ArticleJournal of racial and ethnic health disparities2018
A Digital Language Divide? The Relationship between Internet Medication Refills and Medication Adherence among Limited English Proficient (LEP) Patients.
Article in Journal of racial and ethnic health disparities, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Understanding language barriers within patient portals: workarounds and opportunities for Spanish-speaking caregivers.JAMIA open · 2026Article
- An analysis of multilevel factor contributions to breast cancer screening inequities in an academic health system.Cancer · 2025Observational
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- Automatic Enrollment in Patient Portal Systems Mitigates the Digital Divide in Healthcare: An Interrupted Time Series Analysis of an Autoenrollment Workflow Intervention.Journal of medical systems · 2024Article
- Sociodemographic factors and family use of remote infant viewing in neonatal intensive care.Journal of perinatology : official journal of the California Perinatal Association · 2023Article
- Perspectives from leadership and frontline staff on telehealth transitions in the Los Angeles safety net during the COVID-19 pandemic and beyond.Frontiers in digital health · 2022Article
- Overcoming the Digital Divide in the Post-COVID-19 "Reset": Enhancing Group Virtual Visits with Community Health Workers.Journal of medical Internet research · 2021Article
- Portals of Change: How Patient Portals Will Ultimately Work for Safety Net Populations.Journal of medical Internet research · 2020Article
- [Digital divide-social inequalities in the utilisation of digital healthcare].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2020Review
- Su salud a la mano (your health at hand): patient perceptions about a bilingual patient portal in the Los Angeles safety net.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- The Use of Technology to Support Precision Health in Nursing Science.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2019Article
- Rationale and design of the regimen education and messaging in diabetes (REMinD) trial.Contemporary clinical trials · 2019Article
- The Los Angeles County Department of Health ServicesThe journal of medicine accessArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundUse of an Internet portal to refill medicines positively affects medication adherence among English-speakers. No prior studies, however, have specifically examined the relationship between Internet refills and medication adherence among patients who are limited English proficient (LEP).
objectives(1) Examine the relationship between Internet medication refill system use and medication adherence among linguistically diverse patients with chronic conditions and (2) compare this relationship between LEP and English-proficient (EP) patients. DESIGN, PARTICIPANTS, MEASURES: We analyzed 2013-2014 cross-sectional data from 509 surveyed adults in the Group Health Cooperative. Surveys were merged with plan enrollment, claims data, and electronic medical records. Medication adherence was calculated by the "Continuous Measure of Medication Gaps" (CMG) method. For Internet refill system use, patients were asked, "Have you used the health systems Internet site to refill any medications in the last 12 months?" LEP status was captured in the electronic medical record by a non-English primary language and a claims record of interpreter use in at least one clinical encounter between 2005 and 2012. We used multivariate linear regression models to examine Internet refill system use and medication adherence and compared the association between LEP and EP patients.
resultsThree hundred eighty-four patients (75%) had a calculable CMG: 134 EP and 250 LEP in the adherence analyses. In unadjusted analyses, LEP patients had lower use of the Internet refill system (p < .001) and lower adherence versus the EP group (p < .001). In multivariate analyses, LEP status (β = - 0.022, p = .047) was negatively associated with adherence, while use of the Internet refill system (β = 0.030, p = .002) was positively associated. In stratified models, use of Internet refills was positively associated with adherence, even when examining LEP (β = 0.029, p = .003) and EP patients (β = 0.027, p = .049) separately.
conclusionsThese findings suggest that LEP patients may be under-utilizing a beneficial Internet tool. Should our healthcare systems fail to ensure that LEP patients have full and meaningful access to Internet patient portals, we risk worsening healthcare disparities.
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