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Tools available to help healthcare providers include guided communication styles and clinical screening tools for psychosocial conditions.
The greatest increase in utilization was seen for veterans aged 85 years and older (6.1 visits) versus those aged 20 to 44 years (4.8 visits).
Lower portal activity was linked to older age, female sex and for Hispanic/Latinx, non-Hispanic Black and other race patients.
Better outreach and training are needed to help patients understand and use portal systems, researchers say.