J. Med. Internet Res. - Consumers' perceptions of patient-accessible electronic medical records.

Tópicos

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Resumo

CKGROUND: Electronic health information (eHealth) tools for patients, including patient-accessible electronic medical records (patient portals), are proliferating in health care delivery systems nationally. However, there has been very limited study of the perceived utility and functionality of portals, as well as limited assessment of these systems by vulnerable (low education level, racial/ethnic minority) consumers.OBJECTIVE: The objective of the study was to identify vulnerable consumers' response to patient portals, their perceived utility and value, as well as their reactions to specific portal functions.METHODS: This qualitative study used 4 focus groups with 28 low education level, English-speaking consumers in June and July 2010, in New York City.RESULTS: Participants included 10 males and 18 females, ranging in age from 21-63 years; 19 non-Hispanic black, 7 Hispanic, 1 non-Hispanic White and 1 Other. None of the participants had higher than a high school level education, and 13 had less than a high school education. All participants had experience with computers and 26 used the Internet. Major themes were enhanced consumer engagement/patient empowerment, extending the doctor's visit/enhancing communication with health care providers, literacy and health literacy factors, improved prevention and health maintenance, and privacy and security concerns. Consumers were also asked to comment on a number of key portal features. Consumers were most positive about features that increased convenience, such as making appointments and refilling prescriptions. Consumers raised concerns about a number of potential barriers to usage, such as complex language, complex visual layouts, and poor usability features.CONCLUSIONS: Most consumers were enthusiastic about patient portals and perceived that they had great utility and value. Study findings suggest that for patient portals to be effective for all consumers, portals must be designed to be easy to read, visually engaging, and have user-friendly navigation.

Resumo Limpo

ckground electron health inform ehealth tool patient includ patientaccess electron medic record patient portal prolifer health care deliveri system nation howev limit studi perceiv util function portal well limit assess system vulner low educ level racialethn minor consumersobject object studi identifi vulner consum respons patient portal perceiv util valu well reaction specif portal functionsmethod qualit studi use focus group low educ level englishspeak consum june juli new york cityresult particip includ male femal rang age year nonhispan black hispan nonhispan white none particip higher high school level educ less high school educ particip experi comput use internet major theme enhanc consum engagementpati empower extend doctor visitenhanc communic health care provid literaci health literaci factor improv prevent health mainten privaci secur concern consum also ask comment number key portal featur consum posit featur increas conveni make appoint refil prescript consum rais concern number potenti barrier usag complex languag complex visual layout poor usabl featuresconclus consum enthusiast patient portal perceiv great util valu studi find suggest patient portal effect consum portal must design easi read visual engag userfriend navig

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