Patient portal use among veterans with depression: Associations with symptom severity and demographic characteristics.
Depression
Electronic health records
Patient portals
Veterans
Journal
Journal of affective disorders
ISSN: 1573-2517
Titre abrégé: J Affect Disord
Pays: Netherlands
ID NLM: 7906073
Informations de publication
Date de publication:
01 10 2020
01 10 2020
Historique:
received:
21
11
2019
revised:
12
06
2020
accepted:
23
06
2020
entrez:
1
8
2020
pubmed:
1
8
2020
medline:
16
2
2021
Statut:
ppublish
Résumé
Patient portals can support self-management behaviors and increase continuity of care. It is therefore important to understand how individuals with depression are interacting with patient portals, to ensure that they have access to tools that can improve outcomes. The purpose of the current retrospective analysis was to examine associations between symptom severity, demographic characteristics and patient portal adoption and use among Veterans with depression diagnoses. Data were collected within a larger retrospective analysis of use of the Veterans Health Administration patient portal, My HealtheVet (MHV). The final sample included 3053 Veterans with diagnoses of depression and at least two measures of depressive symptoms. Regressions tested whether depressive symptoms and demographic variables were associated with MHV registration and feature use. Veterans with more severe depression were more likely to have registered for MHV and downloaded medical record content compared to those with milder symptoms. Maleand older Veterans had lower rates of portal registration, and African American Veterans had lower rates of portal feature use. Limitations include restriction to a Veteran population who first used MHV in FY2013 as opposed to prior or subsequent years. Patients with more severe depression may have increased interest in and use of patient portals. Demographic differences in portal use continue to be observed; barriers to uptake must be identified so disparities can be addressed.
Sections du résumé
BACKGROUND
Patient portals can support self-management behaviors and increase continuity of care. It is therefore important to understand how individuals with depression are interacting with patient portals, to ensure that they have access to tools that can improve outcomes. The purpose of the current retrospective analysis was to examine associations between symptom severity, demographic characteristics and patient portal adoption and use among Veterans with depression diagnoses.
METHODS
Data were collected within a larger retrospective analysis of use of the Veterans Health Administration patient portal, My HealtheVet (MHV). The final sample included 3053 Veterans with diagnoses of depression and at least two measures of depressive symptoms. Regressions tested whether depressive symptoms and demographic variables were associated with MHV registration and feature use.
RESULTS
Veterans with more severe depression were more likely to have registered for MHV and downloaded medical record content compared to those with milder symptoms. Maleand older Veterans had lower rates of portal registration, and African American Veterans had lower rates of portal feature use.
LIMITATIONS
Limitations include restriction to a Veteran population who first used MHV in FY2013 as opposed to prior or subsequent years.
CONCLUSIONS
Patients with more severe depression may have increased interest in and use of patient portals. Demographic differences in portal use continue to be observed; barriers to uptake must be identified so disparities can be addressed.
Identifiants
pubmed: 32734917
pii: S0165-0327(20)32470-8
doi: 10.1016/j.jad.2020.06.073
pmc: PMC9373006
mid: NIHMS1827731
pii:
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
255-259Subventions
Organisme : HSRD VA
ID : I01 HX001637
Pays : United States
Organisme : Intramural VA
ID : VA999999
Pays : United States
Informations de copyright
Copyright © 2020. Published by Elsevier B.V.
Références
Adm Policy Ment Health. 2019 Sep;46(5):596-608
pubmed: 31065908
J Gen Intern Med. 2010 Jan;25 Suppl 1:62-7
pubmed: 20077154
Med Care. 2013 Mar;51(3 Suppl 1):S62-6
pubmed: 23407015
J Med Internet Res. 2014 Dec 12;16(12):e272
pubmed: 25498515
J Med Internet Res. 2018 Jul 10;20(7):e10413
pubmed: 29991468
J Mob Technol Med. 2017 Aug;6(2):1-10
pubmed: 28936236
PLoS One. 2012;7(2):e31888
pubmed: 22363761
J Trauma Stress. 2010 Feb;23(1):17-24
pubmed: 20127725
Med Care. 2007 Mar;45(3):214-23
pubmed: 17304078
J Med Internet Res. 2015 Feb 20;17(2):e40
pubmed: 25707035
J Med Internet Res. 2015 Jun 23;17(6):e148
pubmed: 26104044
JMIR Mhealth Uhealth. 2018 Aug 22;6(8):e10748
pubmed: 30135050
J Am Med Inform Assoc. 2019 Aug 1;26(8-9):855-870
pubmed: 30958532
J Gen Intern Med. 2001 Sep;16(9):606-13
pubmed: 11556941
Health Aff (Millwood). 2010 Jul;29(7):1370-5
pubmed: 20606190
J Gen Intern Med. 2011 Oct;26(10):1117-23
pubmed: 21647748