Patient Electronic Communication Technology (ECT) Report RRNET 2011
Study Collaborators Austin Corpus Christi Fort Worth Garland Harlingen McAllen San Antonio Christus Santa Rosa Hospital San Antonio UTHSCSA Lubbock Swati Avashia, MD Medical Student: Ryan Horton Jerry Kizerian, PhD Medical Student: Carlos Cardenas Richard Young, MD Medical Student: Adam Kirkland Raji Nair, MD Medical Student: Les Alloju Darryl White, MD Sunand Kallumadanda, MD Jesus Naranjo, MD Medical Student: Laura Iglesias Tamara Armstrong, PsyD Medical Student: Anna Haring Sandra Burge, PhD Ashok Kumar, MD Bryan Bayles, PhD Jason Hill, MS Medical Student: Kristin Yeung David Edwards, MD Medical Student: Brenda Watkins
OBJECTIVE The Residency Research Network of Texas (RRNeT) is a collaboration of ten family medicine residency programs located in Austin, Corpus Christi, Dallas, Fort Worth, Garland, Harlingen, Lubbock, McAllen, and San Antonio (2 programs). About 100 family physician faculty and 300 family medicine residents see more than 300,000 patient visits per year. Approximately 52% of our patients are Hispanic, 13% are African American and 3% of Asian. Approximately 70% of our patients are classified as ethnic or racial minorities. Although some patients utilize a combination of insurance programs, approx. 48% of our patients have government sponsored health insurance, 28% have private insurance, whereas 27% are self-pay or utilize the county plan. The primary aim of this study was to evaluate methods of electronic communication used by our patients, including their use of cell phones, internet, and e-mail. We also wanted to determine the potential for electronic communication given computer and cell phone ownership. Finally, we wanted to determine if communication preferences and capabilities varied by age and insurance type. These estimates will help us determine if electronic communication such as web portals, e-mail messages or texting - is an option for sending and receiving health information, or for gathering research information among our patient population.
RRNET PATIENT SURVEY RESULTS TX Region rth Texas Central Texas South Texas West Texas TOTAL City Austin Corpus Christi Fort Worth Garland Harlingen Lubbock McAllen Christus Santa Rosa Hospital San Antonio UTHSCSA TOTAL Gender Males Females Age Young Adults (21 39) Middle Age (40 64) Seniors (65 74) Ethnicity Hispanic Caucasian African American Asian Pacific Islander American Indian Mixed Ethnicity TOTAL Significance Level. of Patients 60 (11.3) 208 (39) 180 (33.8) 85 (15.9) 533. of Patients 79 (14.8) 64 (12) 40 (7.5) 20 (3.8) 83 (15.6) 85 (15.9) 33 (6.2) 60 (11.3) 69 (12.9) 533 175 (32.8) 357 (67.0) 145 (27.2) 276 (51.8) 112 (21.0) 279 (52.3) 166 (31.1) 70 (13.1) 17 (3.2) 1 (.2) 8 (1.5) 0 533 *denotes significance at.05 Level, **denotes significance at.01 Level
Insurance Plan Insurance or CHIP/SCHIP Self Pay Workers Comp Unknown 149 (28) 123 (23.1) 131 (24.6) 116 (21.8) 27 (5.1) 2 32 (6) Phone Ownership Do you have a phone? Cell or Landline Total* Do you have a Landline? 145 (100) 263 (95.6) 102 (95.3) 510 (96.8) 0 (0) 12 (4.4) 5 (4.7) 17 (3.2) Do you own a cell phone? 55 (37.9) 145 (53.1) 83 (77.6) 283 (53.9) Cell Phone 90 (62.1) 128 (46.9) 24 (22.4) 242 (46.1) Monthly Contract Longer Term Contract If you own a cell phone, is your number the same as a year ago? 6 (4.2) 45 (16.5) 31 (29.2) 82 (15.7), my number is different 68 (47.2) 111 (40.8) 21 (19.8) 200 (38.3), my number is the same 70 (48.6) 116 (42.6) 54 (50.9) 240 (46) 27 (25) 42 (18.7) 5 (5.5) 74 (17.5) 74 (68.5) 136 (60.4) 56 (61.5) 266 (62.7) Phone Usage If you own a cell phone, do you use texting?, I do not use texting., I use texting 12 (8.3) 84 (30.8) 64 (58.7) 160 (30.4) 127 (87.6) 142 (52) 12 (11) 281 (53.3)
Do you use voice mail?, voice mail, voice mail on home phone, voice mail on cell phone Total 21 (12.5) 77 (23.6) 43 (31.4) 141 (22.3) 29 (17.2) 80 (24.5) 55 (40.1) 164 (25.9) 118 (70.2) 169 (51.8) 39 (28.5) 326 (51.7) Computer Ownership & Use Do you own a computer? *denotes significance at.05 Level, **denotes significance at.01 Level Conduct Internet Searches Use e-mail Use Instant Messaging Use Facebook or Myspace Use Youtube 107 (74.3) 166 (60.4) 52 (47.7) 325 (61.6) 96 (66.2) 134 (48.6) 29 (25.9) 259 (48.6) 94 (64.8) 122 (44.2) 37 (33) 253 (47.5) 48 (33.1) 43 (15.6) 5 (4.5) 96 (18) 84 (57.9) 77 (27.9) 6 (5.4) 167 (31.3) 68 (46.9) 60 (21.7) 3 (2.7) 131 (24.6) 37 (25.7) 109 (39.6) 57 (52.3) 203 (38.4) 49 (33.8) 142 (51.4) 83 (74.1) 274 (51.4) 51 (35.2) 154 (55.8) 75 (67) 280 (52.5) 97 (66.9) 233 (84.4) 107 (95.5) 437 (82.0) 61 (42.1) 199 (72.1) 106 (94.6) 366 (68.7) 77 (53.1) 216 (78.3) 109 (97.3) 402 (75.4)
Health Information Do you look up health information on the internet? Receiving Health Information own health info by e-mail? own health information by text? own health info by the internet? own health info by voicemail? Total 92 (64.3) 129 (47.1) 31 (28.4) 252 (47.9) 73 (50.3) 95 (34.4) 21 (18.8) 189 (35.5) 47 (32.4) 50 (18.1) 3 (2.7) 100 (18.8) 30 (20.7) 37 (13.4) 5 (4.5) 72 (13.5) 41 (28.3) 70 (25.4) 19 (17) 130 (24.4) 51 (35.7) 145 (52.9) 78 (71.6) 274 (52.1) 72 (49.7) 181 (65.6) 91 (81.3) 344 (64.5) 98 (67.6) 226 (81.9) 109 (97.3) 433 (81.2) 115 (79.3) 239 (86.6) 107 (95.5) 461 (86.5) 104 (71.7) 206 (74.6) 93 (83) 403 (75.6)
own health information by none of the above? Sending Information to Doctor doctor by e-mail? doctor by text? doctor by internet? doctor by voicemail? Total, none of the above 32 (22.1) 121 (43.8) 64 (57.1) 217 (40.7) 82 (56.6) 100 (36.2) 18 (16.1) 200 (37.5) 52 (35.9) 52 (18.8) 3 (2.7) 107 (20.1) 26 (17.9) 36 (13) 5 (4.5) 67 (12.6) 42 (29) 63 (22.8) 21 (18.8) 126 (23.6) 113 (77.9) 155 (56.2) 48 (42.9) 316 (59.3) 63 (43.4) 176 (63.8) 94 (83.9) 333 (62.5) 93 (64.1) 224 (81.2) 109 (97.3) 426 (79.9) 119 (82.1) 240 (87) 107 (95.5) 466 (87.4) 103 (71) 213 (77.2) 91 (81.3) 407 (86.4)
doctor by none of the above?, none of the above 35 (24.1) 115 (41.7) 62 (55.4) 212 (39.8) 110 (75.9) 161 (58.3) 50 (44.6) 321 (50.2) Phone Ownership by Insurance Status Do you have a phone? Total Do you have a phone at home? 116 (99.1) 83 (94.3) 122 (96.1) 27 (100) 109 (94.8) 457 (96.4) 1 (.9) 5 (5.7) 5 (3.9) 0 6 (5.2) 17 (3.6) Total Do you own a cell phone? 64 (55.2) 57 (64) 59 (47.6) 12 (44.4) 63 (54.3) 255 (54) Cell Phone 52 (44.8) 32 (36) 65 (52.4) 15 (55.6) 53 (45.7) 217 (46) Monthly Contract Longer Term Contract If you own a cell phone, is your number the same as a year ago? 7 (6) 19 (21.6) 23 (18.5) 3 (11.1) 22 (19.5) 74 (15.8), my number is different 24 (20.7) 24 (27.3) 68 (54.8) 14 (51.9) 49 (43.4) 179 (38.2), my number is the same 85 (73.3) 45 (51.1) 33 (26.6) 10 (37) 42 (37.2) 215 (45.9) 7 (8.2) 6 (8.2) 22 (21.8) 5 (22.7) 25 (23.8) 65 (16.8) 70 (82.4) 49 (67.1) 52 (51.5) 13 (59.1) 59 (56.2) 243 (63.0)
Phone Usage If you own a cell phone, do you use texting?, I do not use texting., I use texting Do you use voice mail? 26 (22.2) 46 (51.7) 38 (30.4) 5 (18.5) 27 (23.3) 142 (30), voice mail 82 (70.1) 22 (24.7) 62 (49.6) 19 (70.4) 66 (56.9) 251 (53), voice mail on home phone, voice mail on cell phone Total 16 (10.5) 34 (30.4) 42 (30) 7 (22.6) 31 (24) 130 (23) 46 (30.1) 39 (34.8) 27 (19.3) 8 (25.8) 26 (20.2) 146 (25.8) 91 (59.5) 39 (34.8) 71 (50.7) 16 (51.6) 72 (55.8) 289 (51.2) Computer Ownership & Use Do you own a computer? Conduct Internet Searches 92 (78.6) 48 (53.3) 58 (46.8) 20 (74.1) 71 (61.2) 289 (61) 25 (21.4) 42 (46.7) 66 (53.2) 7 (25.9) 45 (38.8) 185 (39) Use e-mail 86 (73.5) 29 (31.9) 45 (35.2) 18 (66.7) 53 (45.7) 231 (48.2) 31 (26.5) 62 (68.1) 83 (64.8) 9 (33.3) 63 (54.3) 248 (51.8) 82 (70.1) 38 (41.8) 43 (33.6) 16 (59.3) 46 (39.7) 225 (47) 35 (29.9) 53 (58.2) 85 (66.4) 11 (40.7) 70 (60.3) 254 (53)
Use Instant Messaging Use Facebook or Myspace Use Youtube? Health Information Do you look up health information on the internet? Receiving Health Information own health info by e-mail? 37 (31.6) 7 (7.7) 12 (9.4) 9 (33.3) 17 (14.7) 82 (17.1) 54 (46.2) 9 (9.9) 34 (26.6) 13 (48.1) 35 (30.2) 145 (30.3) 51 (43.6) 6 (6.6) 22 (17.2) 10 (37) 26 (22.4) 115 (24) 78 (67.8) 30 (33.3) 49 (39.2) 15 (55.6) 51 (44.3) 223 (47.2) 70 (59.8) 21 (23.1) 27 (21.1) 9 (33.3) 39 (33.6) 166 (34.7) 80 (68.4) 84 (92.3) 116 (90.6) 18 (66.7) 99 (85.3) 397 (82.9) 63 (53.8) 82 (90.1) 94 (73.4) 14 (51.9) 81 (69.8) 334 (69.7) 66 (56.4) 85 (93.4) 106 (82.8) 17 (63) 90 (77.6) 364 (76) 37 (32.2) 60 (66.7) 76 (60.8) 12 (44.4) 64 (55.7) 249 (52.8) 47 (40.2) 70 (76.9) 101 (78.9) 18 (66.7) 77 (66.4) 103 (65.3)
own health information by text? Total* own health info by the internet? own health info by voicemail? own health information by none of the above? 30 (25.6) 9 (9.9) 27 (21.1) 4 (14.8) 20 (17.2) 90 (18.8) 32 (27.4) 7 (7.7) 11 (8.6) 3 (11.1) 14 (12.1) 67 (14) 40 (34.2) 17 (18.7) 31 (24.2) 4 (14.8) 20 (17.2) 112 (23.4), none of the above 32 (27.4) 46 (50.5) 55 (43) 12 (44.4) 51 (44) 196 (40.9) 87 (74.4) 82 (90.1) 101 (78.9) 23 (85.2) 96 (82.8) 389 (81.2) 85 (72.6) 84 (92.3) 117 (91.4) 24 (88.9) 102 (87.9) 412 (86) 77 (65.8) 74 (81.3) 97 (75.8) 23 (85.2) 96 (82.8) 367 (76.6) 85 (72.6) 45 (49.5) 73 (57) 15 (55.6) 65 (56) 283 (59.1)
Sending Health Information doctor by e-mail? doctor by text? doctor by internet? doctor by voicemail? 76 (65) 19 (20.9) 26 (20.3) 11 (40.7) 45 (38.8) 177 (37) 35 (29.9) 8 (8.8) 26 (20.3) 6 (22.2) 20 (17.2) 95 (9.8) 31 (26.5) 7 (7.7) 7 (5.5) 3 (11.1) 15 (12.9) 63 (13.2) 39 (33.3) 22 (24.2) 26 (20.3) 2 (7.4) 18 (15.5) 107 (22.3) 41 (35) 72 (79.1) 102 (79.7) 16 (59.3) 71 (61.2) 302 (63) 82 (70.1) 83 (91.2) 102 (79.7) 21 (77.8) 96 (82.8) 384 (80.2) 86 (73.5) 84 (92.3) 121 (94.5) 24 (88.9) 101 (87.1) 416 (86.8) 78 (66.7) 69 (75.8) 102 (79.7) 25 (92.6) 98 (84.5) 372 (77.7)
doctor by none of the above?, none of the above 30 (25.6) 46 (50.5) 61 (47.7) 11 (40.7) 47 (40.5) 195 (40.7) 87 (74.4) 45 (49.5) 67 (52.3) 16 (59.3) 69 (59.5) 284 (59.3)