Evidence map›Paper›PMID 31509879›Full record

ArticleApplied clinical informatics2019

Providing Access: Differences in Pediatric Portal Activation Begin at Patient Check-in.

Ruth A Bush, Vijaya M Vemulakonda, Andrew C Richardson, Sara J Deakyne Davies, George J Chiang

Abstract readComparative Study
In one paragraph

Article in Applied clinical informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Trends in telemedicine visits among pediatric asthma patients during COVID-19.The journal of allergy and clinical immunology. Global · 2024
    Article
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  6. Review
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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.

Ruth A BushHahn School of Nursing and Health Science, Beyster Institute for Nursing Research, University of San Diego, San Diego, California, United States.
Vijaya M VemulakondaDepartment of Pediatric Urology, Children's Hospital Colorado, Aurora, Colorado, United States.
Andrew C RichardsonClinical Research Informatics, Rady Children's Hospital San Diego, San Diego, California, United States.
Sara J Deakyne DaviesResearch Informatics and Analytics, Analytics Resource Center, Children's Hospital Colorado, Aurora, Colorado, United States.
George J ChiangDepartment of Urology, University of California San Diego, San Diego, California, United States.

Funding

Adolescent Disease Autonomy using Patient Portal Technology (ADAPPT)R00HS022404 · AHRQ · UNIVERSITY OF SAN DIEGO · PI BUSH, RUTH A · 2015 to 2017
$747k
Understanding Practice Variations in Treatment of Infants with Suspected UPJ ObstructionK08HS024597 · AHRQ · UNIVERSITY OF COLORADO DENVER · PI VEMULAKONDA, VIJAYA M. · 2016 to 2020
$744k
AHRQ HHS K08 HS024597AHRQ HHS R00 HS022404
6 · The paper itself

Abstract

backgroundThe patient portal interface with individual electronic health records (EHR) was introduced as a tool to enhance participatory medicine. Recent studies suggest adults from racial and ethnic minorities as well as non-English speakers face disproportionate barriers to adoption; however, little data are available for pediatric patients.

objectiveThe purpose of this study was to examine patient portal offers and activation patterns among pediatric urology patients at two geographically diverse tertiary pediatric hospitals.

methodsRetrospective analysis of 2011 to 2016 electronic portal audit records was conducted among patients aged 18 and younger with at least one outpatient urology clinic visit at two tertiary academic pediatric hospitals and their affiliated networks. Differences in utilization among parents/caregivers and adolescents were examined using multivariate analysis.

resultsOf 44,608 individuals seen in a participating urology department during the study period, 21,815 (48.9%) were offered a code for patient portal activation; of these, 8,605 (19.3% of total eligible individuals) activated portal access. Logistic regression demonstrated associations between an offer and site (

conclusionThis study found that demographic variations in portal began with demographic differences in which patients were offered an activation code. Fewer than half of those given an access code activated their account. Preferred language, race/ethnicity, and clinic location were associated with likelihood of portal activation. Although patients are increasingly expected to schedule appointments, manage correspondence, request prescription refills, obtain authorizations and referrals, and communicate with the medical team using the portal, this study suggests that in the pediatric specialty setting many patients and caregivers are not offered the opportunity to access these tools.

Indexed as

PediatricsUser-Computer InterfaceAdolescentChildChild, PreschoolElectronic Health RecordsFemaleHumansMalePatient PortalsTertiary Care Centers

Identifiers

PMID31509879
PMCPMC6739202

What OpenQuestion holds

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Registered trials

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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.