Abstract

Courtney Lyles and colleagues highlight how the expansion of patient-facing electronic health record portals could exacerbate existing healthcare disparities.

Highlights

  • Meaningful use is an incentive program sponsored by the US federal government that has provided more than US$25 billion to date to incentivize US healthcare clinics and hospitals to implement electronic health records (EHRs)

  • Improving the usability and accessibility of portals for diverse patients requires collaboration between health communication researchers, user-centered designers, healthcare systems, vendors, and government agencies. Both in the United States and internationally, there is a huge push to implement integrated electronic health records (EHRs). This adoption of health technology is viewed as critical to improving healthcare quality, and studies have shown that EHR implementation is linked to higher receipt of appropriate processes of care [1,2]

  • In the US, federal healthcare reform legislation jumpstarted this transition to EHRs, largely because providers in the fragmented healthcare marketplace did not have aligned financial incentives to modernize their medical records on their own

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Summary

Introduction

Meaningful use is an incentive program sponsored by the US federal government that has provided more than US$25 billion to date to incentivize US healthcare clinics and hospitals to implement electronic health records (EHRs). Healthcare systems receive incentives for reaching a wide range of EHR targets, including providing patient access to/use of EHR information through portal websites.

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