Evidence map›Paper›PMID 35132548›Full record

ArticleJournal of general internal medicine2022

Acceptability of Health Information Exchange and Patient Portal Use in Depression Care Among Underrepresented Patients.

Elizabeth B Matthews, Margot Savoy, Anuradha Paranjape, Diana Washington, Treanna Hackney, Danielle Galis, Yaara Zisman-Ilani

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Elizabeth B MatthewsGraduate School of Social Service, Fordham University, New York, NY, USA. ematthews13@fordham.edu.ORCID 0000-0002-7261-1965
Margot SavoyLewis Katz School of Medicine, Temple University, Philadelphia, PA, USA.
Anuradha ParanjapeLewis Katz School of Medicine, Temple University, Philadelphia, PA, USA.
Diana WashingtonAmerican Academy of Family Physicians, Washington, DC, USA.
Treanna HackneyCollege of Public Health, Temple University, Philadelphia, PA, USA.
Danielle GalisGraduate School of Social Service, Fordham University, New York, NY, USA.
Yaara Zisman-IlaniCollege of Public Health, Temple University, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDepression is often untreated or undertreated, particularly among underrepresented groups, such as racial and ethnic minorities, and individuals of lower socioeconomic status. Electronic health information exchange (HIE) is a recommended practice to improve care coordination and encourage patient engagement in services, but it remains underutilized in depression care. Understanding factors affecting acceptance and adoption of this technology among underrepresented patient populations is needed to increase dissemination of HIE within mental health treatment.

objectiveThe present study aims to identify patient barriers and facilitators towards the acceptance of HIE within the context of depression treatment and to examine how HIE impacts depression-related care coordination and patient activation.

designSemi-structured qualitative interviews were conducted with 27 patients.

participantsRespondents were English-speaking adults (> 18) receiving depression treatment within a large, safety-net primary care clinic. APPROACH: A grounded theory approach was used to code and analyze data for emergent themes. Thematic analysis was guided by the Unified Theory of Acceptance and Use of Technology, a leading informatics theory used to predict end-user adoption of technology. KEY

resultsRespondents reported that HIE made depression care more convenient, transparent, and trustworthy. Though respondents desired greater access to their health records, stigma surrounding depression inhibited acceptance of electronic communication and information sharing. Confusing electronic interface also diminished perceived benefits of HIE. CONCLUSION(S): Respondents desire greater transparency in their depression care. While HIE was perceived to improve the overall quality of depression care, stigma associated with mental illness undermined more robust adoption of this technology among underserved populations.

Indexed as

Health Information ExchangePatient PortalsAdultDepressionElectronic Health RecordsHumansInformation DisseminationDepressionHealth disparitiesHealth information exchangePatient portalsUnified Theory of Acceptance and Use of Technology

Identifiers

PMID35132548
PMCPMC8821856

What OpenQuestion holds

Textmetadata
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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.