ArticleJournal of the American Medical Informatics Association : JAMIA2023
Disparities in patient portal access and the role of providers in encouraging access and use.
Article in Journal of the American Medical Informatics Association : JAMIA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.
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.
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.
Who cites it
68 citing papers in PubMed, 109 citations in OpenAlex.
- Trial
- Monitoring Digital Health Equity Across the Digital Front Door: U.S. Trends in Broadband Access, Portal Offers, and Patient IT Use in 2017-2020.Healthcare (Basel, Switzerland) · 2026Article
- Patient-reported outcomes in radiotherapy (PRO-RT) utilizing an integrated patient portal; results from a prospective single-arm trial.JAMIA open · 2026Article
- Toward Family-Centered Patient Portals for Childhood Asthma Management Among Black Primary Caregivers: Qualitative Interview Study.JMIR pediatrics and parenting · 2026Article
- Patient Portal Adoption Barriers in a Safety-Net Clinic: A Mixed-Methods Study With National Comparison.The Permanente journal · 2026Article
- Connected care in a digital world: Engagement and telehealth use in older cancer survivors.Journal of geriatric oncology · 2026Article
- Patient Portal Activation Disparities by Ward, Census Tract, and Zip Code in an Urban Landscape Among Neurology Patients: Cross-Sectional Multi-Scale Analysis.Journal of medical Internet research · 2026Article
- Care Team Response to Patient Portal Message Content and Writing Style.JAMA network open · 2026Article
- Patient-Reported Experiences With Viewing and Understanding Test Results in Patient Portals: Cross-Sectional Survey Analysis.Journal of medical Internet research · 2026Article
- Effectiveness and Challenges of Electronic Health Record Use in the Bosomtwe District, Ashanti Region, Ghana; A Cross-Sectional Study.Health science reports · 2026Article
- Patient Characteristics Associated With Telehealth Use in a Large Federally Qualified Health Center.The Permanente journal · 2026Article
- Accessing Patient Portals: Some Patients Want a Helping Hand.Journal of the American Board of Family Medicine : JABFM · 2026Article
- Optimizing Digital Health Tools for Colorectal Cancer Screening Uptake in Federally Qualified Healthcare Centers: Insights From the Consolidated Framework for Implementation Research and Technology Acceptance Model.Journal of racial and ethnic health disparities · 2026Article
- Assessing the Effects of eHealth Literacy and the Area Deprivation Index on Barriers to Electronic Patient Portal Use for Orthopedic Surgery: Cross-Sectional Observational Study.JMIR perioperative medicine · 2026Observational
- Large Language Models in Radiologist-Patient Communication: A Narrative Review for Clinical Practice.Cureus · 2026Review
- United against racism: enhancing access and patient experience for black and Hispanic patients in Neuro-oncological care.Neurosurgical review · 2025Article
- A description of the development and initial evaluation of a patient navigator delivered patient portal enrollment program.Patient education and counseling · 2025Article
- Identifying, engaging, and supporting care partners in primary care settings: a portal-based intervention.BMC primary care · 2025Article
- A self-report measure of digital skills needed to use digital health tools among older adults-the Skills Measurement and Readiness Training for Digital Health (SMART Digital Health) Scale.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Patient-Physician Messaging by Race, Ethnicity, Insurance Type, and Preferred Language.JAMA network open · 2025Article
8 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of this study was to identify racial and ethnic disparities in patient portal offers, access, and use and to examine the role of providers in facilitating access to electronic health information (EHI) by offering patient portals and encouraging their use. MATERIALS AND
methodsUsing nationally representative survey data from 2019 and 2020 (N = 8028), we examined disparities in patients being offered access to a portal by their provider and differences in subsequent access and use. Using multivariable models, we estimated the effect of race and ethnicity on the likelihood of being offered, accessing or using a portal. Among those offered, we examined the relationship between provider encouragement and portal access; and for those who did not access their portal, we explored reasons for nonuse.
resultsBlack and Hispanic individuals were offered and accessed patient portals at significantly lower rates than White individuals. Compared to Whites, Black and Hispanic individuals were 5.2 percentage-points less likely to be offered a portal (P < .05) and, among those offered, 7.9 percentage-points less likely to access their portal (P < .05). Black and Hispanic individuals who were offered and accessed a portal were 12 percentage-points more likely than Whites to use it to download or transmit information (P < .01). Individuals who were offered a portal and encouraged to use it were 21 percentage-points more likely to access it. DISCUSSION: Differences in patient portal access and use are likely driven by disparities in which groups of patients reported being offered a portal.
conclusionsProviders play an important role in increasing access to EHI by facilitating access to patient portals.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.