ArticleJMIR human factors2023
eHealth Literacy and Patient Portal Use and Attitudes: Cross-sectional Observational Study.
Article in JMIR human factors, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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Who cites it
32 citing papers in PubMed, 47 citations in OpenAlex.
- Patient Portal Adoption Barriers in a Safety-Net Clinic: A Mixed-Methods Study With National Comparison.The Permanente journal · 2026Article
- Nurses' Ethical Reasoning About Digital Ethical Risks: A Vignette-Elicited Qualitative Study.International nursing review · 2026Article
- Development of the E-Nabız Usage Behavior Scale: Validity and Reliability Study.Healthcare (Basel, Switzerland) · 2026Article
- Identifying trajectories across care modalities before and after COVID-19 using sequence analysis.NPJ digital medicine · 2026Article
- Article
- Digital Health Literacy in Elective Open-Heart Surgery Patients: Cross-Sectional Study.JMIR cardio · 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
- Patient-Centered Communication in Telehealth Settings.JAMA network open · 2026Article
- Homeless-experienced patients' perspectives on improving patient portal Use.Frontiers in digital health · 2026Article
- Quality of life and burden during the COVID-19 pandemic: a longitudinal study with family caregivers of persons living with Alzheimer's disease.Frontiers in psychology · 2026Article
- Health literacy and attitudes toward clinical AI: a cross-sectional study in Istanbul.Frontiers in digital health · 2026Article
- Trajectories of In-Person and Remote Care Utilization: A Sequence Analysis of Primary Care Modalities Pre- and Post-COVID-19.Research square · 2025Article
- Virtual Reality as RESPITE: Relief Exploration for Sickle Pain Through Interventions Using Technology Engagement: A Hospital-Based Observational Study.Journal of general internal medicine · 2025Observational
- Digital Divide in Awareness, Want, and Adoption Across Diverse eHealth Services: Cross-Sectional Survey of Inpatients in Jinan, China.Journal of medical Internet research · 2025Article
- Solutions for Increased Adoption of Patient Portal Shared Access: A Human-Centered Design Approach Using the Double Diamond Model.Applied clinical informatics · 2025Article
- Health Literacy Applications in Patients With Cancer.Clinical journal of oncology nursing · 2025Review
- Electronic Patient Portals as a Modality for Returning Reclassified Genetic Test Results.Molecular genetics & genomic medicine · 2025Article
- Patient Factors Associated With the Use of Online Portal Health Information in the Postpandemic Era: Cross-Sectional Analysis of a National Survey.Journal of medical Internet research · 2025Article
- Lower Use of and Potential Barriers to Using Patient Portals Among Limited English Proficient Latino and Chinese American Adults: A Health Techquity Concern.The Permanente journal · 2025Article
- Respectful Patient-Provider Communication and Patient Portal Usage in Pregnant People of Color.Health equity · 2025Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThroughout the COVID-19 pandemic, patient portals have become more widely used tools of patient care delivery. However, not all individuals have equivalent access or ability to use patient portals.
objectiveThe aim of this study is to evaluate the relationships between eHealth literacy (eHL) and patient portal awareness, use, and attitudes among hospitalized patients.
methodsInpatients completed patient portal surveys; eHL was assessed (eHealth Literacy Scale). Multivariable logistic regression analyses adjusted for age, self-reported race, gender, and educational attainment were completed with significance at P<.006 (Bonferroni correction).
resultsAmong 274 participants, most identified as Black (n=166, 61%) and female (n=140, 51%), mean age was 56.5 (SD 16.7) years, and 178 (65%) reported some college or higher educational attainment. One-quarter (n=79, 28%) had low eHL (mean 27, SD 9.5), which was associated with lower odds of portal access awareness (odds ratio 0.11, 95% CI 0.05-0.23; P<.001), having ever used portals (odds ratio 0.19, 95% CI 0.10-0.36; P<.001), less perceived usefulness of portals (odds ratio 0.20, 95% CI 0.10-0.38; P=.001), and lower likelihood of planning to use portals in the coming years (odds ratio 0.12, 95% CI 0.06-0.25; P<.001). As time through the COVID-19 pandemic passed, there was a trend toward increased perceived usefulness of patient portals (53% vs 62%, P=.08), but average eHL did not increase through time (P=.81).
conclusionsLow eHL was associated with less awareness, use, and perceived usefulness of portals. Perceived usefulness of portals likely increased through the COVID-19 pandemic, but patients' eHL did not. Interventions tailored for patients with low eHL could ensure greater equity in health care delivery through the COVID-19 pandemic.
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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.