Personal Health Records: Identifying Utilization Patterns from System Use Logs and Patient Interviews

Personal Health Records (PHRs) and patient portals are becoming more popular as health systems continue to emphasize patient centered health care delivery. Our study investigates the factors that influence adoption and utilization of PHR systems using a mixed method approach. Our data include PHR system utilization data collected about registered users of seven primary care physicians during the period between September 2009 and February 2011, as well as interviews of a subset of these users. Analyses of these data provide insights into how and why users interact with the system. They also assist in identifying ways to enhance the overall PHR portal experience for physicians and patients. In this paper, we present our preliminary findings and discuss potential future research directions.

[1]  David Carrell,et al.  Variation in Adoption Rates of a Patient Web Portal with a Shared Medical Record by Age, Gender, and Morbidity Level , 2006, American Medical Informatics Association Annual Symposium.

[2]  Tresa Undem,et al.  Consumers and Health Information Technology: A National Survey , 2010 .

[3]  Bengisu Tulu,et al.  Viewpoint Paper: The Electronic Disability Record: Purpose, Parameters, and Model Use Case , 2009, J. Am. Medical Informatics Assoc..

[4]  David W. Bates,et al.  Viewpoint Paper: A Research Agenda for Personal Health Records (PHRs) , 2008, J. Am. Medical Informatics Assoc..

[5]  David W. Bates,et al.  White Paper: Personal Health Records: Definitions, Benefits, and Strategies for Overcoming Barriers to Adoption , 2006, J. Am. Medical Informatics Assoc..

[6]  Thomas A. Horan,et al.  Personal health records , 2011, Health Informatics J..

[7]  Terhilda Garrido,et al.  Patient access to an electronic health record with secure messaging: impact on primary care utilization. , 2007, The American journal of managed care.

[8]  Kenneth D. Mandl,et al.  Viewpoint Paper: Early Experiences with Personal Health Records , 2008, J. Am. Medical Informatics Assoc..

[9]  Richard Ben Cramer WHAT IT TAKES. , 1992 .

[10]  Rachel Hess,et al.  Value versus user fees: perspectives of patients before and after using a web-based portal for management of diabetes. , 2008, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[11]  David Carrell,et al.  Research Paper: Patient Web Services Integrated with a Shared Medical Record: Patient Use and Satisfaction , 2007, J. Am. Medical Informatics Assoc..

[12]  David Young,et al.  Research Paper: Patient Experiences and Attitudes about Access to a Patient Electronic Health Care Record and Linked Web Messaging , 2004, J. Am. Medical Informatics Assoc..

[13]  David M. Rind,et al.  Research Paper: Who Uses the Patient Internet Portal? The PatientSite Experience , 2006, J. Am. Medical Informatics Assoc..

[14]  Lisa Sprague,et al.  Personal health records: the people's choice? , 2006, Issue brief.

[15]  Adam Bosworth,et al.  What it takes: characteristics of the ideal personal health record. , 2009, Health affairs.

[16]  Anne F. Kittler,et al.  Primary care physician attitudes towards using a secure web-based portal designed to facilitate electronic communication with patients. , 2004, Informatics in primary care.

[17]  I C Denton,et al.  Will patients use electronic personal health records? Responses from a real-life experience. , 2001, Journal of healthcare information management : JHIM.