Real-Time Electronic Patient Portal Use Among Emergency Department Patients DOI Creative Commons
Robert W. Turer, Samuel McDonald, Christoph U. Lehmann

et al.

JAMA Network Open, Journal Year: 2024, Volume and Issue: 7(5), P. e249831 - e249831

Published: May 3, 2024

Importance Patients with inequitable access to patient portals frequently present emergency departments (EDs) for care. Little is known about portal use patterns among ED patients. Objectives To describe real-time usage trends patients and compare demographic clinical characteristics between users nonusers. Design, Setting, Participants In this cross-sectional study of 12 teaching 24 academic-affiliated EDs from 8 health systems in California, Connecticut, Massachusetts, Ohio, Tennessee, Texas, Washington, data were evaluated all 18 years or older April 5, 2021, 4, 2022. Exposure Use the during visit. Main Outcomes Measures The primary outcomes weekly proportions who logged into portal, viewed test results, notes real time. Pooled random-effects models used evaluate temporal associated use. Results included 1 280 924 unique encounters (53.5% female; 0.6% American Indian Alaska Native, 3.7% Asian, 18.0% Black, 10.7% Hispanic, 0.4% Native Hawaiian Pacific Islander, 66.5% White, 10.0% other race, 4.0% missing race ethnicity; 91.2% English-speaking patients; mean [SD] age, 51.9 [19.2] years). During study, 17.4% while ED, whereas 14.1% results 2.5% notes. odds accessing (odds ratio [OR], 1.36; 95% CI, 1.19-1.56), viewing (OR, 1.63; 1.30-2.04), 1.60; 1.19-2.15) higher at end vs beginning. active accounts arrival had a logging 17.73; 9.37-33.56), 18.50; 9.62-35.57), 18.40; 10.31-32.86). male, without commercial insurance lower Conclusions Relevance These findings suggest that has increased over time, but disparities exist mirror more generally. Given medicine’s role caring medically underserved patients, there are opportunities enroll train using promote engagement after their visits.

Language: Английский

Real-Time Electronic Patient Portal Use Among Emergency Department Patients DOI Creative Commons
Robert W. Turer, Samuel McDonald, Christoph U. Lehmann

et al.

JAMA Network Open, Journal Year: 2024, Volume and Issue: 7(5), P. e249831 - e249831

Published: May 3, 2024

Importance Patients with inequitable access to patient portals frequently present emergency departments (EDs) for care. Little is known about portal use patterns among ED patients. Objectives To describe real-time usage trends patients and compare demographic clinical characteristics between users nonusers. Design, Setting, Participants In this cross-sectional study of 12 teaching 24 academic-affiliated EDs from 8 health systems in California, Connecticut, Massachusetts, Ohio, Tennessee, Texas, Washington, data were evaluated all 18 years or older April 5, 2021, 4, 2022. Exposure Use the during visit. Main Outcomes Measures The primary outcomes weekly proportions who logged into portal, viewed test results, notes real time. Pooled random-effects models used evaluate temporal associated use. Results included 1 280 924 unique encounters (53.5% female; 0.6% American Indian Alaska Native, 3.7% Asian, 18.0% Black, 10.7% Hispanic, 0.4% Native Hawaiian Pacific Islander, 66.5% White, 10.0% other race, 4.0% missing race ethnicity; 91.2% English-speaking patients; mean [SD] age, 51.9 [19.2] years). During study, 17.4% while ED, whereas 14.1% results 2.5% notes. odds accessing (odds ratio [OR], 1.36; 95% CI, 1.19-1.56), viewing (OR, 1.63; 1.30-2.04), 1.60; 1.19-2.15) higher at end vs beginning. active accounts arrival had a logging 17.73; 9.37-33.56), 18.50; 9.62-35.57), 18.40; 10.31-32.86). male, without commercial insurance lower Conclusions Relevance These findings suggest that has increased over time, but disparities exist mirror more generally. Given medicine’s role caring medically underserved patients, there are opportunities enroll train using promote engagement after their visits.

Language: Английский

Citations

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