Su salud a la mano (your health at hand): patient perceptions about a bilingual patient portal in the Los Angeles safety net.

Journal of the American Medical Informatics Association : JAMIA
Alejandra CasillasGerardo Moreno

Abstract

Driven by beneficial patient-centered outcomes associated with patient portal use and the Affordable Care Act, portal implementation has expanded into safety nets-health systems that offer access to care to a large share of uninsured, Medicaid, and other vulnerable populations. However, little attention has been paid to the factors that affect portal accessibility by the vulnerable patients served by these health systems-including those who are limited English proficient (LEP). The Los Angeles County Department of Health Services (LAC DHS), the second-largest safety net system in the nation, launched its first patient portal, and one of the few bilingual English-Spanish interfaces in existence, in March of 2015. To explore portal awareness and perceptions, we conducted focus groups with LAC DHS patients, in English and Spanish (LEP). The Technology Acceptance Model was used to guide thematic analysis of focus group data. Of the 46 participants, 37 were patients and 9 were caretakers; 23 were English-speaking and 23 Spanish-speaking LEP. All patients had diabetes or hypertension. Over half had an annual household income <$10 000, yet 78% of English-speaking and 65% of Spanish-speaking LEP participants reported at-home Internet a...Continue Reading

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Citations

Aug 1, 2020·JMIR Research Protocols·Abrar AlturkistaniCeire Costelloe
Oct 24, 2020·Journal of Medical Internet Research·Alejandra CasillasPeter Szilagyi
Nov 10, 2020·Journal of the American Medical Informatics Association : JAMIA·Farkhondeh HassandoustAllen C Johnston
May 16, 2021·Journal of Medical Ethics·Charlotte BleaseCatherine M DesRoches
Jul 28, 2021·Journal of the American Medical Informatics Association : JAMIA·Yohualli Balderas-Medina AnayaDavid E Hayes-Bautista

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