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To the Editor: Information technology has led to an increase in the number of projects being developed to focus on enhancing communication between health care professionals and patients.^1-2 Despite the potential of the Internet and the advances in information technology to enhance medical care for urban³ as well as rural disadvantaged persons, the feasibility of electronic technology reaching this segment of the population is unclear. To gain greater insight into this issue we evaluated the information technology awareness and access among patients at an inner-city county hospital clinic. Between December 1997 and February 1998, we randomly administered a 27-question survey regarding awareness and access to specific informatics technologies to patients receiving routine follow-up care in the outpatient general medicine clinic at an urban medical center in Los Angeles, Calif.

Of 154 patients solicited, 152 (99%) responded (African American, 119; Hispanic, 27; white, 3; Asian, 3). Among the respondents, 129 (85%) . . . [Full Text of this Article]

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