Douglas Roblin|T. K. Houston|Jeroan J. Allison|Peter Joski|Edmund R. Becker
Disparities in Use of a Personal Health Record in a Managed Care Organization
Kaiser Permanente|University of Alabama at Birmingham|Quality Enhancement Research Initiative|University of Alabama at Birmingham|Kaiser Permanente|Emory University
objective personal health records phrs increase patient access health care information however use phrs may unequal raceethnicity design authors conducted 2year cohort study 20052007 assessing differences rates registration kporg component kaiser permanente electronic health record ehr measurements baseline 1777 2559 year old kaiser permanente georgia enrollees registered kporg responded mixed mode written internet survey baseline ehr kporg data linked time kporg registration race 10105 censoring disenrollment kaiser permanente adjusted baseline education comorbidity patient activation completion baseline survey online vs paper using cox proportional hazards results 1777 347 616 registered kporg oct 2005 nov 2007 median time registering kporg account 409 days among african americans 301 registered compared 417 whites p 001 hazards model african americans less likely register whites hazard ratio hr 0652 95 ci 05490776 despite adjustment baseline internet access likely register hr 1629 95 ci 12942050 significant educational gradient also observed likely registration higher educational levels conclusions differences education income internet access account disparities phr registration race shortterm attempts improve patient access health care phrs may ameliorate prevailing disparities african americans whites