Changes in patient portal adoption due to the emergence of COVID-19 pandemic.

IF 2.5 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES Informatics for Health & Social Care Pub Date : 2023-04-03 DOI:10.1080/17538157.2022.2070069

Shipra Singh, Mounika Polavarapu, Camelia Arsene

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引用次数: 9

Abstract

Even though patient portals are recognized as a promising mechanism to support greater patient engagement, questions remain about access and utilization. This study aims to identify factors related to portal adoption in 2019 and 2020 (before and during the COVID-19). Cross-sectional data from the Health Information National Trends Survey (HINTS) cycles- 2019 HINTS 5 cycle 3 (N = 5,438) and 2020 HINTS 5 cycle 4 (N = 3,865) were analyzed using STATA-SE version 17 to factors predicting portal adoption. Next, HINTS 5 cycles 3 and 4 were pooled to identify changes in portal feature use and ease of usage among portal users, and barrier to portal use among non-users. Respondents who were college graduates, high income, and married were more likely to adopt patient portals during 2019 and 2020. Aged 75+ and Hispanic respondents reported less frequency of portal access in 2020 versus 2019. Men were more likely to adopt patient portals in 2019 versus women in 2020. Portal users were more likely to use the portal-system features in 2019 versus 2020. Portal non-users reported having multiple-health records as less of a barrier in 2020 compared to 2019. Patient engagement needs heightened attention during the COVID-19 pandemic.

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由于COVID-19大流行的出现，患者门户采用的变化。

尽管患者门户网站被认为是支持更多患者参与的有前途的机制，但关于访问和利用的问题仍然存在。本研究旨在确定2019年和2020年(COVID-19之前和期间)门户网站采用的相关因素。使用STATA-SE版本17分析来自健康信息国家趋势调查(HINTS)周期的横断面数据- 2019年HINTS 5周期3 (N = 5,438)和2020年HINTS 5周期4 (N = 3,865)，以预测门户采用的因素。接下来，将提示5、周期3和周期4汇集在一起，以确定门户用户中门户功能使用和易用性的变化，以及非用户中门户使用的障碍。2019年和2020年期间，大学毕业生、高收入和已婚的受访者更有可能采用患者门户网站。75岁以上和西班牙裔受访者表示，与2019年相比，2020年访问门户网站的频率较低。2019年，男性比2020年的女性更有可能采用患者门户网站。门户用户在2019年比2020年更有可能使用门户系统功能。与2019年相比，门户网站非用户报告称，2020年拥有多项健康记录的障碍较小。在COVID-19大流行期间，需要加强对患者参与的关注。

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来源期刊

Informatics for Health & Social Care 医学-卫生保健

CiteScore

6.10

自引率

4.20%

发文量

审稿时长

>12 weeks

期刊介绍： Informatics for Health & Social Care promotes evidence-based informatics as applied to the domain of health and social care. It showcases informatics research and practice within the many and diverse contexts of care; it takes personal information, both its direct and indirect use, as its central focus. The scope of the Journal is broad, encompassing both the properties of care information and the life-cycle of associated information systems. Consideration of the properties of care information will necessarily include the data itself, its representation, structure, and associated processes, as well as the context of its use, highlighting the related communication, computational, cognitive, social and ethical aspects. Consideration of the life-cycle of care information systems includes full range from requirements, specifications, theoretical models and conceptual design through to sustainable implementations, and the valuation of impacts. Empirical evidence experiences related to implementation are particularly welcome. Informatics in Health & Social Care seeks to consolidate and add to the core knowledge within the disciplines of Health and Social Care Informatics. The Journal therefore welcomes scientific papers, case studies and literature reviews. Examples of novel approaches are particularly welcome. Articles might, for example, show how care data is collected and transformed into useful and usable information, how informatics research is translated into practice, how specific results can be generalised, or perhaps provide case studies that facilitate learning from experience.