Perspect Health Inf Manag. 2022 Mar 15;19(Spring):1j. eCollection 2022 Spring.
To examine differences in rural and urban respondents' use of and access to patient portals in the United States, this study used the 2019 National Cancer Institute's Health Information National Trends Survey (HINTS) 5, Cycle 3. A cross-sectional secondary data analysis utilizing jackknife weighting procedures was used to generalize the findings to be nationally representative. Despite similar rates of providers maintaining an electronic medical record system, adjusted analyses found that rural respondents had lower odds of being offered access to a patient portal by their healthcare provider (OR: 0.60; 95 percent CI: 0.39-0.91) and accessing their patient portals in the last 12 months (OR: 0.62; 95 percent CI: 0.43-0.91) when compared to their urban counterparts. Additional research is needed to determine effective strategies for overcoming geographic and structural barriers to adoption of this technology by rural residents.
为了研究美国农村和城市居民在使用和获取患者门户方面的差异，本研究使用了 2019 年美国国家癌症研究所的健康信息国家趋势调查（HINTS）5 号，第 3 周期的数据。本研究采用了jackknife 加权程序的横断面二次数据分析，以将研究结果推广到全国范围内具有代表性。尽管提供者维持电子病历系统的比例相似，但调整后的分析发现，与城市居民相比，农村居民获得医疗服务提供者提供的患者门户访问权限的可能性较低（OR：0.60；95%CI：0.39-0.91），并且在过去 12 个月内访问其患者门户的可能性也较低（OR：0.62；95%CI：0.43-0.91）。需要进一步研究，以确定有效的策略，克服农村居民采用这种技术的地理和结构障碍。
