人口统计学和临床特征与电子邮件在初级保健环境中使用率相关
Michael A Hansen1, Jacqueline Hirth2, Roger Zoorob3
1Department of Family and Community Medicine, Baylor College of Medicine, Houston, TX, United States; University of Texas, School of Biomedical Informatics, Houston, TX, United States.
International journal of medical informatics
|January 14, 2024
概括
一小群高使用率的患者在初级保健中产生了大多数电子信息. 服务不足的人群,包括少数群体和低收入人群,更少使用电子邮件,这可能会扩大护理差距.
科学领域:
- 医疗信息学 医疗信息学
- 主要护理医学 医疗保健
- 健康 公平 卫生 公平
背景情况:
- 在初级保健机构中,电子邮件对于患者与医疗服务提供者之间的沟通越来越重要.
- 然而,服务不足的患者群体未充分利用医疗保健技术,包括电子邮件.
- 这种差异引发了人们对数字健康工具的公平准入的担忧.
研究的目的:
- 描述电子邮件的采用和使用模式.
- 分析这些模式在一个大规模的,城市,初级保健患者群体.
- 识别与电子信息使用和访问差异相关的因素.
主要方法:
- 追溯性研究分析由成年初级保健患者发起的电子信息.
- 患者分为非门户采用者,非消息使用者,低消息使用者和高消息使用者.
- 后勤回归建模用于识别与消息利用率和访问差异相关的因素.
主要成果:
- 在德克萨斯州休斯顿,有27453名来自不同种族的患者共发送了33497条信息.
- 一小群高使用者 (15.7%) 占所有消息的77%.
- 高使用者通常是老年人,白人,说英语,富裕,有更多的并发症和访问.
结论:
- 大多数电子邮件都来自少数高使用率患者.
- 虽然老年和生病的患者使用消息传递,但少数群体和低收入群体的使用频率较低.
- 缺乏服务的人群的这种不足利用可能会加剧系统偏见并降低护理质量.
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