Web-Based PHR (Personal Health Records) Systems Adoption

2019 ◽  
pp. 290-303
Author(s):  
Changsoo Sohn ◽  
Younsook Yeo
Keyword(s):  
Value Of Information ◽  
Perceived Value ◽  
Personal Health Records ◽  
Personal Health ◽  
Intention To Use ◽  
Privacy And Security ◽  
Health Records ◽  
Web Based ◽  
Perceived Security ◽  
Using Data

The purpose of this study is to find factors which explain patients' intention to use web-based personal health records (PHR). It is hypothesized that patients' perceived value of information, perceived worthwhileness of searching, concerns about privacy issues, trust in information, and perceived security on web-based PHR systems are related to patients' intention to use PHRs. Using data from health information national trends survey (HINTS), direct and indirect effects of these factors on patients' intention to use PHRs were analyzed. The results show that perceived value of information, privacy, information trust, and security have significant and direct associations to intention to use PHRs. Meanwhile, perceived value of information is a strong antecedent of perceived worthwhileness of searching; however, it has no direct association to intention to use PHRs. The findings suggest that the efforts should be targeted to increase perceived value of the information and trust in privacy and security as well as the information to increase patients' intention to use PHRs.

Enablers for Patients to Adopt Web-Based Personal Health Records (PHR)

2018 ◽  
pp. 1675-1688
Author(s):  
Changsoo Sohn ◽  
Younsook Yeo
Keyword(s):  
Value Of Information ◽  
Perceived Value ◽  
Personal Health Records ◽  
Personal Health ◽  
Privacy And Security ◽  
Health Records ◽  
Web Based ◽  
Information Trust ◽  
National Trends ◽  
Patients Perspective

This study analyzed what are enablers to adopt web-based Personal Health Records (PHR) from patients' perspective while many studies are conducted from providers' perspective. Patients may consider Perceived Value of Information, Perceived Worthwhileness of Searching, Privacy, Information Trust, and Security before adopting web-based PHR. By using HINTS (Health Information National Trends Survey), this study found out that Perceived Value of Information is the most critical enabler for patients to adopt web-based PHR. Privacy, Information Trust, and Security are also enablers to adopt web-based PHR. But, Perceived Worthwhileness of Searching is not statistically significant to explain adoption of web-based PHR. However, Perceived Value of Information is strong antecedent of Perceived Worthwhileness of Searching. Based on this study, patients are more likely to adopt web-based PHR when they realize that web-based PHR provides valuable and reliable information with protecting privacy and security.

What Makes Patients Adopt the Web-Based Personal Health Records (PHRs)?

2021 ◽  
pp. 188-200
Author(s):  
Changsoo Sohn ◽  
Younsook Yeo
Keyword(s):  
Value Of Information ◽  
Perceived Value ◽  
Personal Health Records ◽  
Perceived Usefulness ◽  
Personal Health ◽  
Health Records ◽  
Web Based ◽  
Perceived Trust ◽  
Perceived Security ◽  
The Web

This study analyzed what makes patients adopt the web-based personal health records (PHRs). Patients may consider the perceived value of information, the perceived usefulness of searching, the perceived privacy, the perceived trust, and the perceived security when they adopt the web-based PHRs. By using HINTS (Health Information National Trends Survey), this study found that the perceived value of information is the most important determinant when patients adopt the web-based PHRs. The perceived privacy, the perceived trust, and the perceived security are also determinants to influence their decision to adopt the web-based PHRs. But, the perceived value of searching is not statistically significant to explain the adoption of the web-based PHRs. However, the perceived value of information is a strong antecedent of the perceived usefulness of searching. Based on this study, patients are more likely to adopt the web-based PHRs when they realize that the web-based PHRs provide valuable and reliable information with protecting their privacy and system security.

Enablers for Patients to Adopt Web-Based Personal Health Records (PHR)

2016 ◽  
Vol 8 (1) ◽  
pp. 1-12
Author(s):  
Changsoo Sohn ◽  
Younsook Yeo
Keyword(s):  
Value Of Information ◽  
Perceived Value ◽  
Personal Health Records ◽  
Personal Health ◽  
Privacy And Security ◽  
Health Records ◽  
Web Based ◽  
Information Trust ◽  
National Trends ◽  
Patients Perspective

This study analyzed what are enablers to adopt web-based Personal Health Records (PHR) from patients' perspective while many studies are conducted from providers' perspective. Patients may consider Perceived Value of Information, Perceived Worthwhileness of Searching, Privacy, Information Trust, and Security before adopting web-based PHR. By using HINTS (Health Information National Trends Survey), this study found out that Perceived Value of Information is the most critical enabler for patients to adopt web-based PHR. Privacy, Information Trust, and Security are also enablers to adopt web-based PHR. But, Perceived Worthwhileness of Searching is not statistically significant to explain adoption of web-based PHR. However, Perceived Value of Information is strong antecedent of Perceived Worthwhileness of Searching. Based on this study, patients are more likely to adopt web-based PHR when they realize that web-based PHR provides valuable and reliable information with protecting privacy and security.

scholarly journals Barriers to patient, provider, and caregiver adoption and use of electronic personal health records in chronic care: a systematic review

2020 ◽  
Author(s):  
Zahra Niazkhani ◽  
Esmaeel Toni ◽  
Mojgan Cheshmekaboodi ◽  
Andrew Georgiou ◽  
Habibollah Pirnejad
Keyword(s):  
Chronic Disease ◽  
Computer Literacy ◽  
Chronic Care ◽  
Personal Health Records ◽  
Personal Health ◽  
Cochrane Central Register ◽  
Privacy And Security ◽  
Health Records ◽  
Chronic Disease Care ◽  
Electronic Personal Health Records

Abstract Background: Electronic personal health records (ePHRs) are defined as electronic applications through which individuals can access, manage, and share health information in a private, secure, and confidential environment. Existing evidence shows their benefits in improving outcomes, especially for chronic disease patients. However, their use has not been as widespread as expected partly due to barriers faced in their adoption and use. We aimed to identify the types of barriers to a patient, provider, and caregiver adoption/use of ePHRs and to analyze their extent in chronic disease care.Methods: A systematic search in Medline, PubMed, Science Direct, Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Cochrane Central Register of Controlled Trials, and the Institute of Electrical and Electronics Engineers (IEEE) database was performed to find original studies assessing barriers to ePHR adoption/use in chronic care until the end of 2018. Two researchers independently screened and extracted data. We used the PHR adoption model and the Unified Theory of Acceptance and Use of Technology to analyze the results. The Mixed Methods Appraisal Tool (MMAT) version 2018 was used to assess the quality of evidence in the included studies.Results: Sixty publications met our inclusion criteria. Issues found hindering ePHR adoption/use in chronic disease care were associated with demographic factors (e.g., patient age and gender) along with key variables related to health status, computer literacy, preferences for direct communication, and patient’s strategy for coping with a chronic condition; as well as factors related to medical practice/environment (e.g., providers’ lack of interest or resistance to adopting ePHRs due to workload, lack of reimbursement, and lack of user training); technological (e.g., concerns over privacy and security, interoperability with electronic health record systems, and lack of customized features for chronic conditions); and chronic disease characteristics (e.g., multiplicities of co-morbid conditions, settings, and providers involved in chronic care).Conclusions: ePHRs can be meaningfully used in chronic disease care if they are implemented as a component of comprehensive care models specifically developed for this care. Our results provide insight into hurdles and barriers mitigating ePHR adoption/use in chronic disease care. A deeper understating of the interplay between these barriers will provide opportunities that can lead to an enhanced ePHR adoption/use.

Variations in the Usability of Independent Web-Based Personal Health Records

2016 ◽  
Vol 33 (4) ◽  
pp. 280-286 ◽  
Author(s):  
Alexandra Doggett ◽  
Dustin T. Weiler ◽  
Jason J. Saleem
Keyword(s):  
Personal Health Records ◽  
Personal Health ◽  
Health Records ◽  
Web Based

scholarly journals Barriers to patient, provider, and caregiver adoption and use of electronic personal health records in chronic care: a systematic review

2020 ◽  
Author(s):  
Zahra Niazkhani ◽  
Esmaeel Toni ◽  
Mojgan Cheshmekaboodi ◽  
Andrew Georgiou ◽  
Habibollah Pirnejad
Keyword(s):  
Chronic Disease ◽  
Computer Literacy ◽  
Chronic Care ◽  
Personal Health Records ◽  
Personal Health ◽  
Cochrane Central Register ◽  
Privacy And Security ◽  
Health Records ◽  
Chronic Disease Care ◽  
Electronic Personal Health Records

Abstract Background Electronic personal health records (ePHRs) are defined as electronic applications through which individuals can access, manage, and share health information in a private, secure, and confidential environment. Existing evidence shows their benefits in improving outcomes, especially for chronic disease patients. However, their use has not been as widespread as expected partly due to barriers faced in their adoption and use. We aimed to identify the types of barriers to a patient, provider, and caregiver adoption/use of ePHRs and to analyze their extent in chronic disease care.Methods A systematic search in Medline, PubMed, Science Direct, Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Cochrane Central Register of Controlled Trials, and the Institute of Electrical and Electronics Engineers (IEEE) database was performed to find original studies assessing barriers to ePHR adoption/use in chronic care until the end of 2018. Two researchers independently screened and extracted data. We used the PHR adoption model and the Unified Theory of Acceptance and Use of Technology to analyze the results. The Mixed Methods Appraisal Tool (MMAT) version 2018 was used to assess the quality of evidence in the included studies.Results Sixty publications met our inclusion criteria. Issues found hindering ePHR adoption/use in chronic disease care were associated with demographic factors (e.g., patient age and gender) along with key variables related to health status, computer literacy, preferences for direct communication, and patient’s strategy for coping with a chronic condition; as well as factors related to medical practice/environment (e.g., providers’ lack of interest or resistance to adopting ePHRs due to workload, lack of reimbursement, and lack of user training); technological (e.g., concerns over privacy and security, interoperability with electronic health record systems, and lack of customized features for chronic conditions); and chronic disease characteristics (e.g., multiplicities of co-morbid conditions, settings, and providers involved in chronic care).Conclusions ePHRs can be meaningfully used in chronic disease care if they are implemented as a component of comprehensive care models specifically developed for this care. Our results provide insight into hurdles and barriers mitigating ePHR adoption/use in chronic disease care. A deeper understating of the interplay between these barriers will provide opportunities that can lead to an enhanced ePHR adoption/use.

scholarly journals Barriers to patient, provider, and caregiver adoption and use of electronic personal health records in chronic care: a systematic review

2020 ◽  
Author(s):  
Zahra Niazkhani ◽  
Esmaeel Toni ◽  
Mojgan Cheshmekaboodi ◽  
Andrew Georgiou ◽  
Habibollah Pirnejad
Keyword(s):  
Chronic Disease ◽  
Computer Literacy ◽  
Chronic Care ◽  
Personal Health Records ◽  
Personal Health ◽  
Cochrane Central Register ◽  
Privacy And Security ◽  
Health Records ◽  
Chronic Disease Care ◽  
Electronic Personal Health Records

Abstract Background Electronic personal health records (ePHRs) are defined as electronic applications through which individuals can access, manage and share health information in a private, secure, and confidential environment. Existing evidence shows their benefits in improving outcomes especially for chronic disease patients. However, their use has not been as widespread as expected partly due to barriers faced in their adoption and use. We aimed to identify the types of barriers to patient, provider, and caregiver adoption/use of ePHRs and to analyze their extent in chronic disease care. Methods A systematic search in Medline, PubMed, Science Direct, Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Cochrane Central Register of Controlled Trials, and the Institute of Electrical and Electronics Engineers (IEEE) dtabase was performed to find original studies assessing barriers to ePHR adoption/use in chronic care till the end of 2018. Two researchers independently screened and extracted data. We used the PHR adoption model and the Unified Theory of Acceptance and Use of Technology to analyze the results. The MMAT was used to assess the quality of evidence. Results Sixty publications met our inclusion criteria. Issues found hindering ePHR adoption/use in chronic disease care were associated with demographic factors (e.g., patient age and gender) along with key variables related to health status, computer literacy, preferences for direct communication, and patient’s strategy for coping with a chronic condition; as well as factors related to medical practice/environment (e.g., providers’ lack of interest or resistance to adopting ePHRs due to workload, lack of reimbursement, and user training); technological (e.g., concerns over privacy and security, interoperability with electronic health record systems, and lack of customized features for chronic conditions); and chronic disease characteristics (e.g., multiplicities of co-morbid conditions, settings and providers involved in chronic care). Conclusions ePHRs can be meaningfully used in chronic disease care if they are implemented as a component of comprehensive care models specifically developed for this care. Our results provide insight into hurdles and barriers mitigating ePHR adoption/use in chronic disease care. Deeper understating of the interplay between these barriers will provide opportunities that can lead to an enhanced ePHR adoption/use.

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