慢性疾病成年人患者门户网站使用的差异
Esther Yoon1,2, Scott Hur1, Lauren Opsasnick1
1Center for Applied Health Research on Aging, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
JAMA network open
|February 29, 2024
概括
在COVID-19大流行期间,患者门户的使用增加了,但差异仍然存在. 医疗素养成为获得的关键因素,突出了对弱势群体数字素养查工具的需求.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康 公平数字健康 公平
- 患者参与 患者参与
背景情况:
- 患者门户网站对于获得健康信息至关重要,但有记录存在的差异.
- 有限的研究已经探索了COVID-19大流行如何影响患者门户的使用以及相关的差异.
研究的目的:
- 评估2019年至2022年患者门户网站使用的流行率,包括流行前,流行期间和流行后的时期.
- 在COVID-19和慢性疾病 (C3) 队列中调查患者门户网站利用的社会人口学差异.
主要方法:
- 一项使用C3研究数据的纵向队列研究,这是一项对患有慢性疾病的中年和老年人进行的电话调查.
- 分析包括2019-2022年的门户登录频率,与社会人口统计数据,健康素养和其他患者报告的结果相关联.
主要成果:
- 与2019年相比,在COVID-19大流行期间,门户端登录活动显著增加.
- 充足的健康素养和多病症与更高的门户使用率有关.
- 与非西班牙裔白人患者相比,在老年人,女性和种族/种族少数群体中观察到较低的门户使用率.
结论:
- COVID-19大流行加速了患者门户的采用,但也扩大了与健康素养相关的差异.
- 虽然年龄和性别差异缩小了,但在门户网站使用方面仍然存在显著的种族/民族差异.
- 卫生素养措施可以识别需要额外支持数字健康工具参与的患者.
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