Mita Sanghavi Goel|Theodore L. Brown|Anita Williams|Andrew Cooper|Romana Hasnain?Wynia|David W. Baker
Patient reported barriers to enrolling in a patient portal
Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University
previous studies patient portals found low rates enrollment significant disparities enrollment race ethnicity reasons findings unclear sought identify patient reported barriers enrollment patient portalwe conducted telephone survey patients one urban general internal medicine clinic patients eligible enroll within 30 days receiving electronic order inviting participation primary outcomes reasons enrolling patient portal b reasons attempting enrollment c perceived benefits portalparticipants n159 mean age 51 years 48 black 72 female 70 college degree greater 63 respondents enrolling reported never attempting enrollment despite remembering receiving order 63 attempt enrollment lack information motivation smaller proportions reported attempting enrollment negative attitudes toward portal 30 computer related obstacles 8 overall respondents favorably viewed patient portal features however black respondents less likely white respondents consider features assisting selfmanagement getting test results 69 vs 86 p005 important adjusting age gender education chronic disease substantially change resultsstrategies increase enrollment patient portals need ensure patients understand patient portal features receive followup reminders interventions reduce racial disparities enrollment must address attitudinal barriers focus solely improving access