Ana Luísa Neves|Katelyn R. Smalley|Lisa Freise|Paul Harrison|Ara Darzi|Erik Mayer
Determinants of Use of the Care Information Exchange Portal: Cross-sectional Study
NIHR Imperial Biomedical Research Centre|Imperial College London|Centre for Health Technology and Services Research|Universidade do Porto|NIHR Imperial Biomedical Research Centre|Imperial College London|NIHR Imperial Biomedical Research Centre|Imperial College London|Imperial College Healthcare NHS Trust|National Health Service|NIHR Imperial Biomedical Research Centre|Imperial College London|NIHR Imperial Biomedical Research Centre|Imperial College London
sharing electronic health records patients shown improve patient safety quality care patient portals represent convenient tool enhance patient access health care data however success portals possible sustained adoption end users patients better understanding characteristics users nonusers critical understanding groups remain excluded using toolsthis study aims identify determinants use care information exchange shared patient portal program united kingdoma crosssectional study conducted using webbased questionnaire information collected included age gender ethnicity educational level health status postcode digital literacy registered individuals defined account created portal independent actual use platform users defined ever used portal multivariate logistic regression used model probability user statistical analysis performed r tableau used create maps proportion care information exchange users postcode areaa total 1083 participants replied survey 186 estimated minimum target sample proportion users 6158 6671083 among 385667 577 used portal least month characterize systems users nonusers performed subanalysis sample including participants provided least information regarding gender age subanalysis included 650 individuals 389650 598 women 551650 848 40 years participants white 498650 766 resided london 420650 646 individuals higher educational degree undergraduate professional postgraduate higher higher odds portal user adjusted odds ratio 158 95 ci 104239 238 95 ci 142402 respectively compared secondary degree higher digital literacy scores 30 associated higher odds user adjusted 296 95 ci 202435 good overall health status lower odds user adjusted 058 95 ci 037091this work adds growing body evidence highlighting importance educational aspects educational level digital literacy adoption patient portals research describe also systematically address inequalities patientcentered interventions aimed reducing digital divide health care providers policy makers must partner investing delivering strategic programs improve access technology digital literacy effort improve digital inclusion reduce inequities delivery care