Lisa V. Grossman|Ruth Masterson Creber|Jessica S. Ancker|Beatriz Ryan|Fernanda Polubriaginof|Min Qian|Irma J. Alarcon|Susan Restaino|Suzanne Bakken|George Hripcsak|David K. Vawdrey
Technology Access, Technical Assistance, and Disparities in Inpatient Portal Use
Columbia University|Cornell University|Cornell University|New York Hospital Queens|NewYork–Presbyterian Hospital|New York Hospital Queens|NewYork–Presbyterian Hospital|Columbia University|Columbia University|NewYork–Presbyterian Hospital|Columbia University|Columbia University|New York Hospital Queens|Columbia University|NewYork–Presbyterian Hospital
disadvantaged populations including minorities elderly use patient portals less often relatively advantaged populations limited access experience technology contribute disparities free access devices internet technical assistance may eliminate disparities portal useto examine predictors frequent versus infrequent portal use among hospitalized patients received free access ipad internet technical assistancethis subgroup analysis includes 146 interventionarm participants pragmatic randomized controlled trial inpatient portal participants received free access ipad inpatient portal hospitalized medical surgical cardiac units together handson help using used logistic regression identify characteristics predictive frequent usemore technology experience adjusted odds ratio 539 p 0049 less severe illness adjusted 207 p 0077 private insurance adjusted 225 p 0043 predicted frequent use predictive performance area curve 656 significant differences age gender race ethnicity level education employment status patient activation existed frequent infrequent users bivariate analyses significantly frequent users noticed medical errors hospital stayportal use associated several sociodemographic characteristics previously found limit use inpatient setting however limited technology experience high illness severity still barriers frequent use future work explore additional strategies enrolling health care proxies improving usability reduce potential disparities portal use