Daniel Miklin|Sameera S Vangara|Alan M. Delamater|Kenneth W. Goodman
Understanding of and Barriers to Electronic Health Record Patient Portal Access in a Culturally Diverse Pediatric Population
University of Miami|University of Miami|University of Miami|University of Miami
electronic health records ehrs become standard health care setting effort improve health literacy foster doctorpatient communication ease transition adolescent adult care institution created policy allows patients aged 13 17 years ehr portal access literature review revealed predictable differences portal registration among different ethnicities socioeconomic statuses consequently crosssectional survey developed investigate barriers ehr portal access sample culturally diverse adolescentsthe aim study assess barriers ehr portal access culturally diverse adolescent populationa 42item anonymous survey completed 97 adolescents aged 13 18 years attending general pediatrics clinics results analyzed using descriptive statistics teststhe average participant age 155 sd 15 years 60 5897 male 40 3997 female participants 44 4397 black 41 4097 hispanic 9 997 caucasian 3 397 asian 2 297 others statistically significant differences perceptions confidentiality age 13 15 years vs 16 18 years p001 insurance status government vs private p012 gender ethnicity parental education level younger adolescents governmental insurance confident level confidentiality physician total 94 participants heard term ehr 55 familiar function furthermore 77 patients primarily accessed internet phones 50 participants knew patients aged 18 years could obtain care mental health substance abuse sexual health pregnancythis research identified gaps ehr technology regard pediatric patient population results survey show adolescents may misconceptions regarding doctorpatient relationship ability obtain care modalities present ehr technology progresses essential deeper understanding adolescents perceptions confidentiality technology available resources design ehr system encourages patient education communication limiting barriers care