A Comparative Analysis of Online Medical Record Utilization and Perception by Cancer Survivorship.
A Comparative Analysis of Online Medical Record Utilization and Perception by Cancer Survivorship.
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DOI：
10.1097/mlr.0000000000001413
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发表时间：
2020-12
期刊：
影响因子：
3
通讯作者：
Moore JX
中科院分区：
文献类型：
--
作者：
Khan S;Lewis-Thames MW;Han Y;Fuzzell L;Langston ME;Moore JX
癌症幸存者面临许多挑战，包括协调多个提供者的护理和维护多个机构的医疗记录。访问和利用在线医疗记录可以帮助癌症幸存者管理这种复杂性。在这里，我们研究了癌症幸存者与那些没有癌症史的人在医疗记录的利用和感知方面的差异。我们进行了一项横断面研究的3491名受访者，从健康信息全国趋势调查5，周期2。使用调查加权逻辑回归评估病历利用率和认知与癌症生存率的关系。癌症幸存者（n=593）更有可能报告提供者保留了计算机化的医疗记录（调整后的比值比[AOR] = 2.05; 95% CI = 1.24 - 3.41），并且更有可能报告对医疗记录保护措施的信心（AOR = 1.44; 95% CI = 1.03-2.03）。然而，癌症幸存者访问在线医疗记录的可能性并不比没有癌症史的人高（AOR = 1.13，95%CI = 0.69-1.86）。癌症幸存者不太可能将隐私问题作为不访问在线医疗记录的原因，然而，幸存者更可能将直接与提供者交谈作为不访问在线医疗记录的原因（AOR = 2.24; 95%CI = 0.99-5.05）。虽然癌症幸存者更有可能信任医疗记录安全卫士，并且不会对在线医疗记录隐私表示越来越多的担忧，但直接与提供者交谈的偏好是使用的障碍。
Cancer survivors face many challenges including coordinating care across multiple providers and maintaining medical records from multiple institutions. Access and utilization of online medical records could help cancer survivors manage this complexity. Here, we examined how cancer survivors differ from those without a history of cancer with regards to utilization and perception of medical records. We conducted a cross-sectional study of 3491 respondents, from the Health Information National Trends Survey 5, Cycle 2. The association of medical record utilization and perceptions with cancer survivorship was assessed using survey-weighted logistic regression. Cancer survivors (n=593) were more likely to report that a provider maintains a computerized medical record (Adjusted Odds Ratio [AOR] = 2.05; 95% CI = 1.24 −3.41) and were more likely to report confidence in medical record safeguards (AOR = 1.44; 95% CI = 1.03–2.03). However, cancer survivors were no more likely to access online medical records than those without a history of cancer (AOR = 1.13, 95% CI= 0.69–1.86). Cancer survivors were no more likely to report privacy concerns as a reason for not accessing online medical records, however, survivors were more likely to report a preference for speaking directly with a provider as a reason for not accessing online medical records (AOR = 2.24; 95% CI = 0.99–5.05). Although cancer survivors are more likely to trust medical record safe guards and do not express increased concerns about online medical record privacy, a preference to speak directly with provider is a barrier of use.