Inform Health Soc Care - Low-income, ethnically diverse consumers' perspective on health information exchange and personal health records.

Tópicos

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{ ehr(2073) health(1662) electron(1139) }
{ use(1733) differ(960) four(931) }
{ system(1050) medic(1026) inform(1018) }
{ health(3367) inform(1360) care(1135) }
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{ record(1888) medic(1808) patient(1693) }
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{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ drug(1928) target(777) effect(648) }
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{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }

Resumo

We surveyed low-income, ethnically diverse consumers regarding their attitudes towards providers' use of electronic health information exchange (HIE) and consumer use of HIE through personal health records (PHRs). Amongst respondents (n=214), 48% had an annual household income below $15,000 and 62% spoke a language other than English at home. A majority indicated that they supported providers' use of HIE (61%). Support for providers' use of HIE was independently associated with consumer willingness to permit health care providers other than their primary care doctor to view their electronic medical record information (odds ratio (OR)=2.92, 95% confidence interval (CI)=1.31-6.50) and beliefs that electronic health record use would improve quality of care (OR=2.70, 95% CI=1.18-6.18). Seventy-eight percent would potentially use PHRs. Potential PHR use was independently associated with Internet usage rates, (OR=4.46, 95% CI=1.77-11.22), belief that PHR use would improve their understanding of their own healthcare (OR=3.12, 95% CI=1.27-7.67) and comfort with sharing PHR data with their primary care doctor (OR=2.79, 95% CI=1.09-7.11). Low-income, ethnically diverse consumers affected by interoperable health information technology (IT) initiatives largely support using PHRs and HIE, provided these systems demonstrate benefits and address the privacy and security of their electronic health information. Although we found interest in PHRs comparable or higher than nationally representative populations, support for HIE was lower, and thus efforts will need to be made to engage low-income and ethnically diverse consumers to participate in interoperable health IT initiatives.

Resumo Limpo

survey lowincom ethnic divers consum regard attitud toward provid use electron health inform exchang hie consum use hie person health record phrs amongst respond n annual household incom spoke languag english home major indic support provid use hie support provid use hie independ associ consum willing permit health care provid primari care doctor view electron medic record inform odd ratio confid interv ci belief electron health record use improv qualiti care ci seventyeight percent potenti use phrs potenti phr use independ associ internet usag rate ci belief phr use improv understand healthcar ci comfort share phr data primari care doctor ci lowincom ethnic divers consum affect interoper health inform technolog initi larg support use phrs hie provid system demonstr benefit address privaci secur electron health inform although found interest phrs compar higher nation repres popul support hie lower thus effort will need made engag lowincom ethnic divers consum particip interoper health initi

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