J Am Med Inform Assoc - Social disparities in internet patient portal use in diabetes: evidence that the digital divide extends beyond access.

Tópicos

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{ detect(2391) sensit(1101) algorithm(908) }

Resumo

The authors investigated use of the internet-based patient portal, kp.org, among a well-characterized population of adults with diabetes in Northern California. Among 14,102 diverse patients, 5671 (40%) requested a password for the patient portal. Of these, 4311 (76%) activated their accounts, and 3922 (69%), logged on to the patient portal one or more times; 2990 (53%) participants viewed laboratory results, 2132 (38%) requested medication refills, 2093 (37%) sent email messages, and 835 (15%) made medical appointments. After adjustment for age, gender, race/ethnicity, immigration status, educational attainment, and employment status, compared to non-Hispanic Caucasians, African-Americans and Latinos had higher odds of never logging on (OR 2.6 (2.3 to 2.9); OR 2.3 (1.9 to 2.6)), as did those without an educational degree (OR compared to college graduates, 2.3 (1.9 to 2.7)). Those most at risk for poor diabetes outcomes may fall further behind as health systems increasingly rely on the internet and limit current modes of access and communication.

Resumo Limpo

author investig use internetbas patient portal kporg among wellcharacter popul adult diabet northern california among divers patient request password patient portal activ account log patient portal one time particip view laboratori result request medic refil sent email messag made medic appoint adjust age gender raceethn immigr status educ attain employ status compar nonhispan caucasian africanamerican latino higher odd never log without educ degre compar colleg graduat risk poor diabet outcom may fall behind health system increas reli internet limit current mode access communic

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