scholarly journals Examining attitudes toward and ability to interact with an online personal health record: A case study in Saudi Arabia

2019 ◽  
Vol 6 (1) ◽  
pp. 1 ◽  
Author(s):  
Bandar Faisal Al-Mifgai ◽  
Joseph Sharit ◽  
Arzu Onar-Thomas ◽  
Shihab Asfour
Keyword(s):  
Saudi Arabia ◽  
Health Literacy ◽  
Health Systems ◽  
Health Management ◽  
Personal Health Record ◽  
The Internet ◽  
Personal Health ◽  
Health Record ◽  
Health Numeracy ◽  
Electronic Health

Objective: This study examined the ability for adults from a developing country to use a personal health record (PHR) to perform health-management tasks. The effects of gender differences as well as differences in attitudes about using the internet to manage health prior to and after exposure to the PHR were also investigated.Methods: A simulation of a PHR based on a well-established U.S. online patient portal was designed and tailored for this particular study population. Two hundred and three adults with a mean age of 40.9 years were recruited from various areas in Saudi Arabia and asked to perform seven common health-management tasks of varying degrees of difficulty. Their electronic health literacy and health numeracy, as well as their attitudes about using online health systems for managing their health prior to and following their interaction with the PHR, were assessed using questionnaires.Results: After controlling for education, perceived health status, and comfort using the internet, electronic health literacy and health numeracy were still found to be significant predictors of participants’ task performance, but only for the more challenging health-management tasks. No important differences based on gender were found. Exposure to the PHR significantly increased the acceptability of using the internet for managing their health.Conclusions: The change in attitudes following interaction with the PHR suggests that many adults in this society could benefit from these electronic health systems, including females who, due to cultural considerations, may desire greater control in managing their health. However, the importance of electronic health literacy and health numeracy suggests the need for designs that minimize the impact of these factors for successful performance of health-management tasks.

scholarly journals Patient empowerment through a user-centered design of an electronic personal health record: a qualitative study of user requirements in chronic kidney disease

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Esmaeel Toni ◽  
Habibollah Pirnejad ◽  
Khadijeh Makhdoomi ◽  
Azam Mivefroshan ◽  
Zahra Niazkhani
Keyword(s):  
Chronic Kidney Disease ◽  
Health Literacy ◽  
Kidney Disease ◽  
Qualitative Study ◽  
Personal Health Record ◽  
Self Management ◽  
Personal Health ◽  
Health Record ◽  
User Centered Design ◽  
Electronic Personal Health Record

Abstract Background To improve chronic disease outcomes, self-management is an effective strategy. An electronic personal health record (ePHR) is a promising tool with the potential to support chronic patient’s education, counseling, and self-management. Fitting ePHRs within the daily practices of chronic care providers and chronic patients requires user-centered design approaches. We aimed to understand users’ needs and requirements in chronic kidney disease (CKD) care to consider in the design of an ePHR to facilitate its implementation, adoption, and use. Methods A qualitative study was conducted in a major Iranian nephrology center including inpatient and outpatient settings in 2019. We conducted 28 semi-structured interviews with CKD patients, nurses, and adult nephrologists. To confirm or modify the requirements extracted from the interviews, a focus group was also held. Data were analyzed to extract especially those requirements that can facilitate implementation, adoption, and sustained use based on the PHR adoption model and the unified theory of acceptance and use of technology. Results Participants requested an ePHR that provides access to up to date patient information, facilitates patient-provider communication, and increases awareness about patient individualized conditions. Participants expected a system that is able to cater to low patient e-health literacy and high provider workload. They requested the ePHR to include purposeful documentation of medical history, diagnostic and therapeutic procedures, tailored educational content, and scheduled care reminders. Messaging function, tailored educational content to individual patients’ conditions, and controlled access to information were highly valued in order to facilitate its implementation, adoption, and use. Conclusions We focused on the ePHR’s content and functionalities in the face of facilitators and/or barriers envisioned for its adoption in nephrology care. Designers and implementers should value CKD patients’ needs and requirements for self-management such as providing personalized education and counseling (on the basis of their condition and risk factors), health literacy, and disease progression levels. The socio-technical aspects of care also need further attention to facilitate ePHR’s adoption.

scholarly journals Aplikasi e-Health Berbasis Teknologi Smartphone dalam Monitoring Klien di Komunitas: Studi Literatur

2020 ◽  
Vol 11 (2) ◽  
pp. 120
Author(s):  
Rohayati Rohayati
Keyword(s):  
Health Status ◽  
Health Monitoring ◽  
Health Workers ◽  
Personal Health Record ◽  
Personal Health Records ◽  
The Internet ◽  
Personal Health ◽  
Health Record ◽  
Health Records ◽  
Mobile Health Monitoring

The e-health is information technology in the health systems that can be used by both health workers and clients. Ehealth applications can be based on computers, the internet or smartphones. This study aims to discuss the types of e-health that can be used for health monitoring using smartphones in community setting. Data collection was carried out through electronic database, namely EBSCO, Proquest, Sciencedirect, Scopus, Springerlink and Google Scholar. The e-health that can be used to carry out health promotion and monitor the health status of clients was remote mobile health monitoring. This application was integrated with the internet and smartphone so that clients and health workers can monitor the development of the client's health status. The application that can be used to document medical history was a personal health record both internet and computer integrated so that it can be accessed by clients. Community nurses and primary care institutions are expected to be able to design and use this application to monitor and record the health status of clients in the community. Keywords: e-health in community; smartphone; personal health records ABSTRAK Teknologi e-health merupakan teknologi informasi di bidang kesehatan yang dapat digunakan baik oleh petugas kesehatan maupun klien. Aplikasi e-health dapat berbasis komputer, internet maupun smartphone. Studi ini bertujuan untuk membahas jenis-jenis e-health yang dapat digunakan untuk monitoring kesehatan menggunakan smartphone. Pengumpulan data dilakukan melalui telaah literatur jurnal elektronik yaitu EBSCO, Proquest, Science direct, Scopus, Springerlink dan Google Scholar. Teknologi e-health yang dapat digunakan untuk melakukan promosi kesehatan, memonitor status kesehatan klien adalah remote mobile health monitoring. Aplikasi ini terintegrasi dengan internet dan smartphone sehingga klien dan petugas kesehatan dapat memonitor perkembangan status kesehatan klien dimanapun berada. Aplikasi yang dapat digunakan untuk melakukan dokumentasi riwayat kesehatan adalah personal health record baik terintegrasi internet maupun komputer sehingga dapat diakses oleh klien. Perawat komunitas dan institusi pelayanan primer diharapkan dapat merancang dan menggunakan aplikasi ini untuk memonitor dan mencatat status kesehatan klien di masyarakat. Kata kunci: e-health di komunitas; smartphone; personal health records

scholarly journals The effect of hospital information systems on healthcare facilities efficiency indicators

2015 ◽  
Vol 96 (2) ◽  
pp. 227-233
Author(s):  
Sh M Gimadeev ◽  
A I Latypov ◽  
S V Radchenko ◽  
D F Khaziakhmetov
Keyword(s):  
Information Systems ◽  
Electronic Health Records ◽  
Personal Health Record ◽  
Hospital Information Systems ◽  
Operating Conditions ◽  
Personal Health ◽  
Health Record ◽  
Health Records ◽  
Healthcare Facilities ◽  
Electronic Health

Aim. Comparative assessment of an automation facilities influence on labor input and business processes’ productivity indicators related to primary functions of healthcare facilities of different types.Methods. We performed medical personnel’s work timing in emergency rooms, as well as medical records timing in clinical departments. The automated electronic health records processing while operating hospital information systems created by authors among different types of healthcare facilities was also performed. Output data included personal health record operation periods values and system events timestamps.Results. The data concerning hospital information systems’ influence on electronic health records operating time changes and hospitalization delays was obtained. A correlation between the initial hospitalization delay and hospital capacity was discovered (r=0.917). The emergency room automation significantly reduces hospitalization delays. Under clinical information system operating conditions, the primary examination time recording increases twice, while the time spent for all other electronic health records decreases in higher order. Considerable difference between primary examination recording time and the time, necessary for other personal health record registrations, has satisfactory interpretation within the heterogeneous medical data sources integration model, but not within usability model. In general, the gained data does not confirm results of previously published researches pointing the increased time doctors spent for data management in automation conditions.Conclusion. Hospital information systems implementation improved the specialist’s labor productivity and main working processes work capacity. The obtained data indicate a greater influence of automation in large healthcare facilities and reject usability hypothesis of hospital information systems efficiency.

Factors affecting the acceptance of integrated electronic personal health records in Saudi Arabia: The impact of e-health literacy

2020 ◽  
pp. 183335832096489
Author(s):  
Yaser A Alsahafi ◽  
Valerie Gay ◽  
Adel A Khwaji
Keyword(s):  
Saudi Arabia ◽  
Health Literacy ◽  
Structural Equation ◽  
Information Technologies ◽  
Personal Health Record ◽  
Personal Health ◽  
Health Information Technologies ◽  
Widespread Agreement ◽  
National Implementation ◽  
The Impact

Background: National implementation of electronic personal health record (ePHR) systems is of vital importance to governments worldwide because this type of technology promises to promote and enhance healthcare. Although there is widespread agreement as to the advantages of ePHRs, the level of awareness and acceptance of this technology among healthcare consumers has been low. Objective: The aim of this study was to identify the factors that can influence the acceptance and use of an integrated ePHR system in Saudi Arabia. Method: The unified theory of acceptance and use of technology model was extended in this study to include e-health literacy (e-HL) and tested using structural equation modelling. Data were collected via a questionnaire survey, resulting in 794 valid responses. Results: The proposed model explained 56% of the variance in behavioural intention (BI) to use the integrated ePHR system. Findings also highlighted the significance of performance expectancy, effort expectancy, social influence (SI) and e-HL as determinants of Saudi healthcare consumers’ intentions to accept and use the integrated ePHR system. Additionally, assessment of the research model moderators revealed that only gender had a moderating influence on the relationship between SI and BI. Finally, findings showed a low level of awareness among Saudi citizens about the national implementation of an integrated ePHR system, suggesting the need to promote a greater and more widespread awareness of the system and to demonstrate its usefulness. Conclusion: Findings from this study can assist governments, policymakers and developers of health information technologies and systems by identifying important factors that may influence the diffusion and use of integrated ePHRs.

Mobile Personal Health Record Usage Differences According to Age and Sex: Long-term Observational Study (Preprint)

2020 ◽  
Author(s):  
Do-Hoon Kim ◽  
Yura Lee ◽  
Ji Seon Oh ◽  
Dong-Woo Seo ◽  
Kye Hwa Lee ◽  
...  
Keyword(s):  
Health Management ◽  
Personal Health Record ◽  
Easy Access ◽  
Personal Health ◽  
Health Record ◽  
User Characteristics ◽  
Observation Study ◽  
Log Data ◽  
Age And Sex

BACKGROUND Mobile personal health record (mPHR) provides easy access to personal medical information and helps health management for patients. To ensure active utilization of the mPHR, it is necessary to provide user-customized functions by analyzing the usage logs. Asan Medical Center, a tertiary hospital in Seoul, South Korea, developed a tethered mPHR application called My Chart in My Hand (MCMH) in 2011 and upgraded the application to MCMH 2.0 in 2016. OBJECTIVE To investigate the usage trends and pattern according to user characteristics by analyzing a long-term log data of an mPHR application. METHODS We collected the log data of the MCMH 1.0 from January 2011 to November 2015 and MCMH 2.0 from February 2016 to May 2018. The access counts and trends in each menu were analyzed according to version-up by segmented linear regression analysis. The monthly average access count and monthly access count per user in each menu were compared according to age and sex using the Wilcoxon rank-sum test. RESULTS The total number of users of the MCMH 1.0 and MCMH 2.0 were 15,357 and 51,553. The proportion of males was higher than females (51.3 % vs. 48.7 %). But females under 50 (19-50 years) were the most prevalent user group (30.0 %). After version-up, the total access numbers of the MCMH (4,240,403 vs. 18,518,700) and access count per month (73,110 vs. 661,382) increased. “My chart” menu was the most accessed menu in all groups, and total number of access counts was steeply increased by approximately ten times after version-up. The median value of average monthly access also increased in all menus after version-up (P<.001) except for “Today’s medication”. The children and adolescent group accessed the “My chart” menu and the “Online appointment” menu more frequently than the other groups, and also showed the highest degree of increase in their access to these menus after version-up. The access counts of the “Health management” menu did not increase after version-up in children and adolescents and females 50 years or older. CONCLUSIONS In this long-term observation study, we found that use of the mPHR application increased over time and that a major update of the application accelerated this trend. The usage pattern of the mPHR and the effect of version-up were significantly different according to the user’s age and sex. The user characteristics revealed in this study may be helpful in developing mPHR applications.

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