J Am Med Inform Assoc - Patient-provider communication and trust in relation to use of an online patient portal among diabetes patients: The Diabetes and Aging Study.

Tópicos

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Resumo

Patient-provider relationships influence diabetes care; less is known about their impact on online patient portal use. Diabetes patients rated provider communication and trust. In this study, we linked responses to electronic medical record data on being a registered portal user and using secure messaging (SM). We specified regression models to evaluate main effects on portal use, and subgroup analyses by race/ethnicity and age. 52% of subjects were registered users; among those, 36% used SM. Those reporting greater trust were more likely to be registered users (relative? risk (RR)=1.14) or SM users (RR=1.29). In subgroup analyses, increased trust was associated with being a registered user among white, Latino, and older patients, as well as SM use among white patients. Better communication ratings were also related to being a registered user among older patients. Since increased trust and communication were associated with portal use within subgroups, this suggests that patient-provider relationships encourage portal engagement.

Resumo Limpo

patientprovid relationship influenc diabet care less known impact onlin patient portal use diabet patient rate provid communic trust studi link respons electron medic record data regist portal user use secur messag sm specifi regress model evalu main effect portal use subgroup analys raceethn age subject regist user among use sm report greater trust like regist user relat risk rr sm user rr subgroup analys increas trust associ regist user among white latino older patient well sm use among white patient better communic rate also relat regist user among older patient sinc increas trust communic associ portal use within subgroup suggest patientprovid relationship encourag portal engag

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