Manisha Jhamb|Kerri L. Cavanaugh|Aihua Bian|Guanhua Chen|T. Alp ?kizler|Mark L. Unruh|Khaled Abdel-Kader
Disparities in Electronic Health Record Patient Portal Use in Nephrology Clinics
University of Pittsburgh|Vanderbilt University|Vanderbilt University|University of New Mexico
electronic health record ehr patient portals allow individuals access medical information intent patient empowerment however little known portal use nephrology patients addressed gap characterizing adoption ehr portal assessing secular trends examining association portal adoption bp control 14090 mmhgpatients seen january 1 2010 december 31 2012 four universityaffiliated nephrology offices least one additional nephrology followup visit june 30 2013 included sociodemographic characteristics comorbidities clinical measurements office visits abstracted ehr neighborhood median household income obtained american community survey 2012of 2803 patients 1098 39 accessed portal 87 users reviewed laboratory results 85 reviewed medical information eg medical history 85 reviewed altered appointments 77 reviewed medications 65 requested medication refills 31 requested medical advice renal provider adjusted models older age africanamerican race odds ratio 050 95 confidence interval 95 ci 039 064 medicaid status 053 95 ci 036 077 lower neighborhood median household income associated accessing portal portal adoption increased time 2011 versus 2010 138 95 ci 109 175 2012 versus 2010 195 95 ci 144 264 portal adoption correlated bp control patients diagnosis hypertension however fully adjusted model somewhat attenuated longer statistically significant 111 95 ci 099 124while portal adoption appears increasing greater attention needed understand vulnerable populations access future research examine barriers use ehealth technologies underserved patients ckd interventions address potential improve outcomes