J Am Med Inform Assoc - Patient reported barriers to enrolling in a patient portal.

Tópicos

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Resumo

CKGROUND: Previous studies of patient portals have found low rates of enrollment and significant disparities in enrollment by race and ethnicity. As the reasons for these findings are unclear, we sought to identify patient reported barriers to enrollment in a patient portal.METHODS: We conducted a telephone survey of patients in one urban general internal medicine clinic. Patients were eligible if they did not enroll within 30 days of receiving an electronic order inviting participation. Our primary outcomes were: (a) reasons for not enrolling in the patient portal; (b) reasons for not attempting enrollment; and (c) perceived benefits of the portal.RESULTS: Participants' (N=159) mean age was 51 years, 48% were black, 72% female, and 70% had a college degree or greater. 63% of respondents not enrolling reported never attempting enrollment despite remembering receiving an order. Most of these 63% did not attempt enrollment because of lack of information or motivation. Smaller proportions reported not attempting enrollment because of negative attitudes toward the portal (30%) or computer related obstacles (8%). Overall, respondents favorably viewed most patient portal features, however black respondents were less likely than white respondents to consider features assisting self-management such as getting test results (69% vs 86%; p<0.05) as important. Adjusting for age, gender, education, and chronic disease did not substantially change results.CONCLUSION: Strategies to increase enrollment in patient portals need to ensure patients understand patient portal features and receive follow-up reminders. Interventions to reduce racial disparities in enrollment must address attitudinal barriers and not focus solely on improving access.

Resumo Limpo

ckground previous studi patient portal found low rate enrol signific dispar enrol race ethnic reason find unclear sought identifi patient report barrier enrol patient portalmethod conduct telephon survey patient one urban general intern medicin clinic patient elig enrol within day receiv electron order invit particip primari outcom reason enrol patient portal b reason attempt enrol c perceiv benefit portalresult particip n mean age year black femal colleg degre greater respond enrol report never attempt enrol despit rememb receiv order attempt enrol lack inform motiv smaller proport report attempt enrol negat attitud toward portal comput relat obstacl overal respond favor view patient portal featur howev black respond less like white respond consid featur assist selfmanag get test result vs p import adjust age gender educ chronic diseas substanti chang resultsconclus strategi increas enrol patient portal need ensur patient understand patient portal featur receiv followup remind intervent reduc racial dispar enrol must address attitudin barrier focus sole improv access

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