Cyrus K. Yamin|Sirisha Emani|Deborah H. Williams|Stuart R. Lipsitz|Andrew S. Karson|Jonathan S. Wald|David W. Bates
The Digital Divide in Adoption and Use of a Personal Health Record
General Department of Preventive Medicine|Brigham and Women's Hospital|Harvard University|Massachusetts General Hospital|Boston University|General Department of Preventive Medicine|Brigham and Women's Hospital|Harvard University|Massachusetts General Hospital|Boston University|General Department of Preventive Medicine|Brigham and Women's Hospital|Harvard University|Massachusetts General Hospital|Boston University|General Department of Preventive Medicine|Brigham and Women's Hospital|Harvard University|Massachusetts General Hospital|Boston University|General Department of Preventive Medicine|Brigham and Women's Hospital|Harvard University|Massachusetts General Hospital|Boston University|General Department of Preventive Medicine|Brigham and Women's Hospital|Harvard University|Massachusetts General Hospital|Boston University|General Department of Preventive Medicine|Brigham and Women's Hospital|Harvard University|Massachusetts General Hospital|Boston University
background personal health records phrs offer potential improve patient experience quality patient carehowever digital divide populationlevel gap internet computer access may prevent certain groups accessing phrmethods conducted crosssectional analysis phr within northeastern health systemwe compared adopters ie activating phr account online nonadopters ie see physician offering phr activate accountwe categorized adopters intensity phr use measured number logins number messages sent physicians practicesresults september 30 2009 among 75 056 patients 43 adopted phr since 2002blacks hispanics less likely adopt phr compared whites odds ratio 050 95 confidence interval ci 045055and 064 057073respectively