Mobile-accessible personal health records increase the frequency and timeliness of PHR use for patients with diabetes

Personal health records (PHRs) offer patients a portal to view lab results, communicate with their doctors, and refill medications. Expanding PHR access to mobile devices could increase patients' engagement with their PHRs. We examined whether access to a mobile-optimized PHR changed the frequency and timeliness of PHR use among adult patients with diabetes in an integrated delivery system. Among patients originally using the PHR only by computer, PHR use frequency increased with mobile access. Non-White patients were more likely to view their lab results within 7 days if they had computer and mobile access compared with computer only; however, there were no statistically significant differences among White patients. More frequent and timely mobile access to PHR data and tools may lead to convenient and effective PHR engagement to support patient self-management. Future studies should evaluate whether PHR use with a mobile device is associated with changes in self-management and outcomes.

[1]  Diane P. Martin,et al.  Glycemic Control Associated With Secure Patient-Provider Messaging Within a Shared Electronic Medical Record , 2013, Diabetes Care.

[2]  Jeffrey M. Wooldridge,et al.  Introductory Econometrics: A Modern Approach , 1999 .

[3]  DevkotaBishnu,et al.  Use of an Online Patient Portal and Glucose Control in Primary Care Patients with Diabetes. , 2016 .

[4]  G. Gamble,et al.  Does the early feedback of results improve reassurance following diagnostic testing? A randomized controlled trial in patients undergoing cardiac investigation. , 2015, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[5]  Qingyang Luo,et al.  Dose effect of patient–care team communication via secure portal messaging on glucose and blood pressure control , 2018, J. Am. Medical Informatics Assoc..

[6]  Elske Ammenwerth,et al.  The Impact of Electronic Patient Portals on Patient Care: A Systematic Review of Controlled Trials , 2012, Journal of medical Internet research.

[7]  Terhilda Garrido,et al.  “I Want to Keep the Personal Relationship With My Doctor”: Understanding Barriers to Portal Use among African Americans and Latinos , 2016, Journal of medical Internet research.

[8]  J. Day,et al.  Computer and Internet Use in the United States: 2003 , 2005 .

[9]  Hua Feng,et al.  Sustained Use of Patient Portal Features and Improvements in Diabetes Physiological Measures , 2016, Journal of medical Internet research.

[10]  Cyrus K Yamin,et al.  Bridging the digital divide: mobile access to personal health records among patients with diabetes. , 2018, The American journal of managed care.

[11]  Stephanie L. Shimada,et al.  Personal Health Record Use and Its Association with Antiretroviral Adherence: Survey and Medical Record Data from 1871 US Veterans Infected with HIV , 2013, AIDS and Behavior.

[12]  Tom Elliott,et al.  Impact of patient use of an online patient portal on diabetes outcomes. , 2014, Canadian journal of diabetes.

[13]  Barbara Rubino,et al.  Assessing the Use of Mobile Health Technology by Patients: An Observational Study in Primary Care Clinics , 2016, JMIR mHealth and uHealth.

[14]  J. Salas,et al.  Use of an Online Patient Portal and Glucose Control in Primary Care Patients with Diabetes. , 2016, Population health management.

[15]  J. Elmore,et al.  Will use of patient portals help to educate and communicate with patients with diabetes? , 2017, Patient education and counseling.

[16]  R. Glasgow,et al.  Engagement in a Diabetes Self-management Website: Usage Patterns and Generalizability of Program Use , 2011, Journal of medical Internet research.

[17]  John Hickner,et al.  The Association Between Personal Health Record Use and Diabetes Quality Measures , 2012, Journal of General Internal Medicine.