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Patient difficulty using tablet computers to screen in primary care.

Rachel Hess1, Aimee Santucci, Kathleen McTigue

  • 1Division of General Internal Medicine and Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA 15206, USA. hessr@upmc.edu

Journal of General Internal Medicine
|April 1, 2008
PubMed
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Most primary care patients found tablet questionnaires easy to use for health screening. However, older patients and certain minority groups reported more difficulty, highlighting the need for accessible technology in healthcare.

Area of Science:

  • Health Informatics
  • Primary Care Medicine
  • Patient-Reported Outcomes

Background:

  • Patient-administered computerized questionnaires are emerging tools for preventive healthcare delivery in primary care settings.
  • These digital tools aim to enhance efficiency and patient engagement in routine health screenings.

Purpose of the Study:

  • To evaluate patient-reported ease of use of a self-administered tablet computer-based questionnaire within a routine clinical care environment.
  • To identify factors influencing patient difficulty with using tablet-based health questionnaires.

Main Methods:

  • A prospective study involving 10,999 patients in a university-based primary care practice who completed a touch-screen tablet questionnaire.
  • Data collected on patient demographics, educational attainment, marital status, and comorbidities.

Related Experiment Videos

  • Statistical analysis using multivariable ordered logistic models to determine predictors of reported difficulty.

    • Main Results:

    • 84% of patients reported no difficulty using the tablet questionnaire; only 3% reported significant difficulty.
    • Predictors of increased difficulty included older age, Asian and African American race, lower educational attainment (less than high school), and presence of multiple comorbid conditions.
    • Odds ratios indicated significant associations for these demographic and health factors.

    Conclusions:

    • The majority of primary care patients can successfully use self-administered tablet questionnaires.
    • Computerized questionnaires offer potential for collecting routine screening data, but accessibility for vulnerable populations must be addressed.
    • Targeted support may be necessary for elderly patients, minority groups, and those with lower education or multiple health issues.