A Pilot Analysis of Patient Portal Use and Breast Cancer Screening Among Black Patients in a Large Academic Health System
Introduction: Patient portals may facilitate breast cancer screening and could be an important factor to address inequities; however, this association is not well characterized. The authors sought to examine this association in a large academic health system to inform interventions to address breast...
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Elsevier
2025-02-01
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| Series: | AJPM Focus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773065424001238 |
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| author | Leah M. Marcotte, MD, MS Sara Khor, PhD, MASc Edwin S. Wong, PhD Nkem Akinsoto, MSc E. Sally Lee, PhD Susan Onstad, BA Rachel B. Issaka, MD, MAS |
| author_facet | Leah M. Marcotte, MD, MS Sara Khor, PhD, MASc Edwin S. Wong, PhD Nkem Akinsoto, MSc E. Sally Lee, PhD Susan Onstad, BA Rachel B. Issaka, MD, MAS |
| author_sort | Leah M. Marcotte, MD, MS |
| collection | DOAJ |
| description | Introduction: Patient portals may facilitate breast cancer screening and could be an important factor to address inequities; however, this association is not well characterized. The authors sought to examine this association in a large academic health system to inform interventions to address breast cancer screening inequities. Methods: The authors conducted a cross-sectional study among Black patients in a large academic health system using logistic regression to examine the association between breast cancer screening and portal use, adjusting for multilevel covariates and interactions. The authors estimated average marginal effects to examine the additive probability of breast cancer screening completion given portal use in the prior 12 months. Results: In the unadjusted model, portal use was associated with an estimated mean 24.8 percentage points (95% CI=20.7, 29.0) increased likelihood of completing breast cancer screening. In the adjusted model, portal use was associated with an estimated mean 16.2 percentage points (95% CI=11.2, 21.3) increased likelihood for completing breast cancer screening. Conclusions: Improving portal access and use among racialized groups who face both portal and breast cancer screening inequities could be one strategy to address inequities. These pilot data will inform subsequent community-engaged research to better understand this association and develop and test a portal intervention to facilitate breast cancer screening access among Black patients eligible for screening. |
| format | Article |
| id | doaj-art-7bca52126cba4e71aff9f4e13b3bf04a |
| institution | Kabale University |
| issn | 2773-0654 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | AJPM Focus |
| spelling | doaj-art-7bca52126cba4e71aff9f4e13b3bf04a2025-01-05T04:28:53ZengElsevierAJPM Focus2773-06542025-02-0141100305A Pilot Analysis of Patient Portal Use and Breast Cancer Screening Among Black Patients in a Large Academic Health SystemLeah M. Marcotte, MD, MS0Sara Khor, PhD, MASc1Edwin S. Wong, PhD2Nkem Akinsoto, MSc3E. Sally Lee, PhD4Susan Onstad, BA5Rachel B. Issaka, MD, MAS6Department of Medicine, University of Washington School of Medicine, Seattle, Washington; Address correspondence to: Leah M. Marcotte, MD, MS, Department of Medicine, University of Washington, 4245 Roosevelt Way Northeast, Seattle WA 98105.The Comparative Health Outcomes, Policy, and Economics (CHOICE) Institute, School of Pharmacy, University of Washington, Seattle, WashingtonDepartment of Health Systems and Population Health, University of Washington School of Public Health, Seattle, WashingtonPrimary Care and Population Health, UW Medicine, Seattle, WashingtonPopulation Health Analytics, UW Medicine, Seattle, WashingtonPopulation Health Analytics, UW Medicine, Seattle, WashingtonDepartment of Medicine, University of Washington School of Medicine, Seattle, Washington; Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WashingtonIntroduction: Patient portals may facilitate breast cancer screening and could be an important factor to address inequities; however, this association is not well characterized. The authors sought to examine this association in a large academic health system to inform interventions to address breast cancer screening inequities. Methods: The authors conducted a cross-sectional study among Black patients in a large academic health system using logistic regression to examine the association between breast cancer screening and portal use, adjusting for multilevel covariates and interactions. The authors estimated average marginal effects to examine the additive probability of breast cancer screening completion given portal use in the prior 12 months. Results: In the unadjusted model, portal use was associated with an estimated mean 24.8 percentage points (95% CI=20.7, 29.0) increased likelihood of completing breast cancer screening. In the adjusted model, portal use was associated with an estimated mean 16.2 percentage points (95% CI=11.2, 21.3) increased likelihood for completing breast cancer screening. Conclusions: Improving portal access and use among racialized groups who face both portal and breast cancer screening inequities could be one strategy to address inequities. These pilot data will inform subsequent community-engaged research to better understand this association and develop and test a portal intervention to facilitate breast cancer screening access among Black patients eligible for screening.http://www.sciencedirect.com/science/article/pii/S2773065424001238Breast cancer screeningpatient portalhealth equity |
| spellingShingle | Leah M. Marcotte, MD, MS Sara Khor, PhD, MASc Edwin S. Wong, PhD Nkem Akinsoto, MSc E. Sally Lee, PhD Susan Onstad, BA Rachel B. Issaka, MD, MAS A Pilot Analysis of Patient Portal Use and Breast Cancer Screening Among Black Patients in a Large Academic Health System AJPM Focus Breast cancer screening patient portal health equity |
| title | A Pilot Analysis of Patient Portal Use and Breast Cancer Screening Among Black Patients in a Large Academic Health System |
| title_full | A Pilot Analysis of Patient Portal Use and Breast Cancer Screening Among Black Patients in a Large Academic Health System |
| title_fullStr | A Pilot Analysis of Patient Portal Use and Breast Cancer Screening Among Black Patients in a Large Academic Health System |
| title_full_unstemmed | A Pilot Analysis of Patient Portal Use and Breast Cancer Screening Among Black Patients in a Large Academic Health System |
| title_short | A Pilot Analysis of Patient Portal Use and Breast Cancer Screening Among Black Patients in a Large Academic Health System |
| title_sort | pilot analysis of patient portal use and breast cancer screening among black patients in a large academic health system |
| topic | Breast cancer screening patient portal health equity |
| url | http://www.sciencedirect.com/science/article/pii/S2773065424001238 |
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