Correlates of personal health record registration and utilization among veterans with HIV.
Correlates of personal health record registration and utilization among veterans with HIV.
复制标题
感染艾滋病毒的退伍军人个人健康记录登记和利用的相关性。
DOI：
10.1093/jamiaopen/ooab029
复制
发表时间：
2021
期刊：
影响因子：
2.1
通讯作者：
Midboe,AmandaM
中科院分区：
文献类型：
--
作者：
Avoundjian,Tigran;Troszak,Lara;Cave,Shayna;Shimada,Stephanie;McInnes,Keith;Midboe,AmandaM
我们研究了退伍军人健康管理局（VHA）的个人健康记录（PHR），我的健康兽医（MHV），在一个国家队列的退伍军人艾滋病毒感染者之间的登记和利用的相关性。我们将2012-2018财年登记MHV的艾滋病毒退伍军人（n= 8589）与8589名未登记MHV的艾滋病毒退伍军人进行了匹配。我们比较了MHV登记者和非登记者的人口统计学和地理特征、住房状况、合并症和非VHA治疗，以确定MHV登记的相关性。在注册者中，我们研究了这些特征和MHV工具使用（处方续填，记录下载，安全消息，查看实验室，查看预约）之间的关联。ResultsMHV注册者更有可能是年轻，女性，白色，并有双相情感障碍，抑郁症，或创伤后应激障碍的诊断比nonregistrants。有物质使用障碍（SUD）诊断或较高的Elixhauser评分与MHV登记的几率较低相关。在登记者中，妇女不太可能使用处方续药。在过去的一年中，有无家可归风险的患者不太可能使用安全信息，并且沿着那些无家可归的患者，不太可能使用查看实验室和处方续药。双相情感障碍和抑郁症与安全信息使用的增加有关。SUD和酒精使用障碍的诊断均与较低的处方refiller.DiscussionAmong退伍军人艾滋病病毒感染者，我们确定了显着差异，在PHR登记和利用种族，性别，年龄，住房状况和诊断。
ObjectiveWe examined correlates of registration and utilization of the Veteran Health Administration’s (VHA) personal health record (PHR), My HealtheVet (MHV), among a national cohort of veterans living with HIV.Materials and MethodsUsing VHA administrative data, we matched veterans with HIV who registered for MHV in fiscal year 2012–2018 (n= 8589) to 8589 veterans with HIV who did not register for MHV. We compared demographic and geographic characteristics, housing status, comorbidities, and non-VHA care between MHV registrants and nonregistrants to identify correlates of MHV registration. Among registrants, we examined the association between these characteristics and MHV tool use (prescription refill, record download, secure messaging, view labs, and view appointments).ResultsMHV registrants were more likely to be younger, women, White, and to have bipolar disorder, depression, or post-traumatic stress disorder diagnosis than nonregistrants. Having a substance use disorder (SUD) diagnosis or a higher Elixhauser score was associated with lower odds of MHV registration. Among registrants, women were less likely to use prescription refill. Patients who were at risk of homelessness in the past year were less likely to use secure messaging and, along with those who were homeless, were less likely to use view labs and prescription refill. Bipolar disorder and depression were associated with increased secure messaging use. Diagnoses of SUD and alcohol use disorder were both associated with lower rates of prescription refill.DiscussionAmong veterans living with HIV, we identified significant differences in PHR registration and utilization by race, sex, age, housing status, and diagnosis.