged between patient characteristics and use of patient portal functionalities. Patient portals access and use are low. Having a primary care clinician, patient’s educational attainment, and being a woman were factors associated with patient portal access and use, but not race/ethnicity. Once access was achieved, use of patient portal functionalities was generally uniform across demographic segments. Facilitating patient portal access and use among all patient populations is warranted.
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