ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2022
Midwest rural-urban disparities in use of patient online services for COVID-19.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 11 citations in OpenAlex.
- A scoping review of studies on secure messaging through patient portals: persistent challenges and potential solutions.npj health systems · 2026Article
- Measurement, drivers, and outcomes of patient-initiated secure messaging use and intensity: a scoping review.JAMIA open · 2025Review
- Machine Learning Analysis of Factors Influencing Pediatric Telehealth Visits During COVID-19: A State-Level Comparison Using 2021-22 National Survey of Children's Health Data.Healthcare (Basel, Switzerland) · 2024Article
- Automatic uncovering of patient primary concerns in portal messages using a fusion framework of pretrained language models.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Understanding Primary and Secondary Concerns from Patient Portal Messages through Clinical Data Annotation, Analysis, and Modeling.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024Article
- Health Disparities, Clinical Trials, and the Digital Divide.Mayo Clinic proceedings · 2023Review
- Postdischarge Video Visits for Adherence to Hospital Discharge Recommendations: A Randomized Clinical Trial.Mayo Clinic proceedings. Digital health · 2023Article
- Exploring factors that influence the behavioural intention of medical students to use 3D gastroscopic model to learn how to operate gastroscope using UTAUT Model.BMC medical education · 2023Article
- COVID-19 preparedness and response in rural and remote areas: A scoping review.PLOS global public health · 2023Article
- Midwest rural-urban disparities in use of patient online services for COVID-19.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022Article
Corrections and comments
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Authors and funding
16 authors at 2 institutions in 1 country.
Funding
Abstract
purposeRural populations are disproportionately affected by the COVID-19 pandemic. We characterized urban-rural disparities in patient portal messaging utilization for COVID-19, and, of those who used the portal during its early stage in the Midwest.
methodsWe collected over 1 million portal messages generated by midwestern Mayo Clinic patients from February to August 2020. We analyzed patient-generated messages (PGMs) on COVID-19 by urban-rural locality and incorporated patients' sociodemographic factors into the analysis.
findingsThe urban-rural ratio of portal users, message senders, and COVID-19 message senders was 1.18, 1.31, and 1.79, indicating greater use among urban patients. The urban-rural ratio (1.69) of PGMs on COVID-19 was higher than that (1.43) of general PGMs. The urban-rural ratios of messaging were 1.72-1.85 for COVID-19-related care and 1.43-1.66 for other health care issues on COVID-19. Compared with urban patients, rural patients sent fewer messages for COVID-19 diagnosis and treatment but more messages for other reasons related to COVID-19-related health care (eg, isolation and anxiety). The frequent senders of COVID-19-related messages among rural patients were 40+ years old, women, married, and White.
conclusionsIn this Midwest health system, rural patients were less likely to use patient online services during a pandemic and their reasons for its use differ from urban patients. Results suggest opportunities for increasing equity in rural patient engagement in patient portals (in particular, minority populations) for COVID-19. Public health intervention strategies could target reasons why rural patients might seek health care in a pandemic, such as social isolation and anxiety.
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