ArticleJournal of the American Medical Informatics Association : JAMIA2023
Digital healthcare equity in primary care: implementing an integrated digital health navigator.
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. It is linked to trial NCT06283992 (Digital Health Navigation for Latino Patients With Type II Diabetes), which is not on this map. Cited by 45 papers, 3 of them syntheses that pooled 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.
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.
Digital Health Navigation for Latino Patients With Type II Diabetes: A Randomized Controlled Trial
Who cites it
45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Strategies to improve telehealth access for culturally and linguistically diverse communities: a systematic review.Journal of public health (Oxford, England) · 2025Pooled it
- Reporting Quality of AI Intervention in Randomized Controlled Trials in Primary Care: Systematic Review and Meta-Epidemiological Study.Journal of medical Internet research · 2025Pooled it
- Digital management of diabetes global research trends: a bibliometric study.Frontiers in medicine · 2025Pooled it
- Importance of Prior Patient Interactions With the Healthcare System to Engaging With Pretest Cancer Genetic Services via Digital Health Tools Among Unaffected Primary Care Patients: Findings From the BRIDGE Trial.Health services research · 2026Trial
- Bridging Technology and Pretest Genetic Services: Quantitative Study of Chatbot Interaction Patterns, User Characteristics, and Genetic Testing Decisions.Journal of medical Internet research · 2025Trial
- Effect of digital tools to promote hospital quality and safety on adverse events after discharge.Journal of the American Medical Informatics Association : JAMIA · 2024Trial
- A mixed-methods study characterizing patient experiences with digital survivorship services and preferences for care at a rural cancer center.Journal of cancer survivorship : research and practice · 2026Article
- Practical Digital Competence and Psychosocial Well-Being Among Adults with Severe Disabilities: Cross-Sectional Indirect Associations Through Perceived Self-Determination in Daily Life.Healthcare (Basel, Switzerland) · 2026Article
- The Role of Trust in Text Messaging for Promoting Patient Portal Activation Among Low-Income Patients: Quality Improvement Project.JMIR formative research · 2026Article
- Closing the digital divide for hemodialysis patients: implementing technology training and support in a digital patient activation intervention.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Expected Competencies and Personal Attributes of Digital Health Navigators to Support Digital Mental Health Care: Focus Group and Interview Study With Patients and Health Care Professionals.JMIR mental health · 2026Article
- Access to Technology-Mediated Community Mental Health Care Among Low-Socioeconomic Status Consumers With Serious Mental Illness: Qualitative Study.JMIR formative research · 2026Article
- A scoping review of the characteristics, responsibilities, implementations and evaluations of digital navigators in healthcare.NPJ digital medicine · 2026Article
- Bridging the Digital Divide with Digital Navigation in the California Safety Net: A Mixed-Methods Study.Journal of general internal medicine · 2026Article
- Telepathology and Mobile Health System for Province-Wide Pathology Consultation in Henan, China: Retrospective Evaluation Study.Journal of medical Internet research · 2026Observational
- Patient and Clinician Perspectives on Expanding Telehealth Use for Older Adults Across the Cancer Control Continuum: Mixed Methods Study.JMIR cancer · 2026Article
- Access to digital health technologies: personalized framework and global perspectives.Nature reviews. Cardiology · 2026Review
- Digital health literacy in safety-net primary care: a needs assessment and call to action for health equity.Frontiers in digital health · 2026Article
- Article
- The innovation of the clinical assistant role in a virtual emergency department: building digital health capability while supporting equitable access.Frontiers in health services · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
The 21st Century Cures Act and the rise of telemedicine led to renewed focus on patient portals. However, portal use disparities persist and are in part driven by limited digital literacy. To address digital disparities in primary care, we implemented an integrated digital health navigator program supporting portal use among patients with type II diabetes. During our pilot, we were able to enroll 121 (30.9%) patients onto the portal. Of newly enrolled or trained patients, 75 (62.0%) were Black, 13 (10.7%) were White, 23 (19.0%) were Hispanic/Latinx, 4 (3.3%) were Asian, 3 (2.5%) were of another race or ethnicity, and 3 (2.5%) had missing data. Our overall portal enrollment for clinic patients with type II diabetes increased for Hispanic/Latinx patients from 30% to 42% and Black patients from 49% to 61%. We used the Consolidated Framework for Implementation Research to understand key implementation components. Using our approach, other clinics can implement an integrated digital health navigator to support patient portal use.
Indexed as
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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.