Use of e-Health Services between 1999 and 2002: A Growing Digital Divide

Hsu, John; Huang, Jie; Kinsman, J. M.; Fireman, Bruce; Miller, Robert J.; Selby, Joseph V.; Ortíz, Eduardo

doi:10.1197/jamia.m1672

Cited by 171 publications

(132 citation statements)

References 14 publications

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“…Although preliminary results indicate possible disparities in enrollment by a variety of factors such as race/ethnicity, these studies did not examine whether this was due to differences in patients' ability to access the internet, differential offering of the portal to patients by physicians, or rates of acceptance by patients after being offered access. [3][4][5][6] Low rates of enrollment could be due to a variety of factors including patient level factors such as distrust in electronic communications or barriers to use (e.g., computer literacy). In addition, it is unclear whether there are differences in how often patients use patient portals after enrollment or their type of use (e.g., soliciting advice, requesting medication refills).…”

Section: Introductionmentioning

confidence: 99%

Disparities in Enrollment and Use of an Electronic Patient Portal

et al. 2011

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Section: Introductionmentioning

confidence: 99%

Disparities in Enrollment and Use of an Electronic Patient Portal

et al. 2011

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“…25 These findings indicate that suffering from a chronic disease resulted in an approximately 7% increase in using the Internet for health-related purposes in comparison with the general population. The results of surveys from other countries show that expected 26 or actual 27 use of healthcare services or suffering from a chronic disease [28][29][30] increased the acceptance or use of the Internet for health-related services by individuals (or households). Higher disease activity and severity were also reported as factors resulting in increased Internet use for searching for disease-specific information.…”

Section: Information and Communication Technologies Usementioning

confidence: 99%

The Acceptance of e-Health Solutions Among Patients with Chronic Respiratory Conditions

Duplaga

2013

Telemedicine and e-Health

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Objective: The main objective of this study was to assess the acceptance of the use of e-health applications by patients suffering from bronchial asthma and other chronic respiratory conditions. Subjects and Methods: The questionnaire, consisting of 73 items, was distributed among 200 patients remaining under the care of a tertiary-care pulmonology center in Krakow, Poland (return rate, 82.5%; n = 165). Results: The mean age (standard deviation) of respondents was 50.8 (14.9) years. Of the respondents, 48.5% (n = 80) suffered from bronchial asthma, 29.1% (n = 48) from chronic obstructive pulmonary disease, and 32.1% (n = 53) from other respiratory diseases. The Internet was used by 58.2% (n = 96) of respondents. The most frequent types of health-related information searched for online included diseases (59.4%) and treatments (medication, 54.2%; treatment options, 58.3%), as well as information about physicians and healthcare institutions (32.3% and 31.3%, respectively). The differences between acceptance scores for specific e-health applications were significant (analysis of variance, Friedman chi-squared = 166.315, p < 0.001). The respondents revealed the highest acceptance of e-health solutions allowing them to book appointments with physicians, access laboratory test results, view educational resources, and renew prescriptions. The acceptance of the most popular e-health applications depended on the duration of disease, respondent's age and education, and his or her use of computers and the Internet. Conclusions: Patients suffering from chronic respiratory conditions demonstrate higher levels of acceptance of e-health applications such as appointment booking, prescription renewal, and access to information (laboratory test results, educational resources) than of solutions directly related to medical care (communication with healthcare providers, disease monitoring).

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“…Covariates for adjustment were chosen according to clinical significance and possible effect on portal adoption (1,(3)(4)(5)(6)(7)(8)10,11,(13)(14)(15)29,31,33,34,36,(54)(55)(56)(57)(58)(59)(60)(61)(62)(63). Sociodemographic variables were age, sex, race, marital status, insurance status, neighborhood median household income, tobacco use, and follow-up duration.…”

Section: Statistical Analysesmentioning

confidence: 99%

“…Most portals allow patients to review problem lists, laboratory results, and medications; schedule appointments; request prescription refills; and securely message their providers, thereby facilitating self-monitoring, self-care, and communication (17,(20)(21)(22)(23)27). However, differences in Internet access (i.e., the digital divide), computer literacy and Internet proficiency, as well as patient attitudes may limit portal adoption (28)(29)(30)(31).…”

Section: Introductionmentioning

confidence: 99%

Disparities in Electronic Health Record Patient Portal Use in Nephrology Clinics

Jhamb

Cavanaugh

Bian

et al. 2015

Clinical Journal of the American Society of Nephrology

126

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Background and objectives Electronic health record (EHR) patient portals allow individuals to access their medical information with the intent of patient empowerment. However, little is known about portal use in nephrology patients. We addressed this gap by characterizing adoption of an EHR portal, assessing secular trends, and examining the association of portal adoption and BP control (,140/90 mmHg).Design, setting, participants, & measurements Patients seen between January 1, 2010, and December 31, 2012, at any of four university-affiliated nephrology offices who had at least one additional nephrology follow-up visit before June 30, 2013, were included. Sociodemographic characteristics, comorbidities, clinical measurements, and office visits were abstracted from the EHR. Neighborhood median household income was obtained from the American Community Survey 2012.Results Of 2803 patients, 1098 (39%) accessed the portal. Over 87% of users reviewed laboratory results, 85% reviewed their medical information (e.g., medical history), 85% reviewed or altered appointments, 77% reviewed medications, 65% requested medication refills, and 31% requested medical advice from their renal provider. ConclusionWhile portal adoption appears to be increasing, greater attention is needed to understand why vulnerable populations do not access it. Future research should examine barriers to the use of e-health technologies in underserved patients with CKD, interventions to address them, and their potential to improve outcomes.

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Use of e-Health Services between 1999 and 2002: A Growing Digital Divide

Cited by 171 publications

References 14 publications

Disparities in Enrollment and Use of an Electronic Patient Portal

Disparities in Enrollment and Use of an Electronic Patient Portal

The Acceptance of e-Health Solutions Among Patients with Chronic Respiratory Conditions

Disparities in Electronic Health Record Patient Portal Use in Nephrology Clinics

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