Weiyun Chen, Steve Mason, Andrew Hypnar, Austin Bennett
Assessing Motor Skill Competency in Elementary School Students: A Three-Year Study
Journal of sports science & medicine
covid19 pandemic accelerated telemedicine mobile app use potentially changing historic model maternity care mychart widely adopted mobile app used health care settings specifically role facilitating communication health care providers patients messaging function secure patient portal however previous studies analyzing portal use obstetric populations demonstrated significant sociodemographic disparities portal enrollment messaging specifically showing patients low income nonhispanic black hispanic uninsured less likely use patient portals study aimed estimate changes patient portal use intensity prenatal care pandemic period identify sociodemographic clinical disparities continued pandemic retrospective cohort study used electronic medical record emr administrative data health systems enterprise data warehouse records obtained first pregnancy episode patients received antenatal care 8 academically affiliated practices delivered large urban academic medical center january 1 2018 july 22 2021 chicago illinois patients aged 18 years older attended 3 clinical encounters pregnancy practices used emr portal patients categorized number secure messages sent pregnancy nonusers infrequent 5 messages moderate 614 messages frequent 15 messages users monthly portal use intensity rates computed 43 months 2018 2021 covid19 pandemic shutdown logistic regression model estimated identify patient sociodemographic clinical subgroups highest portal nonuse among 12380 patients 2681 217 never used portal 2680 216 3754 303 3265 264 infrequent moderate frequent users respectively portal use intensity increased significantly study period particularly pandemic number nonusing patients decreased 2018 2021 996 3522 283 2018 227 1743 13 first 7 months 2021 conversely number patients 15 messages doubled 642 3522 182 2018 654 1743 375 2021 youngest patients nonhispanic black hispanic patients particularly nonenglishspeaking patients significantly higher odds continued nonuse patients preexisting comorbidities hypertensive disorders pregnancy diabetes history mental health conditions significantly associated higher portal use intensity reducing disparities messaging use require outreach assistance lowuse patient groups including education addressing health literacy encouraging appropriate effective use messaging