Evidence map›Paper›PMID 33094732›Full record

ArticleJournal of medical Internet research2020

Portals of Change: How Patient Portals Will Ultimately Work for Safety Net Populations.

Alejandra Casillas, Anshu Abhat, Anish Mahajan, Gerardo Moreno, Arleen F Brown, Sara Simmons, Peter Szilagyi

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
6.8field-weighted citation impact, top 3% of its field
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

23 citing papers in PubMed, 35 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Alejandra CasillasDivision of General Internal Medicine and Health Services Research, David Geffen School of Medicine, Los Angeles, CA, United States.ORCID 0000-0003-4229-7466
Anshu Abhat *Los Angeles County Department of Health Services, Los Angeles, CA, United States.ORCID 0000-0003-3631-6579
Anish MahajanLos Angeles County Department of Health Services, Los Angeles, CA, United States.ORCID 0000-0001-6331-6561
Gerardo MorenoDepartment of Family Medicine, David Geffen School of Medicine, Los Angeles, CA, United States.ORCID 0000-0002-3476-4274
Arleen F BrownDivision of General Internal Medicine and Health Services Research, David Geffen School of Medicine, Los Angeles, CA, United States.ORCID 0000-0001-9948-8955
Sara SimmonsLos Angeles County Department of Health Services, Los Angeles, CA, United States.ORCID 0000-0003-3374-6645
Peter SzilagyiDepartment of Pediatrics, David Geffen School of Medicine, Los Angeles, CA, United States.ORCID 0000-0003-4855-083X
Los Angeles County Department of Health Services · USUniversity of California, Los Angeles · US

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Homero Erwin del Pino · 2002 to 2026
$19.7M
AHRQ HHS K12 HS026407NCATS NIH HHS UL1 TR001881NIA NIH HHS P30 AG021684
6 · The paper itself

Abstract

Despite the implementation of internet patient portals into the safety net after the introduction of the Affordable Care Act in the United States, little attention has been paid to the process of engaging vulnerable patients into these portals. The portal is a health technology tool that was developed with a mainstream, English-speaking audience in mind. Thus, there are valid concerns that such technologies will actually exacerbate health care disparities, conferring further advantages to the already advantaged. In this paper, we describe a framework for portal engagement (awareness, registration, and use) among safety net patients. We incorporate the experiences in the Los Angeles County Department of Health Services to illustrate important contextual factors for portal outreach in our safety net. Finally, we discuss considerations for moving forward with health technology in the safety net as the next version of patient portals are being developed.

Indexed as

FemaleHealthcare DisparitiesHumansMalePatient PortalsPatient Protection and Affordable Care Actdigital dividehealth disparitiespatient portalsafety net

Identifiers

PMID33094732
PMCPMC7647808
OpenAlexW3041938104

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.