Patient-provider communication and trust in relation to use of an online patient portal among diabetes patients: The Diabetes and Aging Study

被引：84

作者：

Lyles, Courtney R. ^{[1
,2
]}

Sarkar, Urmimala ^{[1
,2
]}

Ralston, James D. ^{[3
]}

Adler, Nancy ^{[4
,5
]}

Schillinger, Dean ^{[1
,2
]}

Moffet, Howard H. ^{[6
]}

Huang, Elbert S. ^{[7
]}

Karter, Andrew J. ^{[6
]}

机构：

[1] UCSF, Div Gen Internal Med, San Francisco, CA 94110 USA

[2] UCSF, Ctr Vulnerable Populat, San Francisco, CA 94110 USA

[3] Grp Hlth Res Inst, Seattle, WA USA

[4] UCSF, Dept Psychiat, San Francisco, CA 94110 USA

[5] UCSF, Dept Pediat, San Francisco, CA 94110 USA

[6] Kaiser Permanente Northern Calif, Div Res, Oakland, CA USA

[7] Univ Chicago, Dept Med, Chicago, IL 60637 USA

来源：

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION | 2013年 / 20卷 / 06期

关键词：

patient portals; patient-provider relationship; diabetes; race; ethnicity; age; SHARED MEDICAL-RECORD; DECISION-MAKING; SELF-MANAGEMENT; DIGITAL DIVIDE; OLDER PATIENTS; HEALTH-CARE; RACE; PREFERENCES; POPULATIONS; DISPARITIES;

D O I：

10.1136/amiajnl-2012-001567

中图分类号：

TP [自动化技术、计算机技术];

学科分类号：

0812 ;

摘要：

Patient-provider relationships influence diabetes care; less is known about their impact on online patient portal use. Diabetes patients rated provider communication and trust. In this study, we linked responses to electronic medical record data on being a registered portal user and using secure messaging (SM). We specified regression models to evaluate main effects on portal use, and subgroup analyses by race/ethnicity and age. 52% of subjects were registered users; among those, 36% used SM. Those reporting greater trust were more likely to be registered users (relative risk (RR)=1.14) or SM users (RR=1.29). In subgroup analyses, increased trust was associated with being a registered user among white, Latino, and older patients, as well as SM use among white patients. Better communication ratings were also related to being a registered user among older patients. Since increased trust and communication were associated with portal use within subgroups, this suggests that patient-provider relationships encourage portal engagement.

引用

页码：1128 / 1131

页数：4

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