Yang Jiahua, Mackert Michael, De Luca Daniela, Dove Sophia Annette
Stan Richards School of Advertising and Public Relations, University of Texas at Austin, 300 W. Dean Keeton St., Austin, TX, 78712-1069, United States, 1 2106178014.
Dell Medical School, University of Texas at Austin, Austin, TX, United States.
JMIR Form Res. 2025 Jul 28;9:e66717. doi: 10.2196/66717.
Despite legislative action, pre-existing barriers continue to prevent patients from using patient portals. Patients, especially older people, people of color, and people with limited English proficiency continue to experience difficulty in adopting patient portals.
The aim of this study was to advance understanding, explore willingness to adopt an electronic portal, and examine differences between language preferences.
English- and Spanish-speaking patients (N=106) were surveyed from a community clinic regarding access to electronic devices and the internet, barriers to using a patient portal, willingness to adopt such a portal, preference mode of communication with health care providers, and preferred features in the current clinic's portal. Linear and logistic regressions were performed to predict the probability that patients would adopt the patient portal.
Only 65% (n=69)of participants said they envisioned themselves using a patient portal. English-speaking patients were more willing to exchange electronic information with their health care providers. Spanish-speaking patients reported language as a significant barrier to portal use. A logistic regression revealed that patients with more positive attitudes and higher perceived behavioral control are more likely to sign up and use the patient portal (Nagelkerke R2=.51, classification=90.8%, efficacy B=2.38, Wald-1=5.93, P=.02 and Exp[B]=12.44, attitude B=1.87, Wald=6.45, P=.01, Exp[B]=7.49).
Understanding language preference differences while predicting portal use based on attitudes and perceptions empowers patients to have a more meaningful experience with their physician, potentially overcoming low health literacy-related barriers.
尽管有立法行动，但先前存在的障碍仍继续阻碍患者使用患者门户网站。患者，尤其是老年人、有色人种以及英语水平有限的人，在采用患者门户网站方面仍面临困难。
本研究的目的是增进理解，探索采用电子门户网站的意愿，并研究语言偏好之间的差异。
对一家社区诊所的讲英语和西班牙语的患者（N = 106）进行了调查，内容涉及电子设备和互联网的使用情况、使用患者门户网站的障碍、采用此类门户网站的意愿、与医疗服务提供者沟通的偏好方式以及当前诊所门户网站中偏好的功能。进行线性和逻辑回归以预测患者采用患者门户网站的概率。
只有65%（n = 69）的参与者表示他们设想自己会使用患者门户网站。讲英语的患者更愿意与他们的医疗服务提供者交换电子信息。讲西班牙语的患者报告称语言是使用门户网站的一个重大障碍。逻辑回归显示，态度更积极且感知行为控制更高的患者更有可能注册并使用患者门户网站（Nagelkerke R2 = 0.51，分类准确率 = 90.8%，效能B = 2.38，Wald - 1 = 5.93，P = 0.02，Exp[B] = 12.44，态度B = 1.87，Wald = 6.45，P = 0.01，Exp[B] = 7.49）。
在根据态度和认知预测门户网站使用情况时了解语言偏好差异，能使患者与医生有更有意义的体验，可能克服与健康素养低相关的障碍。
