The Language of Equity in Digital Health: Prioritizing the Needs of Limited English Proficient Communities in the Patient Portal 2.0

Communication barriers faced by limited English proficient (LEP) patients have led to worse outcomes. Such disparities are entrenched in digital health and call into question the impact of tools such as patient portals, primary touchpoint for patients. Over last decade, portals been implemented broadly but done little address needs LEP communities, who make up almost 10% U.S. population. The surge telemedicine during COVID-19 pandemic, which has relied part on increases urgency a comprehensive approach disparities. We present recommendations grounded 7Ps Stakeholder Engagement (policymakers, payers, product makers, purchasers, providers, patients, principal investigators) next generation (version 2.0). Our focus expanding language accessibility, establishing messaging workflows integrate services, extending federal guidelines equity, ensuring access literacy.