ArticleThe American journal of managed care2018
Bridging the digital divide: mobile access to personal health records among patients with diabetes.
Article in The American journal of managed care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
35 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Patient-Centered Digital Health Records and Their Effects on Health Outcomes: Systematic Review.Journal of medical Internet research · 2022Pooled it
- Functions and Outcomes of Personal Health Records for Patients with Chronic Diseases: A Systematic Review.Perspectives in health information managemen · 2021Pooled it
- Effects of implementing a standardized protocol for identifying and treating iron-deficiency anemia in pregnancy.Pregnancy (Hoboken, N.J.) · 2025Article
- Assessing the Ability to Use eHealth Resources Among Older Adults: Cross-Sectional Survey Study.JMIR formative research · 2025Article
- Article
- Care Partner Engagement in Secure Messaging Between Patients With Diabetes and Their Clinicians: Cohort Study.JMIR diabetes · 2024Article
- Remote Self-Administration of Cognitive Screeners for Older Adults Prior to a Primary Care Visit: Pilot Cross-Sectional Study of the Reliability and Usability of the MyCog Mobile Screening App.JMIR formative research · 2024Article
- Use and impact of virtual primary care on quality and safety: The public's perspectives during the COVID-19 pandemic.Journal of telemedicine and telecare · 2024Article
- The Use of Navigators to Increase Patient Portal Enrollment among Patients in a Federally Qualified Health Care System.Ethnicity & disease · 2023Article
- Remote Cognitive Screening Of Healthy Older Adults for Primary Care With the MyCog Mobile App: Iterative Design and Usability Evaluation.JMIR formative research · 2023Article
- The Role of Access Type and Age Group in the Breadth of Use of Patient Portals: Observational Study.Journal of medical Internet research · 2022Observational
- Acceptability of Health Information Exchange and Patient Portal Use in Depression Care Among Underrepresented Patients.Journal of general internal medicine · 2022Article
- Factors Associated with Website Operation among Small Hospitals and Medical and Dental Clinics in Korea.Healthcare informatics research · 2022Article
- Virtual Care and the Inverse Care Law: Implications for Policy, Practice, Research, Public and Patients.International journal of environmental research and public health · 2022Article
- Adoption of the Website and Mobile App of a Preventive Health Program Across Neighborhoods With Different Socioeconomic Conditions in the Netherlands: Longitudinal Study.JMIR human factors · 2022Article
- Patient Preferences for Patient Portal-Based Telepsychiatry in a Safety Net Hospital Setting During COVID-19: Cross-sectional Study.JMIR formative research · 2022Article
- The Digital Divide and Seeking Health Information on Smartphones in Asia: Survey Study of Ten Countries.Journal of medical Internet research · 2022Article
- Use of Health Information Technology by Adults With Diabetes in the United States: Cross-sectional Analysis of National Health Interview Survey Data (2016-2018).JMIR diabetes · 2022Article
- Electronic Health Literacy among Linguistically Diverse Patients in the Los Angeles County Safety Net Health System.Ethnicity & disease · 2022Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectivesSome patients lack regular computer access and experience a digital divide that causes them to miss internet-based health innovations. The diffusion of smartphones has increased internet access across the socioeconomic spectrum, and increasing the channels through which patients can access their personal health records (PHRs) could help bridge the divide in PHR use. We examined PHR use through a computer-based Web browser or mobile device. STUDY
designCross-sectional historical cohort analysis.
methodsAmong adult patients in the diabetes registry of an integrated healthcare delivery system, we studied the devices used to access their PHR during 2016.
resultsAmong 267,208 patients with diabetes, 68.1% used the PHR in 2016; 60.6% of all log-ins were via computer and 39.4% were via mobile device. Overall, 63.9% used it from both a computer and mobile device, 29.6% used only a computer, and 6.5% used only a mobile device. After adjustment, patients who were black, Hispanic, or Asian; lived in lower socioeconomic status (SES) neighborhoods; or had lower engagement were all significantly more likely to use the PHR only from a mobile device (P <.05). Patients using the PHR only via mobile device used it less frequently.
conclusionsMobile-ready PHRs may increase access among patients facing a digital divide in computer use, disproportionately reaching racial/ethnic minorities and lower SES patients. Nonetheless, even with a mobile-optimized and app-accessible PHR, differences in PHR use by race/ethnicity and SES remain. Continued efforts are needed to increase equitable access to PHRs among patients with chronic conditions.
Indexed as
Identifiers
29350505PMC6382280What OpenQuestion holds
Registered trials
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.