PMID- 29377041
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220317
IS  - 2523-2533 (Electronic)
IS  - 2523-2533 (Linking)
VI  - 2
DP  - 2018 Jan
TI  - Use of a web portal among adult clinic patients seen for type 2 diabetes 
      mellitus.
LID - 1 [pii]
LID - 10.21037/jhmhp.2017.12.04 [doi]
AB  - BACKGROUND: To determine the number of adult clinic patients seen for type 2 
      diabetes mellitus (T2DM) at an academic medical center and to examine 
      characteristics of those who had or had not registered for a web portal. METHODS: 
      Electronic records were reviewed to identify web portal registration by patients 
      treated for T2DM by age, sex, race and Hispanic ethnicity, and service (General 
      Internal Medicine, Endocrinology). RESULTS: A total of 1,401 patients with T2DM 
      were seen in General Internal Medicine and Endocrinology outpatient clinics. Less 
      than one third (32%) had registered for the web portal. Women were more likely to 
      have registered for the web portal than men [odds ratio (OR) =1.25; 95% CI, 
      0.99-1.57; P<0.063]. Black patients were less likely to have registered than 
      whites (OR =0.40; 95% CI, 0.31-0.51; P<0.001). Patients who were 18-25 years of 
      age were less likely to have registered for the web portal, along with those who 
      were 56 to 60 and >66 years of age. In multivariate analysis, a statistically 
      significant association was observed between web portal registration and General 
      Internal Medicine clinic vs. Endocrinology clinic (OR =2.96, P<0.001). Inverse 
      associations were observed with age >18-25 years, male sex (adjusted OR =0.71, 
      P=0.006), and Black race (OR =0.33, P<0.001). CONCLUSIONS: Additional research is 
      needed to identify portal design features that improve glycemic control and 
      interventions that will increase use of patient portals, especially among Black 
      patients with T2DM and those with low health literacy or computer literacy.
FAU - Coughlin, Steven S
AU  - Coughlin SS
AD  - Department of Clinical and Digital Health Sciences, College of Allied Health 
      Sciences, Augusta University, Augusta, GA, USA.
AD  - Charlie Norwood Veterans Affairs Medical Center, Augusta, GA, USA.
FAU - Heboyan, Vahe
AU  - Heboyan V
AD  - Department of Clinical and Digital Health Sciences, College of Allied Health 
      Sciences, Augusta University, Augusta, GA, USA.
FAU - Williams, Lovoria B
AU  - Williams LB
AD  - Department of Biobehavioral Nursing, College of Nursing, Augusta University, 
      Augusta, GA, USA.
FAU - Hatzigeorgiou, Christos
AU  - Hatzigeorgiou C
AD  - Division of General Internal Medicine, Medical College of Georgia, Augusta 
      University, Augusta, GA, USA.
LA  - eng
GR  - R29 HL044904-05/HL/NHLBI NIH HHS/United States
PT  - Journal Article
PL  - China
TA  - J Hosp Manag Health Policy
JT  - Journal of hospital management and health policy
JID - 101717272
PMC - PMC5783640
MID - NIHMS934965
OTO - NOTNLM
OT  - Blacks
OT  - diabetes
OT  - electronic health record
OT  - glycemic control
OT  - health information technology
OT  - patient web portals
COIS- Conflicts of Interest: The authors have no conflicts of interest to declare.
EDAT- 2018/01/30 06:00
MHDA- 2018/01/30 06:01
PMCR- 2018/01/24
CRDT- 2018/01/30 06:00
PHST- 2018/01/30 06:00 [entrez]
PHST- 2018/01/30 06:00 [pubmed]
PHST- 2018/01/30 06:01 [medline]
PHST- 2018/01/24 00:00 [pmc-release]
AID - 1 [pii]
AID - 10.21037/jhmhp.2017.12.04 [doi]
PST - ppublish
SO  - J Hosp Manag Health Policy. 2018 Jan;2:1. doi: 10.21037/jhmhp.2017.12.04.