Otokiti Ahmed, Williams Karmen S, Warsame Leyla
Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Senyaun Consulting, Brenham, TX, USA.
Healthc Inform Res. 2020 Jul;26(3):220-228. doi: 10.4258/hir.2020.26.3.220. Epub 2020 Jul 31.
Our study aimed to determine the effect of the digital divide in the adoption of online patient portals by motivated patients who wish to improve their health outcomes through the use of the Internet and information technology to assess determinants of low adoption rates of online portals and to explore social media use as a correlation to patient portal use.
We utilized data from the Health Information National Trends Survey (HINTS) 2017 and 2018. We performed a cross-sectional study analyzing the outcome variable of patient portal use with several predictor variables, namely, age, marital status, gender, mental health, education, Medicaid, income, number of people in household, trust, social media, chronic disease, and health app use. Basic descriptive statistics and logistic regression were performed using SPSS version 25.
Our study found that low adoption rates go beyond the digital divide. A correlation exists between social media use and patient portal use, and the impact of previously identified factors on patients with self-motivation for health improvement.
Self-motivation is an important factor in patient portal use and access. Behavioral and motivational interventions geared towards the adoption of health information technology tools, such as online portals, can assist with improving the public health significance of these tools.
我们的研究旨在确定数字鸿沟对那些希望通过使用互联网和信息技术改善健康状况的积极患者采用在线患者门户的影响，评估在线门户采用率低的决定因素，并探讨社交媒体使用与患者门户使用之间的相关性。
我们利用了2017年和2018年健康信息国家趋势调查（HINTS）的数据。我们进行了一项横断面研究，分析患者门户使用这一结果变量与几个预测变量之间的关系，这些预测变量包括年龄、婚姻状况、性别、心理健康、教育程度、医疗补助、收入、家庭人口数量、信任度、社交媒体使用、慢性病和健康应用程序使用情况。使用SPSS 25版进行基本描述性统计和逻辑回归分析。
我们的研究发现，低采用率不仅仅是数字鸿沟的问题。社交媒体使用与患者门户使用之间存在相关性，并且先前确定的因素对有自我健康改善动机的患者有影响。
自我激励是患者使用和访问患者门户的一个重要因素。针对采用健康信息技术工具（如在线门户）的行为和动机干预措施，可以帮助提高这些工具对公共卫生的重要性。
