Davis Sharon E, Osborn Chandra Y, Kripalani Sunil, Goggins Kathryn M, Jackson Gretchen Purcell
Vanderbilt University Medical Center, Nashville, Tennessee.
AMIA Annu Symp Proc. 2015 Nov 5;2015:1871-80. eCollection 2015.
Patient portal adoption has rapidly increased, and portal usage has been associated with patients' sociodemographics, health literacy, and education. Research on patient portals has primarily focused on the outpatient setting. We explored whether health literacy and education were associated with portal usage in an inpatient population. Among 60,159 admissions in 2012-2013, 23.3% of patients reported limited health literacy; 50.4% reported some post-secondary education; 34.4% were registered for the portal; and 23.4% of registered patients used the portal during hospitalization. Probability of registration and inpatient portal use increased with educational attainment. Health literacy was associated with registration but not inpatient use. Among admissions with inpatient use, educational attainment was associated with viewing health record data, and health literacy was associated use of appointment and health education tools. The inpatient setting may provide an opportunity to overcome barriers to patient portal adoption and reduce disparities in use of health information technologies.
患者门户网站的采用率迅速上升，且门户网站的使用与患者的社会人口统计学特征、健康素养和教育程度有关。对患者门户网站的研究主要集中在门诊环境。我们探讨了健康素养和教育程度与住院患者使用门户网站之间是否存在关联。在2012年至2013年的60159例住院病例中，23.3%的患者报告健康素养有限；50.4%的患者报告接受过一些高等教育；34.4%的患者注册了门户网站；23.4%的注册患者在住院期间使用了门户网站。注册和住院患者使用门户网站的可能性随着教育程度的提高而增加。健康素养与注册有关，但与住院患者的使用无关。在有住院患者使用门户网站的住院病例中，教育程度与查看健康记录数据有关，而健康素养与预约和健康教育工具的使用有关。住院环境可能提供一个机会，以克服采用患者门户网站的障碍，并减少健康信息技术使用方面的差异。
