Social disparities in internet patient portal use in diabetes: evidence that the digital divide extends beyond access

By Urmimala Sarkar, A. Karter, Jennifer Y. Liu, Nancy E. Adler, Robert Nguyen, Andrea López, Dean Schillinger. J. Am. Medical Informatics Assoc., 2011

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Returning Individual Research Results to Participants: Guidance for a New Research Paradigm (2018, background): “…opportunity for the synchronous communication of a phone or in-person return and the fact that the portal is less likely to be used by racial and ethnic minority and rural populations and those with limited health literacy or technology proficiency (Sarkar et al., 2010, 2011; Sharit et al., 2014).”
Patient Portals and Patient Engagement: A State of the Science Review (2015, background): “However, this term does not encompass the many other factors that may contribute to adoption such as language barriers, age, race and ethnicity, social economic status, and level of patient activation [32,50,54,71].”