AJMC January 12, 2026
Mohamed M. Ali, MS, Scott Lunos, MS, Zachary Henderson, BSB, Michele Allen, MD, MS, Patricia Adam, MD, MSPH, Genevieve B. Melton, MD, PhD, Rubina Rizvi, MD, PhD

This analysis of more than 250,000 adults at least 50 years old with chronic conditions showed lower portal use among older, non–English-speaking, and Black patients, underscoring digital health equity gaps.

ABSTRACT

Objective: To understand patient portal engagement stratified by patient characteristics among adults 50 years and older with at least 1 common chronic medical condition using electronic health records data.

Study Design: This exploratory study retrospectively analyzed categorical and numerical data for a patient cohort receiving any kind of care in the M Health Fairview system.

Methods: Data were retrieved from the Epic Clarity database for patients 50 years and older with 1 or more chronic illnesses during the study period and mapped to International Classification of Diseases codes. Portal...

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