nach oben

Journal of General Internal Medicine

Erschienen in:

01.06.2014 | Original Research

Rapid Growth in Use of Personal Health Records in New York, 2012–2013

verfasst von: Jessica S. Ancker, MPH, PhD, Michael Silver, MS, Rainu Kaushal, MD, MPH

Erschienen in: Journal of General Internal Medicine | Ausgabe 6/2014

Einloggen, um Zugang zu erhalten

ABSTRACT

BACKGROUND

Giving patients access to their own medical data may help improve communication and engage patients in healthcare. As a result, the federal electronic health record (EHR) incentive program requires providers to offer electronic data sharing with patients via personal health records (PHRs) or other technologies.

OBJECTIVE

We sought to estimate the rate of adoption of PHRs over a 2-year period.

DESIGN

Survey of 800 respondents (margin of error: 3.5 percentage points) in consecutive years of the Empire State Poll, an annual random-digit-dial telephone survey.

PARTICIPANTS

Adult New York State residents.

MAIN MEASURES

Self-reported use of a PHR.

KEY RESULTS

The rate of reported PHR use rose from 11 % in 2012 to 17 % in 2013. The proportion of these PHRs provided by doctors or healthcare organizations also increased sharply (from 50 % in 2012 to 73 % in 2013, p < 0.01) with a corresponding decrease in the proportion provided by insurers.

CONCLUSIONS

The proportion of New York State residents using PHRs increased by more than 50 % (from 11 to 17 %) in advance of a federal incentive program requirement that healthcare organizations with EHRs must share electronic data with patients in order to receive their incentives.

Greene J, Hibbard JH. Why does patient activation matter? An examination of the relationship between patient activation and health-related outcomes. J Gen Intern Med. 2011;27(5):520–526.CrossRefPubMedCentral

Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. JAMA. 2002;288(19):2469–2475.PubMedCrossRef

Hibbard JH, Mahoney ER, Stock R, Tusler M. Do increases in patient activation result in improved self-management behaviors? Health Serv Res. 2007;42(4):1443–1463.PubMedCrossRefPubMedCentral

Ricciardi L, Mostashari F, Murphy J, Daniel JG, Siminerio EP. A national action plan to support consumer engagement via e-health. Health Aff. 2013;32(2):376–384.CrossRef

Anonymous. What is a personal health record? 2013 [cited 2013 November 13]; Available from: http://www.healthit.gov/patients-families/faqs/what-personal-health-record.

Kaelber DC, Jha AK, Johnston D, Middleton B, Bates DW. A research agenda for personal health records (PHRs). JAMIA. 2008;15(6):729–736.PubMedPubMedCentral

Anonymous. Are there different types of personal health records? 2013 [cited 2013 November 13]; Available from: http://www.healthit.gov/patients-families/faqs/are-there-different-types-personal-health-records-phrs.

Kahn JS, Aulakh V, Bosworth A. What it takes: characteristics of the ideal personal health record. Health Aff. 2009;28(2):369–376.CrossRef

Tang PC, Ash JS, Bates DW, Overhage JM, Sands DZ. Personal health records: definitions, benefits, and strategies for overcoming barriers to adoption. JAMIA. 2006;13(2):121–126.PubMedPubMedCentral

10.

Westin A. Americans Overwhelmingly Believe Electronic Personal Health Records Could Improve Their Health. Research brief. Markle Foundation; 2008. http://www.markle.org/sites/default/files/ResearchBrief-200806.pdf. Accessed February 5, 2014.

11.

Ammenwerth E, Schnell-Inderst P, Hoerbst A. The impact of electronic patient portals on patient care: a systematic review of controlled trials. J Med Internet Res. 2013;14(6):e162.CrossRef

12.

Davis GT, Menon S, Parrish DE, Sittig DF, Singh H. Patient access to medical records and healthcare outcomes: a systematic review. J Am Med Inform Assoc. 2013. doi:10.1136/amiajnl-2013-002239.

13.

Zhou YY, Kanter MH, Wang JJ, Garrido T. Improved quality at Kaiser Permanente through email between physicians and patients. Health Aff. 2010;29(7):1370–1375.CrossRef

14.

Heyworth L, Paquin AM, Clark J, Kamenker V, Stewart M, Martin T, et al. Engaging patients in medication reconciliation via a patient portal following hospital discharge. J Am Med Inform Assoc. 2013;21:e157–e162.PubMedCrossRef

15.

Zickuhr K. Who’s Not Online and Why. Washington, DC: Pew Research Center; 2013.

16.

Sarkar UK, Andrew J, Liu JY, Adler NE, Nguyen R, Lopez A, Schillinger D. The literacy divide: health literacy and the use of an internet-based patient portal in an integrated health system – results from the Diabetes Study of Northern California (DISTANCE). J Health Commun. 2010;15(S2):183–196.PubMedCrossRefPubMedCentral

17.

Ancker JS, Barron Y, Rockoff M, Hauser D, Pichardo M, Szcerenczy A, et al. Use of an electronic patient portal among disadvantaged populations. J Gen Intern Med. 2011;26(10):1117–1123.PubMedCrossRefPubMedCentral

18.

Rudd RE. Improving Americans’ health literacy. N Engl J Med. 2010;363(24):2283–2285.PubMedCrossRef

19.

Kutner M, Greenberg E, Jin Y, Paulsen C, White S. The Health Literacy of America’s Adults: Results From the 2003 National Assessment of Adult Literacy. Washington, DC: National Center for Health Statistics; 2006. Contract No.: NCES 2006–483.

20.

Britto MT, Jimison HB, Munafo JK, Wissman J, Rogers ML, Hersh WR. Usability testing finds problems for novice users of pediatric portals. JAMIA. 2009;16(5):660–669.PubMedPubMedCentral

21.

Hibbard JH, Greene J, Becker ER, Roblin DW, Painter MW, Perez DJ, et al. Racial/ethnic disparities and consumer activation in health: can increasing health care consumers’ self-management skills reduce racial and ethnic disparities in health care? Health Aff. 2008;27(5):1442–1453.CrossRef

22.

Lyles CR, Sarkar U, Ralston JD, Adler N, Schillinger D, Moffet HH, et al. Patient–provider communication and trust in relation to use of an online patient portal among diabetes patients: the diabetes and aging study. J Am Med Inform Assoc. 2013;20(6):1128–1131.PubMedCrossRef

23.

Wen K-Y, Kreps G, Zhu F, Miller S. Consumers’ perceptions about and use of the Internet for personal health records and health information exchange: analysis of the 2007 Health Information National Trends Survey. J Med Internet Res. 2010;12(4):e73.PubMedCrossRefPubMedCentral

24.

Undem T. Consumers and Health Information Technology: A National Survey. Oakland, CA: California HealthCare Foundation; 2010.

25.

Blumenthal D, Tavenner M. The “meaningful use” regulation for electronic health records. N Engl J Med. 2010;363:501–504.PubMedCrossRef

26.

Marcotte L, Seidman J, Trudel K, Berwick DM, Blumenthal D, Mostashari F, et al. Achieving meaningful use of health information technology: a guide for physicians to the EHR incentive programs. Arch Intern Med. 2012;172(9):731–736.PubMedCrossRef

27.

DesRoches CM, Charles D, Furukawa MF, Joshi MS, Kralovec P, Mostashari F, et al. Adoption of electronic health records grows rapidly, but fewer than half of US hospitals had at least a basic system in 2012. Health Aff. 2013;32(8):1478–1485.CrossRef

28.

Hsiao C-J, Jha AK, King J, Patel V, Furukawa MF, Mostashari F. Office-based physicians are responding to incentives and assistance by adopting and using electronic health records. Health Aff. 2013;32(8):1470–1477.CrossRef

29.

Medicare and Medicaid Programs. Electronic Health Record Incentive Program – Stage 2. Vol. 77 Federal Register 171 (4 September 2012), 2012. pp. 54163-54292.

30.

Ancker JS, Silver M, Miller MC, Kaushal R. Consumer experience with and attitudes toward health information technology: a nationwide survey. J Am Med Inform Assoc. 2013;20(1):152–156.PubMedCrossRefPubMedCentral

31.

Ancker JS, Edwards AM, Miller MC, Kaushal R. Consumer perceptions of electronic health information exchange. Am J Prev Med. 2012;43(1):76–80.PubMedCrossRef

32.

O’Rourke D, Blair J. Improving random respondent selection in telephone surveys. J Mark Res. 1983;20:428–432.CrossRef

33.

Sunmin L, Cho E, Grodstein F, Kawachi I, Hu FB, Colditz GA. Effects of marital transitions on changes in dietary and other health behaviours in U.S. women. Int J Epidemiol. 2005;34:69–78.

34.

Mark TL, Paramore LC. Pneumococcal pneumonia and influenza vaccination: access to and use by Hispanic medicare beneficiaries. Am J Public Health. 1996;86:1545–1550.PubMedCrossRefPubMedCentral

35.

Patel VN, Dhopeshwarkar RV, Edward A, Barrón Y, Sparenborg J, Kaushal R. Consumer support for health information exchange and personal health records: a regional health information organization survey. J Med Syst. 2010;36:1043–1052.PubMedCrossRef

36.

Patel VN, Abramson E, Edwards AM, Cheung MA, Dhopeshwarkar RV, Kaushal R. Consumer attitudes toward personal health records in a Beacon community. Am J Manage Care. 2011;17(4):e104–e120.

37.

Ancker JS, Silver M, Miller MC, Kaushal R. Consumer experience with and attitudes toward health information technology: a national survey. JAMIA. 2012;20:152–156.PubMed

38.

Roblin DW, Houston TK, Allison JJ, Joski PJ, Becker ER. Disparities in use of a personal health record in a managed care organization. JAMIA. 2009;16(5):683–689.PubMedPubMedCentral

39.

Duggan M, Smith A. Cell Internet Use. Washington, DC: Pew Research Center; 2013:2013.

Titel: Rapid Growth in Use of Personal Health Records in New York, 2012–2013
verfasst von: Jessica S. Ancker, MPH, PhD
Michael Silver, MS
Rainu Kaushal, MD, MPH
Publikationsdatum: 01.06.2014
Verlag: Springer US
Erschienen in: Journal of General Internal Medicine / Ausgabe 6/2014
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-014-2792-2

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

Neue S3-Leitlinie zur unkomplizierten Zystitis: Auf Antibiotika verzichten?

15.05.2024 Harnwegsinfektionen Nachrichten

Welche Antibiotika darf man bei unkomplizierter Zystitis verwenden und wovon sollte man die Finger lassen? Welche pflanzlichen Präparate können helfen? Was taugt der zugelassene Impfstoff? Antworten vom Koordinator der frisch überarbeiteten S3-Leitlinie, Prof. Florian Wagenlehner.

Schadet Ärger den Gefäßen?

14.05.2024 Arteriosklerose Nachrichten

In einer Studie aus New York wirkte sich Ärger kurzfristig deutlich negativ auf die Endothelfunktion gesunder Probanden aus. Möglicherweise hat dies Einfluss auf die kardiovaskuläre Gesundheit.

Intervallfasten zur Regeneration des Herzmuskels?

14.05.2024 Herzinfarkt Nachrichten

Die Nahrungsaufnahme auf wenige Stunden am Tag zu beschränken, hat möglicherweise einen günstigen Einfluss auf die Prognose nach akutem ST-Hebungsinfarkt. Darauf deutet eine Studie an der Uniklinik in Halle an der Saale hin.

Klimaschutz beginnt bei der Wahl des Inhalators

14.05.2024 Klimawandel Podcast

Auch kleine Entscheidungen im Alltag einer Praxis können einen großen Beitrag zum Klimaschutz leisten. Die neue Leitlinie zur "klimabewussten Verordnung von Inhalativa" geht mit gutem Beispiel voran, denn der Wechsel vom klimaschädlichen Dosieraerosol zum Pulverinhalator spart viele Tonnen CO₂. Leitlinienautor PD Dr. Guido Schmiemann erklärt, warum nicht nur die Umwelt, sondern auch Patientinnen und Patienten davon profitieren.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

ABSTRACT

BACKGROUND

OBJECTIVE

DESIGN

PARTICIPANTS

MAIN MEASURES

KEY RESULTS

CONCLUSIONS

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2014

Regardless of Age: Incorporating Principles from Geriatric Medicine to Improve Care Transitions for Patients with Complex Needs

One Shot

The Changing Face of General Internal Medicine and Lessons Learned from Geriatric Medicine

Capsule Commentary on Ancker et al., Rapid Growth in Use of Personal Health Records in New York, 2012–2013

Making the Case for General Internal Medicine

Capsule Commentary on Hoffman et al., Brief Training of Student Clinicians in Shared Decision Making: A Single-Blind Randomized Control Trial