Mustafa Güleç, Erdem Deveci, Lutfullah Beşiroğlu, Murat Boysan, Temel Kalafat, Elif Oral
Development of a Psychometric Instrument Based on the Inference-Based Approach to Obsessive-Compulsive Disorder: The Obsessional Probabilistic Inference Scale
Noro psikiyatri arsivi
patients inequitable access patient portals frequently present emergency departments eds care little known portal use patterns among ed patients describe realtime patient portal usage trends among ed patients compare demographic clinical characteristics portal users nonusers crosssectional study 12 teaching 24 academicaffiliated eds 8 health systems california connecticut massachusetts ohio tennessee texas washington patient portal access usage data evaluated ed patients 18 years older april 5 2021 april 4 2022 use patient portal ed visit primary outcomes weekly proportions ed patients logged portal viewed test results viewed clinical notes real time pooled randomeffects models used evaluate temporal trends demographic clinical characteristics associated realtime portal use study included 1 280 924 unique patient encounters 535 female 06 american indian alaska native 37 asian 180 black 107 hispanic 04 native hawaiian pacific islander 665 white 100 race 40 missing race ethnicity 912 englishspeaking patients mean sd age 519 192 years study 174 patients logged portal ed whereas 141 viewed test results 25 viewed clinical notes odds accessing portal odds ratio 136 95 ci 119156 viewing test results 163 95 ci 130204 viewing clinical notes 160 95 ci 119215 higher end study vs beginning patients active portal accounts ed arrival higher odds logging portal 1773 95 ci 9373356 viewing test results 1850 95 ci 9623557 viewing clinical notes 1840 95 ci 10313286 patients male black without commercial insurance lower odds logging portal viewing results viewing clinical notes findings suggest realtime patient portal use ed encounters increased time disparities exist portal access mirror trends portal usage generally given emergency medicines role caring medically underserved patients opportunities eds enroll train patients using patient portals promote engagement visits