Evidence map›Paper›PMID 32839896›Full record

ArticleJournal of racial and ethnic health disparities2021

Sociodemographic Differences and Factors Affecting Patient Portal Utilization.

Martina A Clarke, Elizabeth R Lyden, Jihyun Ma, Keyonna M King, Mohammad Mo Siahpush, Tzeyu Michaud, Regina E Idoate, Athena K Ramos

Abstract read
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In one paragraph

Article in Journal of racial and ethnic health disparities, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

  1. Article
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  3. An Environmental Scan of Interventions Implemented by Pediatric Health Organizations to Improve Telehealth Equity.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2026
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  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
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  12. Article
  13. Factors Associated with Online Patient Portal Utilization Experience in an Arkansas Phone Survey.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. 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

8 authors.

Martina A ClarkeCollege of Information Science and Technology, School of Interdisciplinary Informatics, University of Nebraska Omaha, Omaha, NE, 68182, USA. martinaclarke@unomaha.edu.ORCID http://orcid.org/0000-0002-4905-4566
Elizabeth R LydenCollege of Public Health, Department of Biostatistics, Center for Collaboration on Research, Design and Analysis, University of Nebraska Medical Center, Omaha, NE, 68198-4375, USA.
Jihyun MaCollege of Public Health, Department of Biostatistics, Center for Collaboration on Research, Design and Analysis, University of Nebraska Medical Center, Omaha, NE, 68198-4375, USA.
Keyonna M KingCollege of Public Health, Department of Health Promotion, Center for Reducing Health Disparities, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
Mohammad Mo SiahpushCollege of Public Health, Department of Health Services Research and Administration, University of Nebraska Medical Center, Omaha, NE, 68198-4365, USA.
Tzeyu MichaudCollege of Public Health, Department of Health Promotion, Center for Reducing Health Disparities, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
Regina E IdoateCollege of Public Health, Department of Health Promotion, Center for Reducing Health Disparities, University of Nebraska Medical Center, Omaha, NE, 68198-4365, USA.
Athena K RamosCollege of Public Health, Department of Health Promotion, Center for Reducing Health Disparities, University of Nebraska Medical Center, Omaha, NE, 68198, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe primary function of the patient portal is to give patients greater access to their personal health information. Granting patients electronic access allows them to make well-informed health care decisions.

objectiveThis study aimed to identify sociodemographic differences in patient portal use and examine factors affecting patient portal utilization following the final stage of the Meaningful Use program which aimed to promote the use of certified electronic health record (EHR) technology. RESEARCH

designSurvey data from Health Information National Trends Survey (HINTS) 5, cycles 1, 2, and 3 were analyzed. The sample included 8291 completed surveys. Multivariable logistic regression on a selected response for each surveyed question was used to assess the racial and ethnic difference after controlling for age, sex, income, and education. SUBJECTS: Subjects included English and Spanish speaking adults in the USA. MEASURES: Measures included assessment of patient portal use, patient portal access, understanding health information, usefulness of health records, and privacy and security.

resultsAfter adjusting for age, sex, income, and education, there was a significant association between race/ethnicity and patient portal non-users responding, "no need to use online medical record" as the reason for not using the patient portal (P = 0.005). Among the portal users, there were significant associations between race/ethnicity and health care provider maintaining an EHR (P = 0.006), being offered access to their portal (P < 0.001), understanding health information in the portal (P = 0.004), finding the portal useful for health monitoring (P < 0.001), reporting concern about unauthorized access (P = 0.017), and keeping information from health care providers (P = 0.012).

conclusionsRace/ethnicity affects perceptions on the need for the patient portal, being offered access to a portal, and the reasons to access information online. Understanding the factors affecting patient portal use can inform future strategies aimed at increasing adoption.

Indexed as

AdultFemaleHumansMaleMiddle AgedPatient PortalsSociodemographic FactorsSocioeconomic FactorsSurveys and QuestionnairesPatient portalsPatientsPersonal health recordSociodemographic differencesUtilization

Identifiers

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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.