Digital health engagement is often treated as binary. For example, patients either use tools like portals and telehealth or they do not. However, this study suggests a more nuanced reality. In a retrospective cohort study, researchers applied cluster analysis to identify distinct “digital engagement phenotypes” based on use of messaging, phone, video, and portal functions. They found that engagement patterns varied widely, from highly digital, asynchronous users to those relying primarily on telephone or in-person care.

Digital health tools such as patient portals and telemedicine are increasingly embedded in care delivery, yet many older adults face challenges using them effectively. In this mixed methods study, researchers assessed fundamental digital skills and observed participants completing common tasks such as joining a video visit, logging into a portal, and signing up for an account.

Digital health tools such as patient portals, telemedicine, and mobile apps are now central to health care delivery, yet patients’ ability to benefit from these tools depends on their digital readiness. In a national survey of 144 clinicians and informatics leaders conducted in early 2024, fewer than half (44%) reported that their health systems screen patients for digital readiness.