Evidence map›Paper›PMID 21086028›Full record

ArticleJournal of community health2011

The digital divide at an urban community health center: implications for quality improvement and health care access.

Nancy M Denizard-Thompson, Kirsten B Feiereisel, Sheila F Stevens, David P Miller, James L Wofford

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of community health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Web-Based Medical Appointment Systems: A Systematic Review.Journal of medical Internet research · 2017
    Pooled it
  2. Pooled it
  3. Article
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  6. Impact of patient portal-based self-scheduling of diagnostic imaging studies on health disparities.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
  7. Automated patient self-scheduling: case study.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
  8. Observational
  9. Article
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  11. Article
  12. Article
  13. Article
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  15. Managing Diabetes in Pregnancy Using Cell Phone/Internet Technology.Clinical diabetes : a publication of the American Diabetes Association · 2015
    Article
  16. Article
  17. Ethnic differences in breast cancer prevention information-seeking among rural women: will provider mobile messages work?Journal of cancer education : the official journal of the American Association for Cancer Education · 2014
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Nancy M Denizard-ThompsonDepartment of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
Kirsten B Feiereisel
Sheila F Stevens
David P Miller
James L Wofford

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health care policy encourages better electronic connectivity between patient and the office practice. However, whether patients are able to partner with the practice in using communication technologies is not known. We sought to determine (1) the proportion of clinic patients who use internet and cell phone text messaging technologies, (2) the level of patient interest in using these technologies for the purpose of managing clinical appointments and patient education. Consecutive adult patients, clinicians and staff at an urban community health center were surveyed during a one-week period in order to estimate the frequency of technology use by patients. A total of 308 survey cards were collected during the designated week (response rate of 85% (308/362). One-third (34.0%, 105) of surveyed patients used the internet and text messaging daily or weekly, while nearly two-thirds (59.7%, 182) never used these technologies. There were no racial or gender differences in the proportion of patients who used the internet daily or weekly. In contrast, African-Americans used text messaging more often than whites (28.2 vs. 21.4%, P < .05), and females more than males (30.8 vs. 18.5%, P < .05). Younger patients (>50) used the internet and text messaging more often than older patients (50.6 vs. 16.6%, 44.3 vs. 7.3%, respectively). Despite the low use of both technologies, patient's interest in managing clinic appointments was high (40.3% for the Internet and 56.8% for text messaging). Clinicians and staff estimated patient's daily/weekly use of internet and cellphone messaging at 40.3% (± 22.0), and 56.8% (± 25.7), respectively. Most patients at this urban community health center reported never using the internet or cell phone text messaging. Clinicians overestimated technology use by patients. Planning for clinic infrastructure, quality improvement, and patient education should include assessment of technology use patterns by patients.

Indexed as

AdolescentAdultAgedAged, 80 and overAppointments and SchedulesBlack or African AmericanCell PhoneCommunity Health CentersFemaleHealth Services AccessibilityHumansInformation DisseminationInternetMaleMiddle AgedPatient Education as Topic

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.