ArticleFrontiers in digital health2026
Digital health literacy in safety-net primary care: a needs assessment and call to action for health equity.
Article in Frontiers in digital health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
Background: Digital literacy is a crucial social determinant of health. The COVID-19 pandemic's rapid shift to digital health services has widened disparities for older adults, racial and ethnic minorities, and low-income populations. Understanding barriers to electronic medical record (EMR) use is essential for equitable care in safety-net settings. Methods: We conducted a cross-sectional needs assessment survey ( Results: EMR use varied significantly by age among stable age groups, Conclusions: This study highlights a key tension: EMR engagement is lowest among older, retired, and Medicare-only patients, yet these groups show the greatest motivation to build digital health skills. Overall, 71.6% of participants report interest in learning digital health skills, with notably high interest among seniors (83.1%) and Spanish-speaking patients (83.1%, each analyzed as separate subgroups). These findings point to a strong opportunity for targeted interventions. We recommend integrating digital health navigators into primary care clinics, creating culturally tailored training programs with Spanish-language options, and advocating for user-centered EMR design to promote health equity in digital health access.
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