Socioeconomic deprivation, age and language are barriers to accessing personal health records: a cross-sectional study of a large hospital-based personal health record system.
Socioeconomic deprivation, age and language are barriers to accessing personal health records: a cross-sectional study of a large hospital-based personal health record system.
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社会经济剥夺，年龄和语言是访问个人健康记录的障碍：一个大型医院为基础的个人健康记录系统的横断面研究。
DOI：
10.1136/bmjopen-2021-054655
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发表时间：
2022-01-20
期刊：
影响因子：
2.9
通讯作者：
Ferguson J
中科院分区：
文献类型：
--
作者：
Chapman R;Haroon S;Simms-Williams N;Bhala N;Miah F;Nirantharakumar K;Ferguson J
调查访问基于医院的个人健康记录（PHR）系统的障碍。回顾性横断面研究。这项研究是在英国伯明翰的一个大型二级和三级急性护理信托基金中进行的。数据收集自2017年6月1日至2018年5月31日在肝病、糖尿病、肾病或内分泌专科门诊就诊的28637例患者。主要结局指标为注册和激活PHR。次要结局指标为使用PHR，定义为登录次数和访问特定PHR功能的频率。8070例患者（28.2%）注册了PHR，4286例患者（53.1%的注册患者）继续激活其PHR账户。与35-54岁的患者相比，75岁及以上的患者签约（校正OR，aOR 0.40，95% CI 0.36 - 0.44）或激活（aOR 0.39，0.32 - 0.47）其PHR的可能性显著降低。不需要翻译的患者更有可能签约（aOR 1.63，95% CI 1.33 - 1.99），并激活（aOR 3.16，95%CI 1.96至5.09）他们的PHR。生活在最贫困地区的患者签约的可能性是其他地区的两倍多。（aOR 2.31，95% CI 2.04 ~ 2.63），激活PHR的可能性是最贫困者的3倍（aOR 2.99，95% CI 2.40 ~ 3.71）。社会经济贫困，年龄较大和非英语语言是访问基于医院的PHR的重大障碍。战略需要考虑这些因素，以确保PHR不会扩大健康不平等。
To investigate barriers to accessing a hospital-based personal health record (PHR) system. Retrospective cross-sectional study. This study was conducted in a large secondary and tertiary acute care trust in Birmingham, UK. Data were collected from 28 637 patients who attended liver medicine, diabetes, renal medicine or endocrinology specialist outpatient clinics from 1 June 2017 to 31 May 2018. The primary outcome measure was sign up to and activation of the PHR. The secondary outcomes were the use of the PHR, defined as the number of logons and frequency of access of specific PHR functions. 8070 patients (28.2%) were signed up to the PHR and 4286 patients (53.1% of those signed up) went on to activate their PHR account. Patients aged 75 years and older were significantly less likely to be signed up (adjusted OR, aOR 0.40, 95% CI 0.36 to 0.44) or to activate (aOR 0.39, 0.32 to 0.47) their PHR than patients aged 35–54. Patients who did not need an interpreter were more likely to be signed up (aOR 1.63, 95% CI 1.33 to 1.99) and to activate (aOR 3.16, 95% CI 1.96 to 5.09) their PHR. Patients living in the least deprived areas were more than twice as likely to be signed up (aOR 2.31, 95% CI 2.04 to 2.63), and were three times more likely to activate their PHR (aOR 2.99, 95% CI 2.40 to 3.71), than those in the most deprived. Socioeconomic deprivation, older age and non-English language were significant barriers to accessing a hospital-based PHR. Strategies are needed to account for these factors to ensure that PHRs do not widen health inequalities.
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DOI：
10.3122/jabfm.2020.06.190402
发表时间：
2020-11
期刊：
Journal of the American Board of Family Medicine : JABFM
影响因子：
--
作者：
El-Toukhy S;Méndez A;Collins S;Pérez-Stable EJ
通讯作者：
Pérez-Stable EJ
影响因子：
7.4
作者：
Phelps RG;Taylor J;Simpson K;Samuel J;Turner AN
通讯作者：
Turner AN
DOI：
10.1093/jamia/ocx020
发表时间：
2017-09-01
影响因子：
6.4
作者：
Perzynski, Adam T.;Roach, Mary Joan;Einstadter, Douglas
通讯作者：
Einstadter, Douglas
影响因子：
2.9
作者：
White, H.;Gillgrass, L.;Peckham, D. G.
通讯作者：
Peckham, D. G.
影响因子：
7.4
作者：
Turner K;Clary A;Hong YR;Alishahi Tabriz A;Shea CM
通讯作者：
Shea CM