Making Patient Care Bilingual: Improving Equitable Access to Patient Care Through Spanish MyChart Patient Portal

Singhal, Sorabh

doi:10.1097/acm.0000000000004484

Cited by 4 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Prior to August 2021, Nemours telehealth services could be accessed through VIDYO or CareConnect portals. However, these portals only support English, a situation common to many health care providers ( 27 , 28 ). The ability to send a direct visit link via text or email is also supported, allowing patients to access their remote visit without portal registration.…”

Section: Discussionmentioning

confidence: 99%

Equity and Inclusion in Pediatric Gastroenterology Telehealth: A Study of Demographic, Socioeconomic, and Digital Disparities

Mougey¹,

Judy

Venkatesh

et al. 2023

Journal of Pediatric Gastroenterology &Amp; Nutrition

View full text Add to dashboard Cite

Objectives: The purpose of our study is to compare in-person and telehealth pediatric care ambulatory visits for gastroenterology (GI) at the Nemours Children’s Health System in the Delaware Valley (NCH-DV) based on geospatial, demographic, socioeconomic, and digital disparities. Methods: Characteristics of 26,565 patient encounters from January 2019 to December 2020 were analyzed. U.S. Census Bureau geographic identifiers were assigned to each participant and aligned with the American Community Survey (2015–2019) socioeconomic and digital outcomes. Reported odds ratios (OR) are telehealth encounter/in-person encounter. Results: GI telehealth usage increased 145-fold in 2020 compared to 2019 for NCH-DV. Comparing telehealth to in-person usage in 2020 revealed that GI patients who required a language translator were 2.2-fold less likely to choose telehealth [individual level adjusted OR (I-ORa) [95% confidence interval, CI], 0.45 [0.30–0.66], P < 0.001]. Individuals of Hispanic ethnicity or non-Hispanic Black or African American race are 1.3–1.4-fold less likely to utilize telehealth than non-Hispanic Whites (I-ORa [95% CI], 0.73 [0.59–0.89], P = 0.002 and 0.76 [0.60–0.95], P = 0.02, respectively). Households in census block groups (BG) that are more likely to utilize telehealth: have broadband access (BG-OR = 2.51 [1.22–5.31], P = 0.014); are above the poverty level (BG-OR = 4.44 [2.00–10.24], P < 0.001); own their own home (BG-OR = 1.79 [1.25–2.60], P = 0.002); and have a bachelor’s degree or higher (BG-OR = 6.55 [3.25–13.80], P < 0.001). Conclusions: Our study is the largest reported pediatric GI telehealth experience in North America that describes racial, ethnic, socioeconomic, and digital inequities. Advocacy and research for pediatric GI focused on telehealth equity and inclusion is urgently needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Equity and Inclusion in Pediatric Gastroenterology Telehealth: A Study of Demographic, Socioeconomic, and Digital Disparities

Mougey¹,

Judy

Venkatesh

et al. 2023

Journal of Pediatric Gastroenterology &Amp; Nutrition

View full text Add to dashboard Cite

show abstract

“…Patients will be able to securely communicate with their healthcare team, share information, and receive timely feedback and guidance (Sadhu et al, 2022). This enhanced collaboration will contribute to more personalized and effective care and address the inequality issues in healthcare (Thomas Craig et al, 2020;Singhal et al, 2022;Ganeshan et al, 2022;McCabe et al, 2022). Fourthly, the incorporation of secure messaging and remote consultations within patient portals will offer patients convenient avenues to seek guidance and support from healthcare professionals.…”

Section: The Integration Of Telehealth Tools Into Patient Portalsmentioning

confidence: 99%

“…This observation underscores the adaptability and acceptance of telehealth technology among the population under study. It may also imply that healthcare providers and the US policymakers have made efforts to ensure equitable access to telehealth services (Thomas Craig et al, 2020;Singhal, 2022;Ganeshan et al, 2022;McCabe et al, 2022), addressing concerns related to digital literacy, access to devices, and reliable internet connectivity. Like the US, Finland is considered a country with well-established health informatics infrastructure (Kouri et al, 2018;Haverinen et al, 2022;Naumann et al, 2022) using patient portals to integrates telehealth services is highly encouraged.…”

Section: Technology As a Barriermentioning

confidence: 99%

Assessing the Alignment Between Existing Finnish Patient Portals and the Newly Implemented Finnish Well-Being Reform

Machal

2023

International Journal of Healthcare Information Systems and Informatics

View full text Add to dashboard Cite

Due to the recent implementation of the Finnish well-being reform, there is limited research discussing the reform's aims and its alignment with existing Finnish patient portals. The objective of this research is to assess the alignment between existing Finnish patient portals and the newly implemented well-being reform. This research is supported by the insights gained from monitoring the US health reform survey that was conducted in 2021. By Aligning patient portals with the well-being reform, there is an opportunity to achieve patient-centered care and facilitate improved communication between patients and healthcare providers.

show abstract

Recommendations to Address Barriers to Patient Portal Use Among Persons With Diabetes Seeking Care at Community Health Centers: Interview Study With Patients and Health Care Providers

Akyirem,

Wagner,

Chen

et al. 2024

JMIR Diabetes

View full text Add to dashboard Cite

Background: Community Health Centers (CHCs) are safety-net healthcare facilities in the US that provide care for a substantial number of low-income, non-English speaking adults with type 2 diabetes (T2D). Whereas patient portals have been shown to be associated with significant improvements in diabetes self-management and outcomes, they remain underutilized in CHCs. Additionally, little is known about the specific barriers and facilitators to patient portal use in CHCs as well as strategies to address the barriers. Objective:The objective of this qualitative study was to explore the barriers and facilitators of the use of patient portals for managing diabetes in two CHCs from the perspective of adults with T2D and clinicians (community health workers, nurses, nurse practitioners, and physicians) and to make recommendations on strategies to enhance usage Methods: A qualitative description design was used. Twenty-one participants (13 clinicians and 8 adults with T2D) were purposively and conveniently selected from two CHCs. Adults with T2D were included if they were an established patient of one of the partner CHCs, ?18 years old, diagnosed with T2D ? 6 months, and able to read English or Spanish. Clinicians at our partner CHCs who provided care/services for adults with T2D were eligible for this study. Semi-structured interviews were conducted in either Spanish or English based on participant preference. Interviews were audio-recorded and transcribed. Spanish interviews were translated into English by a bilingual research assistant. Data were analyzed using a rapid content analysis method. Standards of rigor were implemented.Results: Themes generated from interviews included perceived usefulness and challenges of the patient portal, strategies to improve patient portal use, and challenges in diabetes self-management. Participants were enthusiastic about the potential of the portal to improve access to health information and patient-provider communication. However, challenges of health/technology literacy, maintaining engagement, and clinician burden were identified. Standardized implementation strategies were recommended to raise awareness of patient portal benefits, provide simplified training and technology support, change clinic workflow to triage messages, customize portal notification messages, minimize clinician burden, and enhance the ease with which blood glucose data can be uploaded into the portal.Conclusions: Adults with T2D and providers at CHCs continue to report pervasive challenges to patient portal use in CHCs.Providing training and technical support on patient portal use for patients with low literacy and implementing standardized patient portal use strategies to address the unique needs of patients receiving care at CHCs have potential to improve health equity and health outcomes associated with patient portal use.

show abstract

Making Patient Care Bilingual: Improving Equitable Access to Patient Care Through Spanish MyChart Patient Portal

Cited by 4 publications

References 0 publications

Equity and Inclusion in Pediatric Gastroenterology Telehealth: A Study of Demographic, Socioeconomic, and Digital Disparities

Equity and Inclusion in Pediatric Gastroenterology Telehealth: A Study of Demographic, Socioeconomic, and Digital Disparities

Assessing the Alignment Between Existing Finnish Patient Portals and the Newly Implemented Finnish Well-Being Reform

Recommendations to Address Barriers to Patient Portal Use Among Persons With Diabetes Seeking Care at Community Health Centers: Interview Study With Patients and Health Care Providers

Contact Info

Product

Resources

About