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Disparities in Pediatric Patient Portal Activation and Feature Use

OBJECTIVE: Disparities in adult patient portal adoption are well-documented; however, less is known about disparities in portal adoption in pediatrics. This study examines the prevalence and factors associated with patient portal activation and the use of specific portal features in general pediatri...

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Autores principales: LeLaurin, Jennifer H, Nguyen, Oliver T, Thompson, Lindsay A, Hall, Jaclyn, Bian, Jiang, Cho, Hee Deok, Acharya, Ratna, Harle, Christopher A, Salloum, Ramzi G
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8480543/
https://www.ncbi.nlm.nih.gov/pubmed/34604712
http://dx.doi.org/10.1093/jamiaopen/ooab086
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author LeLaurin, Jennifer H
Nguyen, Oliver T
Thompson, Lindsay A
Hall, Jaclyn
Bian, Jiang
Cho, Hee Deok
Acharya, Ratna
Harle, Christopher A
Salloum, Ramzi G
author_facet LeLaurin, Jennifer H
Nguyen, Oliver T
Thompson, Lindsay A
Hall, Jaclyn
Bian, Jiang
Cho, Hee Deok
Acharya, Ratna
Harle, Christopher A
Salloum, Ramzi G
author_sort LeLaurin, Jennifer H
collection PubMed
description OBJECTIVE: Disparities in adult patient portal adoption are well-documented; however, less is known about disparities in portal adoption in pediatrics. This study examines the prevalence and factors associated with patient portal activation and the use of specific portal features in general pediatrics. MATERIALS AND METHODS: We analyzed electronic health record data from 2012 to 2020 in a large academic medical center that offers both parent and adolescent portals. We summarized portal activation and use of select portal features (messaging, records access and management, appointment management, visit/admissions summaries, and interactive feature use). We used logistic regression to model factors associated with patient portal activation among all patients along with feature use and frequent feature use among ever users (ie, ≥1 portal use). RESULTS: Among 52 713 unique patients, 39% had activated the patient portal, including 36% of patients aged 0–11, 41% of patients aged 12–17, and 62% of patients aged 18–21 years. Among activated accounts, ever use of specific features ranged from 28% for visit/admission summaries to 92% for records access and management. Adjusted analyses showed patients with activated accounts were more likely to be adolescents or young adults, white, female, privately insured, and less socioeconomically vulnerable. Individual feature use among ever users generally followed the same pattern. CONCLUSIONS: Our findings demonstrate that important disparities persist in portal adoption in pediatric populations, highlighting the need for strategies to promote equitable access to patient portals.
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spelling pubmed-84805432021-09-30 Disparities in Pediatric Patient Portal Activation and Feature Use LeLaurin, Jennifer H Nguyen, Oliver T Thompson, Lindsay A Hall, Jaclyn Bian, Jiang Cho, Hee Deok Acharya, Ratna Harle, Christopher A Salloum, Ramzi G JAMIA Open Research and Applications OBJECTIVE: Disparities in adult patient portal adoption are well-documented; however, less is known about disparities in portal adoption in pediatrics. This study examines the prevalence and factors associated with patient portal activation and the use of specific portal features in general pediatrics. MATERIALS AND METHODS: We analyzed electronic health record data from 2012 to 2020 in a large academic medical center that offers both parent and adolescent portals. We summarized portal activation and use of select portal features (messaging, records access and management, appointment management, visit/admissions summaries, and interactive feature use). We used logistic regression to model factors associated with patient portal activation among all patients along with feature use and frequent feature use among ever users (ie, ≥1 portal use). RESULTS: Among 52 713 unique patients, 39% had activated the patient portal, including 36% of patients aged 0–11, 41% of patients aged 12–17, and 62% of patients aged 18–21 years. Among activated accounts, ever use of specific features ranged from 28% for visit/admission summaries to 92% for records access and management. Adjusted analyses showed patients with activated accounts were more likely to be adolescents or young adults, white, female, privately insured, and less socioeconomically vulnerable. Individual feature use among ever users generally followed the same pattern. CONCLUSIONS: Our findings demonstrate that important disparities persist in portal adoption in pediatric populations, highlighting the need for strategies to promote equitable access to patient portals. Oxford University Press 2021-09-29 /pmc/articles/PMC8480543/ /pubmed/34604712 http://dx.doi.org/10.1093/jamiaopen/ooab086 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of the American Medical Informatics Association. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Research and Applications
LeLaurin, Jennifer H
Nguyen, Oliver T
Thompson, Lindsay A
Hall, Jaclyn
Bian, Jiang
Cho, Hee Deok
Acharya, Ratna
Harle, Christopher A
Salloum, Ramzi G
Disparities in Pediatric Patient Portal Activation and Feature Use
title Disparities in Pediatric Patient Portal Activation and Feature Use
title_full Disparities in Pediatric Patient Portal Activation and Feature Use
title_fullStr Disparities in Pediatric Patient Portal Activation and Feature Use
title_full_unstemmed Disparities in Pediatric Patient Portal Activation and Feature Use
title_short Disparities in Pediatric Patient Portal Activation and Feature Use
title_sort disparities in pediatric patient portal activation and feature use
topic Research and Applications
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8480543/
https://www.ncbi.nlm.nih.gov/pubmed/34604712
http://dx.doi.org/10.1093/jamiaopen/ooab086
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