AMIA Annu Symp Proc - Understanding adoption of a personal health record in rural health care clinics: revealing barriers and facilitators of adoption including attributions about potential patient portal users and self-reported characteristics of early adopting users.

Tópicos

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Resumo

Personal health records (PHRs) are important for improving patient care. An important prerequisite to realize benefits of PHR use is patient recruitment. To understand clinic barriers to adoption, we used Rogers' Diffusion of Innovations theory to frame an examination of clinic staff perceptions of a new PHR and perceptions of likely patient portal users. Clinic staff reported many relative advantages and observable benefits of the PHR but also some distinct problems. Attributions about potential patient users included demographic, computer use, and personality characteristics staff expected in likely users. Analysis of patient survey data of early adopters compared to non-users revealed discrepancies between clinic staff expectations and early adopters' self-reports. Implications for improving adoption of PHRs include ensuring compatibility with existing systems and avoiding recruitment biases.

Resumo Limpo

person health record phrs import improv patient care import prerequisit realiz benefit phr use patient recruit understand clinic barrier adopt use roger diffus innov theori frame examin clinic staff percept new phr percept like patient portal user clinic staff report mani relat advantag observ benefit phr also distinct problem attribut potenti patient user includ demograph comput use person characterist staff expect like user analysi patient survey data earli adopt compar nonus reveal discrep clinic staff expect earli adopt selfreport implic improv adopt phrs includ ensur compat exist system avoid recruit bias

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