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Chinese Americans' Use of Patient Portal Systems: Scoping Review.
Lawrence, Katharine; Chong, Stella; Krelle, Holly; Roberts, Timothy; Thorpe, Lorna; Trinh-Shevrin, Chau; Yi, Stella; Kwon, Simona.
  • Lawrence K; Healthcare Innovation Bridging Research, Informatics, and Design (HiBRID) Lab, Department of Population Health, New York University Grossman School of Medicine, New York, NY, United States.
  • Chong S; Section for Health Equity, Department of Population Health, NYU Grossman School of Medicine, New York, NY, United States.
  • Krelle H; Division of Healthcare Delivery Services, Department of Population Health, NYU Grossman School of Medicine, New York, NY, United States.
  • Roberts T; NYU Health Sciences Library, NYU Grossman School of Medicine, New York, NY, United States.
  • Thorpe L; Division of Epidemiology, Department of Population Health, NYU Grossman School of Medicine, New York, NY, United States.
  • Trinh-Shevrin C; Section for Health Equity, Department of Population Health, NYU Grossman School of Medicine, New York, NY, United States.
  • Yi S; Section for Health Equity, Department of Population Health, NYU Grossman School of Medicine, New York, NY, United States.
  • Kwon S; Section for Health Equity, Department of Population Health, NYU Grossman School of Medicine, New York, NY, United States.
JMIR Hum Factors ; 9(2): e27924, 2022 Apr 01.
Article in English | MEDLINE | ID: covidwho-1834125
ABSTRACT

BACKGROUND:

Electronic patient portals are increasingly used in health care systems as communication and information-sharing tools and show promise in addressing health care access, quality, and outcomes. However, limited research exists on portal use patterns and practices among diverse patient populations, resulting in the lack of culturally and contextually tailored portal systems for these patients.

OBJECTIVE:

This study aimed to summarize existing evidence on the access and use patterns, barriers, and facilitators of patient portals among Chinese Americans, who represent a growing patient population in the United States with unique health care and health technology needs.

METHODS:

The authors conducted a literature search using the PRISMA Protocol for Scoping Reviews (Preferred Reporting Items for Systematic Reviews and Meta-Analyses-ScR) for extracting articles published in major databases (MEDLINE, Embase, and PsycINFO) on patient portals and Chinese Americans. Authors independently reviewed the papers during initial screening and full-text review. The studies were analyzed and coded for the study method type, sample population, and main outcomes of interest.

RESULTS:

In total, 17 articles were selected for inclusion in the review. The included articles were heterogenous and varied in their study aims, methodologies, sample populations, and outcomes. Major findings identified from the articles include variable patterns of portal access and use among Chinese Americans compared to other racial or ethnic groups, with limited evidence on the specific barriers and facilitators for this group; a preference for cross-sectional quantitative tools such as patient surveys and electronic health record-based data over qualitative or other methodologies; and a pattern of aggregating Chinese American-related data into a larger Asian or Asian American designation.

CONCLUSIONS:

There is limited research evaluating the use patterns, experiences, and needs of Chinese Americans who access and use patient portal systems. Existing research is heterogeneous, largely cross-sectional, and does not disaggregate Chinese Americans from larger Asian demographics. Future research should be devoted to the specific portal use patterns, preferences, and needs of Chinese Americans to help ensure contextually appropriate and acceptable design and implementation of these digital health tools.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Qualitative research / Randomized controlled trials / Reviews / Systematic review/Meta Analysis Language: English Journal: JMIR Hum Factors Year: 2022 Document Type: Article Affiliation country: 27924

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Qualitative research / Randomized controlled trials / Reviews / Systematic review/Meta Analysis Language: English Journal: JMIR Hum Factors Year: 2022 Document Type: Article Affiliation country: 27924