CATALYST-The Center for the Advancement of Team Science, Analytics, and Systems Thinking, College of Medicine, Institute for Behavioral Medicine Research, The Ohio State University, Columbus, Ohio, USA.
Department of Biomedical Informatics, College of Medicine, Institute for Behavioral Medicine Research, The Ohio State University, Columbus, Ohio, USA.
J Am Med Inform Assoc. 2022 Jan 12;29(2):364-371. doi: 10.1093/jamia/ocab242.
To report the relationship of outpatient portal (OPP) use with clinical risk, area social determinants of health (SDoH), and race/ethnicity among pregnant women. Regression models predicting overall and individual portal feature use (main effects and interactions) based on key variables were specified using log files and clinical data. Overall OPP use among non-Hispanic Black women or patients who lived in lower SDoH neighborhoods were significantly less. High-risk pregnancy patients were likely to use the OPP more than those with normal-risk pregnancy. We found similar associations with individual OPP features, like Visit (scheduling) and My Record (test results). We also found significant interactive associations between race/ethnicity, clinical risk, and SDoH. Non-Hispanic Black women and those living in lower SDoH areas used OPP less than non-Hispanic White women from similar or affluent areas. More research must be conducted to learn of OPP use implications for pregnant women with specific clinical diagnoses.
报告门诊门户（OPP）的使用与孕妇临床风险、地区社会决定因素（SDoH）和种族/民族之间的关系。使用日志文件和临床数据，根据关键变量预测整体和个别门户功能使用（主要影响和交互作用）的回归模型。非西班牙裔黑人妇女或居住在 SDoH 较低地区的患者的 OPP 整体使用率明显较低。高危妊娠患者比正常风险妊娠患者更有可能使用 OPP。我们在个别 OPP 功能（如预约和我的记录（测试结果））方面也发现了类似的关联。我们还发现种族/民族、临床风险和 SDoH 之间存在显著的交互关联。非西班牙裔黑人妇女和居住在 SDoH 较低地区的人比来自类似或富裕地区的非西班牙裔白人妇女使用 OPP 更少。必须进行更多的研究，以了解 OPP 对具有特定临床诊断的孕妇的使用影响。
