{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T17:23:22Z","timestamp":1781112202008,"version":"3.54.1"},"reference-count":35,"publisher":"Ethnicity and Disease Inc","issue":"Special Issue","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,1]]},"abstract":"<jats:sec>\n                  <jats:title>Purpose<\/jats:title>\n                  <jats:p>To describe the training, preliminary results, and lessons learned from using patient navigators to increase the enrollment of low-income patients in a health system\u2013supported and electronic health record\u2013linked patient portal.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Patient navigators (n=4) were trained to assist patients in a federally qualified health center to enroll in and use patient portals. Patient navigators were stationed at 3 clinic locations. Data from the electronic health record system (Epic) were used to compare MyChart patient portal activation rates and use among patients for the 8 months before and after patient navigation services were offered.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Navigators offered 83% of eligible patients with activation assistance. Sixty-four percent of the patients (n=1062) offered MyChart enrollment assistance accepted help. Seventy-four percent of assisted patients with no prior MyChart enrollment activated their accounts during that clinic visit. The primary reason for declining MyChart assistance was a lack of access to or comfort with technology. Patient portal activation increased during the 8 months when navigators were at the clinics (51%) compared to the previous 8 months (44%). Most new users viewed lab results and read a message [\u03c72(1)=49.3, p&amp;lt;.001], with significant increases evident for African Americans [44% before, 49% during; \u03c72(1)=40.4, p&amp;lt;.001] and Latinx patients [52% before, 60% during; \u03c72(1)=6.15, p=.013].<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Study results suggest that using patient navigators is feasible and beneficial for increasing patient enrollment in the Federally Qualified Health Centers context. However, patient-, clinic-, and system-level factors were identified as barriers and should be addressed in future research studies.<\/jats:p>\n               <\/jats:sec>","DOI":"10.18865\/ed.decipher.117","type":"journal-article","created":{"date-parts":[[2024,4,24]],"date-time":"2024-04-24T20:49:02Z","timestamp":1713991742000},"page":"117-125","source":"Crossref","is-referenced-by-count":10,"title":["The Use of Navigators to Increase Patient Portal Enrollment among Patients in a Federally Qualified Health Care System"],"prefix":"10.18865","volume":"DECIPHeR","author":[{"given":"Alicia K.","family":"Matthews","sequence":"first","affiliation":[{"name":"1 School of Nursing, Columbia University, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alana D.","family":"Steffen","sequence":"additional","affiliation":[{"name":"2 College of Nursing, University of Illinois Chicago, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larisa A.","family":"Burke","sequence":"additional","affiliation":[{"name":"2 College of Nursing, University of Illinois Chicago, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geri","family":"Donenberg","sequence":"additional","affiliation":[{"name":"3 College of Medicine, The University of Illinois Chicago, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cherdsak","family":"Duangchan","sequence":"additional","affiliation":[{"name":"2 College of Nursing, University of Illinois Chicago, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Akufo","sequence":"additional","affiliation":[{"name":"3 College of Medicine, The University of Illinois Chicago, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hope","family":"Opuada","sequence":"additional","affiliation":[{"name":"3 College of Medicine, The University of Illinois Chicago, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damilola","family":"Oyaluade","sequence":"additional","affiliation":[{"name":"3 College of Medicine, The University of Illinois Chicago, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany Harris","family":"Vilona","sequence":"additional","affiliation":[{"name":"3 College of Medicine, The University of Illinois Chicago, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilda","family":"Diaz","sequence":"additional","affiliation":[{"name":"3 College of Medicine, The University of Illinois Chicago, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darcy","family":"Dodd","sequence":"additional","affiliation":[{"name":"4 Ann & Robert H. Lurie Children\u2019s Hospital of Chicago, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"18154","published-online":{"date-parts":[[2024,4,24]]},"reference":[{"key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b01","article-title":"Pulse survey on continuity of essential health services during the COVID-19 pandemic: interim report","author":"World Health Organization"},{"key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b02","doi-asserted-by":"crossref","first-page":"e045343","DOI":"10.1136\/bmjopen-2020-045343","article-title":"Impact of COVID-19 pandemic on utilization of healthcare services: a systematic review","volume":"11","author":"Moynihan","year":"2021","journal-title":"BMJ Open"},{"issue":"14","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b03","doi-asserted-by":"crossref","first-page":"5112","DOI":"10.3390\/ijerph17145112","article-title":"Increase in video consultations during the COVID-19 pandemic: healthcare professionals\u2019 perceptions about their implementation and adequate management","volume":"17","author":"Jim\u00e9nez-Rodr\u00edguez","year":"2020","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b04","doi-asserted-by":"crossref","first-page":"1193","DOI":"10.1186\/s12889-020-09301-4","article-title":"The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence","volume":"20","author":"Monaghesh","year":"2020","journal-title":"BMC Public Health"},{"issue":"43","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b05","doi-asserted-by":"crossref","first-page":"1595","DOI":"10.15585\/mmwr.mm6943a3","article-title":"Trends in the use of telehealth during the emergence of the COVID-19 Pandemic\u2014United States, January-March 2020","volume":"69","author":"Koonin","year":"2020","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"18","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b06","doi-asserted-by":"crossref","first-page":"2015","DOI":"10.1001\/jama.2016.2186","article-title":"Utilization of telemedicine among rural Medicare beneficiaries","volume":"315","author":"Mehrotra","year":"2016","journal-title":"JAMA"},{"issue":"Suppl_1","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b07","doi-asserted-by":"crossref","first-page":"S21","DOI":"10.6004\/jnccn.2021.7092","article-title":"Telehealth delivery of tobacco cessation treatment in cancer care: an ongoing innovation accelerated by the COVID-19 pandemic","volume":"19","author":"Cancer Center Cessation Initiative Telehealth Working Group","year":"2021","journal-title":"J Natl Compr Canc Netw"},{"key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b08","doi-asserted-by":"crossref","first-page":"598905","DOI":"10.3389\/fpubh.2020.598905","article-title":"Telemedicine for tobacco cessation and prevention to combat COVID-19 morbidity and mortality in rural areas","volume":"8","author":"Merianos","year":"2021","journal-title":"Front Public Health"},{"key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b09","doi-asserted-by":"crossref","first-page":"100054","DOI":"10.1016\/j.ssmqr.2022.100054","article-title":"Telemedicine implementation and use in community health centers during COVID-19: clinic personnel and patient perspectives","volume":"2","author":"Pay\u00e1n","year":"2022","journal-title":"SSM Qual Res Health"},{"issue":"2","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b10","doi-asserted-by":"crossref","first-page":"e23493","DOI":"10.2196\/23493","article-title":"Quantifying patient portal use: systematic review of utilization metrics","volume":"23","author":"Beal","year":"2021","journal-title":"J Med Internet Res"},{"issue":"8-9","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b11","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1093\/jamia\/ocz023","article-title":"Interventions to increase patient portal use in vulnerable populations: a systematic review","volume":"26","author":"Grossman","year":"2019","journal-title":"J Am Med Inform Assoc"},{"key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b12","article-title":"Individuals\u2019 access and use of patient portals and smartphone health apps, 2020","author":"Johnson","year":"2021"},{"key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b13","article-title":"Patient portal adoption tops 90%, but strong patient use is needed","author":"Heath","year":"2018"},{"issue":"6","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b14","doi-asserted-by":"crossref","first-page":"e128","DOI":"10.2196\/mhealth.8383","article-title":"mHealth technology use and implications in historically underserved and minority populations in the United States: systematic literature review","volume":"6","author":"Anderson-Lewis","year":"2018","journal-title":"JMIR mHealth uHealth"},{"issue":"8","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b15","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1097\/MLR.0000000000000560","article-title":"The digital divide and patient portals: internet access explained differences in patient portal use for secure messaging by age, race, and income","volume":"54","author":"Graetz","year":"2016","journal-title":"Med Care"},{"issue":"1","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b16","first-page":"43","article-title":"Bridging the digital divide: mobile access to personal health records among patients with diabetes","volume":"24","author":"Graetz","year":"2018","journal-title":"Am J Manag Care"},{"key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b17","article-title":"Mobile Fact Sheet","year":"2021"},{"issue":"3","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b18","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1177\/2050157917708329","article-title":"Smartphone Internet access and use: extending the digital divide and usage gap","volume":"5","author":"Tsetsi,","year":"2017","journal-title":"Mob Media Commun"},{"key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b19","article-title":"Differences in accessing online health resources by Race and ethnicity","author":"Lewis","year":"2017"},{"issue":"2","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b20","doi-asserted-by":"crossref","first-page":"e9","DOI":"10.2196\/jmir.8.2.e9","article-title":"eHealth literacy: essential skills for consumer health in a networked world","volume":"8","author":"Norman","year":"2006","journal-title":"J Med Internet Res"},{"issue":"1","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b21","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1186\/s12911-020-01202-1","article-title":"E-health literacy and associated factors among chronic patients in a low-income country: a cross-sectional survey","volume":"20","author":"Shiferaw","year":"2020","journal-title":"BMC Med Inform Decis Mak"},{"issue":"6","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b22","doi-asserted-by":"crossref","first-page":"e19361","DOI":"10.2196\/19361","article-title":"Digital Health Equity and COVID-19: the innovation curve cannot reinforce the social gradient of health","volume":"22","author":"Crawford","year":"2020","journal-title":"J Med Internet Res"},{"key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b23","first-page":"1","article-title":"Navigating a path to equity in cancer care: the role of patient navigation","volume":"41","author":"Dixit","year":"2021","journal-title":"Am Soc Clin Oncol Educ Book"},{"issue":"5","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b24","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1097\/AOG.0000000000001977","article-title":"Using a patient navigator to improve postpartum care in an urban women\u2019s health clinic","volume":"129","author":"Yee","year":"2017","journal-title":"Obstet Gynecol"},{"issue":"16","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b25","doi-asserted-by":"crossref","first-page":"2747","DOI":"10.1002\/cncr.32147","article-title":"The efficacy and cost-effectiveness of patient navigation programs across the cancer continuum: a systematic review","volume":"125","author":"Bernardo","year":"2019","journal-title":"Cancer"},{"issue":"5","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b26","doi-asserted-by":"crossref","first-page":"1655","DOI":"10.1007\/s00520-018-4407-7","article-title":"In their own words: patient navigator roles in culturally sensitive cancer care","volume":"27","author":"Phillips","year":"2019","journal-title":"Support Care Cancer"},{"issue":"2","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b27","doi-asserted-by":"crossref","first-page":"e0191980","DOI":"10.1371\/journal.pone.0191980","article-title":"Patient navigators for people with chronic disease: a systematic review","volume":"13","author":"McBrien","year":"2018","journal-title":"PLoS One"},{"issue":"1","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b28","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1186\/s12913-021-07140-6","article-title":"The role of patient navigators in ambulatory care: overview of systematic reviews","volume":"21","author":"Budde","year":"2021","journal-title":"BMC Health Serv Res"},{"issue":"5","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b29","doi-asserted-by":"crossref","first-page":"1369","DOI":"10.1007\/s00520-018-4108-2","article-title":"Effects of patient navigation on satisfaction with cancer care: a systematic review and meta-analysis","volume":"26","author":"Wells","year":"2018","journal-title":"Support Care Cancer"},{"issue":"10","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b30","first-page":"512","article-title":"Increasing health portal utilization in cardiac ambulatory patients: a pilot project","volume":"35","author":"Shaw","year":"2017","journal-title":"Comput Inform Nurs"},{"key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b31","doi-asserted-by":"crossref","first-page":"762784","DOI":"10.3389\/fpubh.2021.762784","article-title":"A study protocol for increasing access to smoking cessation treatments for low-income minority smokers","volume":"9","author":"Matthews","year":"2021","journal-title":"Front Public Health"},{"key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b32","doi-asserted-by":"crossref","first-page":"27106","DOI":"10.3402\/gha.v8.27106","article-title":"Inequalities in health: definitions, concepts, and theories","volume":"8","author":"Arcaya","year":"2015","journal-title":"Global Health Action"},{"key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b33","volume-title":"Access to Health Care in America","author":"Institute of Medicine (U.S.)","year":"1993"},{"issue":"2","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b34","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1177\/1524839908323521","article-title":"A national patient navigator training program","volume":"11","author":"Calhoun","year":"2010","journal-title":"Health Promot Pract"},{"issue":"10","key":"2024051415110417600_i1945-0826-DECIPHeR-S1-117-b35","doi-asserted-by":"crossref","first-page":"3026","DOI":"10.1007\/s11606-020-06020-9","article-title":"Effectiveness of patient navigation to increase cancer screening in populations adversely affected by health disparities: a meta-analysis","volume":"35","author":"Nelson","year":"2020","journal-title":"J Gen Intern Med"}],"container-title":["Ethnicity &amp; Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/meridian.allenpress.com\/ethnicity-disease\/article-pdf\/DECIPHeR\/Special%20Issue\/117\/3374505\/i1945-0826-decipher-s1-117.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/meridian.allenpress.com\/ethnicity-disease\/article-pdf\/DECIPHeR\/Special%20Issue\/117\/3374505\/i1945-0826-decipher-s1-117.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T15:11:44Z","timestamp":1715699504000},"score":1,"resource":{"primary":{"URL":"https:\/\/meridian.allenpress.com\/ethnicity-disease\/article\/DECIPHeR\/Special%20Issue\/117\/500171\/The-Use-of-Navigators-to-Increase-Patient-Portal"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,1]]},"references-count":35,"journal-issue":{"issue":"Special Issue","published-online":{"date-parts":[[2024,4,24]]},"published-print":{"date-parts":[[2023,12,1]]}},"URL":"https:\/\/doi.org\/10.18865\/ed.decipher.117","relation":{},"ISSN":["1945-0826","1049-510X"],"issn-type":[{"value":"1945-0826","type":"electronic"},{"value":"1049-510X","type":"print"}],"subject":[],"published":{"date-parts":[[2023,12,1]]}}}