Jessica S. Ancker|Yolanda Barrón|Maxine L. Rockoff|Diane Hauser|Michelle Pichardo|Adam Szerencsy|Neil Calman
Use of an Electronic Patient Portal Among Disadvantaged Populations
Cornell University|Cornell University|Columbia University|Institute for Family Health|Institute for Family Health|Institute for Family Health|Institute for Family Health
electronic patient portals give patients access information electronic health record ability message providers tools becoming widely used expected promote patient engagement health careto quantify portal usage explore potential differences adoption use according patients socioeconomic clinical characteristics network federally qualified health centers serving new york city neighboring countiesretrospective analysis data portal electronic health records74368 adult patients seen april 2008 april 2010odds receiving access code portal activating account using portal onceover 2 years study 16 patients n 11903 received access code 60 n 7138 activated account 49 n 5791 used account two times patients chronic conditions likely receive access code become repeat users addition odds receiving access code significantly higher whites women younger patients english speakers insured odds repeat portal use among activated accounts increased white race english language private insurance medicaid compared insurance racial disparities small persisted models controlled language insurance health statuswe found good early rates adoption use electronic patient portal first 2 years deployment among predominantly lowincome population especially among patients chronic diseases disparities access usage portal evident smaller reported recently populations continued efforts needed ensure portals usable used disadvantaged groups patients benefit equally technologies