![]() Bivariate analyses of HINTS data were conducted using Stata/SE statistical software version 15 (StataCorp). ![]() We complemented the app store data with data from HINTS 6, a nationally representative survey of US adults, fielded March to November 2022 (eAppendix 2 in Supplement 1). We selected the app store because it publicly provides installation data and represents about one-half of the US mobile market. We selected these apps based on market research and the market share for relevant EHR, insurer, and health care organization portal apps included in the study. We wrote a computer program using R statistical software version 4.2.1 (R Project for Statistical Computing) to collect app installation and review count data on 26 patient portal apps and 22 third-party apps (eAppendix 1 in Supplement 1) from the Google Play website in 2019, 2021, and 2022. This cross-sectional study followed STROBE reporting guidelines and did not require institutional review board approval or participant informed consent because it was not human participant research in accordance with 45 CFR 46 and used publicly available data. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.
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