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Home > Theme Issues and Ecollections > E-collection 'Personal Health Records and Patient Portals'
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2013 (vol. 15)
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E-collection 'Personal Health Records and Patient Portals'

2013

Patient Experiences With Full Electronic Access to Health Records and Clinical Notes Through the My HealtheVet Personal Health Record Pilot: Qualitative Study

Susan S Woods, Erin Schwartz, Anais Tuepker, Nancy A Press, Kim M Nazi, Carolyn L Turvey, W. Paul Nichol

J Med Internet Res 2013 (Mar 27); 15(3):e65

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Background: Full sharing of the electronic health record with patients has been identified as an important opportunity to engage patients in their health and health care. The My HealtheVet Pilot, the initial personal health record of the US Department of Veterans Affairs, allowed patients and their delegates to view and download content in their electronic health record, including clinical notes, laboratory tests, and imaging reports. Objective: A qualitative study with purposeful...

If We Offer it, Will They Accept? Factors Affecting Patient Use Intentions of Personal Health Records and Secure Messaging

Ritu Agarwal, Catherine Anderson, Jesus Zarate, Claudine Ward

J Med Internet Res 2013 (Feb 26); 15(2):e43

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Background: Personal health records (PHRs) are an important tool for empowering patients and stimulating health action. To date, the volitional adoption of publicly available PHRs by consumers has been low. This may be partly due to patient concerns about issues such as data security, accuracy of the clinical information stored in the PHR, and challenges with keeping the information updated. One potential solution to mitigate concerns about security, accuracy, and updating of information...

2012

The Impact of Electronic Patient Portals on Patient Care: A Systematic Review of Controlled Trials

Elske Ammenwerth, Petra Schnell-Inderst, Alexander Hoerbst

J Med Internet Res 2012 (Nov 26); 14(6):e162

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Background: Modern information technology is changing and provides new challenges to health care. The emergence of the Internet and the electronic health record (EHR) has brought new opportunities for patients to play a more active role in his/her care. Although in many countries patients have the right to access their clinical information, access to clinical records electronically is not common. Patient portals consist of provider-tethered applications that allow patients to electronically...

Patient Perceptions of a Personal Health Record: A Test of the Diffusion of Innovation Model

Srinivas Emani, Cyrus K Yamin, Ellen Peters, Andrew S Karson, Stuart R Lipsitz, Jonathan S Wald, Deborah H Williams, David W Bates

J Med Internet Res 2012 (Nov 05); 14(6):e150

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Background: Personal health records (PHRs) have emerged as an important tool with which patients can electronically communicate with their doctors and doctor’s offices. However, there is a lack of theoretical and empirical research on how patients perceive the PHR and the differences in perceptions between users and non-users of the PHR. Objective: To apply a theoretical model, the diffusion of innovation model, to the study of PHRs and conduct an exploratory empirical study on the...

Are Personal Health Records Safe? A Review of Free Web-Accessible Personal Health Record Privacy Policies

Inmaculada Carrión Señor, José Luis Fernández-Alemán, Ambrosio Toval

J Med Internet Res 2012 (Aug 23); 14(4):e114

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Background: Several obstacles prevent the adoption and use of personal health record (PHR) systems, including users’ concerns regarding the privacy and security of their personal health information. Objective: To analyze the privacy and security characteristics of PHR privacy policies. It is hoped that identification of the strengths and weaknesses of the PHR systems will be useful for PHR users, health care professionals, decision makers, and designers. Methods: We conducted a...

2011

Analysis of the Definition and Utility of Personal Health Records Using Q Methodology

Jeongeun Kim, David W Bates

J Med Internet Res 2011 (Nov 29); 13(4):e105

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Background: Personal health records (PHRs) remain a relatively new technology and concept in practice even though they have been discussed in the literature for more than 50 years. There is no consensus on the definition of a PHR or PHR system even within the professional societies of health information technology. Objective: Our objective was to analyze and classify the opinions of health information professionals regarding the definitions of the PHR. Method: Q methodology was used to...

Two Complementary Personal Medication Management Applications Developed on a Common Platform: Case Report

Stephen E Ross, Kevin B Johnson, Katie A Siek, Jeffry S Gordon, Danish U Khan, Leah M Haverhals

J Med Internet Res 2011 (Jul 12); 13(3):e45

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Background: Adverse drug events are a major safety issue in ambulatory care. Improving medication self-management could reduce these adverse events. Researchers have developed medication applications for tethered personal health records (PHRs), but little has been reported about medication applications for interoperable PHRs. Objective: Our objective was to develop two complementary personal health applications on a common PHR platform: one to assist children with complex health needs...

Older Adults with Multi-Morbidity: Medication Management Processes and Design Implications for Personal Health Applications

Leah M Haverhals, Courtney A Lee, Katie A Siek, Carol A Darr, Sunny A Linnebur, J Mark Ruscin, Stephen E Ross

J Med Internet Res 2011 (Jun 29); 13(2):e44

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Background: Older adults often have multiple chronic problems requiring them to manage complex medication regimens overseen by various clinicians. Personal health applications (PHAs) show promise assisting in medication self-management, but adoption of new computer technologies by this population is challenging. Optimizing the utility of PHAs requires a thorough understanding of older adults’ needs, preferences, and practices. Objective: The objective of our study was to understand the...

Impact of Health Portal Enrollment With Email Reminders on Adherence to Clinic Appointments: A Pilot Study

Monica Horvath, Janet Levy, Pete L'Engle, Boyd Carlson, Asif Ahmad, Jeffrey Ferranti

J Med Internet Res 2011 (May 26); 13(2):e41

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Background: Internet portal technologies that provide access to portions of electronic health records have the potential to revolutionize patients’ involvement in their care. However, relatively few descriptions of the demographic characteristics of portal enrollees or of the effects of portal technology on quality outcomes exist. This study examined data from patients who attended one of seven Duke Medicine clinics and who were offered the option of enrolling in and using the Duke...

Health Literacy and Task Environment Influence Parents' Burden for Data Entry on Child-Specific Health Information: Randomized Controlled Trial

Stephen C Porter, Chao-Yu Guo, Janine Bacic, Eugenia Chan

J Med Internet Res 2011 (Jan 26); 13(1):e13

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Background: Health care systems increasingly rely on patients’ data entry efforts to organize and assist in care delivery through health information exchange. Objectives: We sought to determine (1) the variation in burden imposed on parents by data entry efforts across paper-based and computer-based environments, and (2) the impact, if any, of parents’ health literacy on the task burden. Methods: We completed a randomized controlled trial of parent-completed data entry tasks....