{"id":1956,"date":"2015-09-21T07:41:18","date_gmt":"2015-09-21T07:41:18","guid":{"rendered":"http:\/\/tele.healthcare\/new.php\/?p=1956"},"modified":"2015-09-21T07:41:18","modified_gmt":"2015-09-21T07:41:18","slug":"digital-divide-appears-to-exist-in-adoption-of-online-personal-health","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/digital-divide-appears-to-exist-in-adoption-of-online-personal-health\/","title":{"rendered":"“Digital Divide” Appears to Exist in Adoption of Online Personal Health"},"content":{"rendered":"

The Health Reform Act will provide BILLIONS of dollars towards the adoption of electronic medical records (EMR\u2019s) throughout the Country in physician\u2019s office and hospitals.\u00a0 It will also lead to integration and interoperability with personal health records (PHR\u2019s) maintained by individuals and containing their medical information.\u00a0 However, a recent study, as reported by Medical News Today <\/a>shows the unfortunate disparity that exists amoungst access to a PHR.<\/p>\n

The article can be found here (http:\/\/www.medicalnewstoday.com\/articles\/220291.php<\/a><\/em>)\u00a0and\u00a0reads as follows:<\/p>\n

28 Mar 2011<\/p>\n

Despite increasing Internet availability, the \u2018digital divide\u2019 (disparities in access to technology) appears to exist among primary care patients adopting an online personal health record, according to a report in the March 28 issue of Archives of Internal Medicine, one of the JAMA\/Archives journals.<\/em><\/p>\n

\u201cThe personal health record (PHR) is an Internet-based set of tools that allows people to access and coordinate their lifelong health information,\u201d the authors write as background information in the article. PHRs aim to increase patient access to personal health information, however wide use of PHRs will be difficult to achieve if patients cannot access this information because of a lack of Internet or computer access.<\/em><\/p>\n

Cyrus K. Yamin, B.S., of Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, and colleagues conducted a cross-sectional analysis of personal health record use within a health system in the Northeast United States. Patients were categorized as adopters (those who activated a PHR account online) and nonadopters (patients who had visited a clinician at a practice offering PHR but did not have a PHR account). A total of 75,056 patients were included, 43 percent of whom had adopted a PHR.<\/em><\/p>\n

When compared with white patients, the likelihood of using a PHR was lower among all racial and ethnic minorities, with blacks and Hispanics half as likely as whites to adopt a PHR. Patients living in the highest income-earning households were 14 percent more likely to adopt a PHR than those living in the lowest income-earning households. Among adopters, however, income was not associated with PHR use.<\/em><\/p>\n

Of the 32,274 adopters, the authors recorded 290,662 log-ins to the personal health record system, and classified 51 percent of users as very low users, logging into the PHR one time or less in the previous two years. The second-largest group identified were categorized as high users (27 percent) and logged into the system ten or more times. Patients between the ages of 51 and 65 years composed the majority of the high users group at 41 percent. Additionally, the authors found that patients older than 65 adopted a PHR to a greater extent than patients between 18 and 35 years of age.<\/em><\/p>\n

\u201cIn this study, we found the presence of a digital divide in a diverse population. Specifically, racial\/ethnic minorities and patients with lower socioeconomic status were less likely to adopt a PHR. However, both of these groups used the PHR as much as other groups if they were able to adopt it.<\/em><\/p>\n

Whether the digital divide was caused by barriers in access to technology or reflects long-standing disparities in health-seeking behavior is less clear. Further studies are needed to better understand and promote use of PHRs among adopters and to design interventions <\/em>to increase PHR uptake among populations likely to benefit most,\u201d the authors conclude.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

The Health Reform Act will provide BILLIONS of dollars towards the adoption of electronic medical […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","_uf_show_specific_survey":0,"_uf_disable_surveys":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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