ArticleJournal of medical Internet research2014
Personal health record reach in the Veterans Health Administration: a cross-sectional analysis.
Article in Journal of medical Internet research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Impact of Patient-Clinical Team Secure Messaging on Communication Patterns and Patient Experience: Randomized Encouragement Design Trial.Journal of medical Internet research · 2020Trial
- Survey Response Rate and Quality in a Mental Health Clinic Population: Results from a Randomized Survey Comparison.The journal of behavioral health services & research · 2019Trial
- Examination of the Effects of an Intervention Aiming to Link Patients Receiving Addiction Treatment With Health Care: The LINKAGE Clinical Trial.JAMA psychiatry · 2016Trial
- A scoping review of studies on secure messaging through patient portals: persistent challenges and potential solutions.npj health systems · 2026Article
- Patient-Accessible Electronic Health Records and Information Practices in Mental Health Care Contexts: Scoping Review.Journal of medical Internet research · 2025Article
- An Infrastructure Framework for Remote Patient Monitoring Interventions and Research.Journal of medical Internet research · 2024Article
- Relationship Between Patient Portal Tool Use and Medication Adherence and Viral Load Among Patients Living with HIV.Journal of general internal medicine · 2024Article
- Factors Associated with Veteran Self-Reported Use of Digital Health Devices.Journal of general internal medicine · 2024Article
- Use of the Veterans Health Administration online patient portal among Veterans with spinal cord injuries and disorders.The journal of spinal cord medicine · 2023Article
- Factors Associated With Self-reported Use of Web and Mobile Health Apps Among US Military Veterans: Cross-sectional Survey.JMIR mHealth and uHealth · 2022Article
- Health-Related Goal Setting and Achievement Among Veterans with High Technology Adoption.Journal of general internal medicine · 2021Article
- Correlates of personal health record registration and utilization among veterans with HIV.JAMIA open · 2021Article
- Impact of Patient Access to Online VA Notes on Healthcare Utilization and Clinician Documentation: a Retrospective Cohort Study.Journal of general internal medicine · 2021Article
- Patients' Perspectives About Factors Affecting Their Use of Electronic Personal Health Records in England: Qualitative Analysis.Journal of medical Internet research · 2021Article
- Patient portal use among veterans with depression: Associations with symptom severity and demographic characteristics.Journal of affective disorders · 2020Article
- Racial and ethnic disparities in use of a personal health record by veterans living with HIV.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Dual Use of a Patient Portal and Clinical Video Telehealth by Veterans with Mental Health Diagnoses: Retrospective, Cross-Sectional Analysis.Journal of medical Internet research · 2018Article
- Predictors of viewing progress notes among users of VA's electronic health portal who receive mental health care.JAMIA open · 2018Article
- Potential of personal health record portals in the care of individuals with spinal cord injuries and disorders: Provider perspectives.The journal of spinal cord medicine · 2018Article
- Patient Health Record Systems Scope and Functionalities: Literature Review and Future Directions.Journal of medical Internet research · 2017Review
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundMy HealtheVet (MHV) is the personal health record and patient portal developed by the United States Veterans Health Administration (VA). While millions of American veterans have registered for MHV, little is known about how a patient's health status may affect adoption and use of the personal health record.
objectiveOur aim was to characterize the reach of the VA personal health record by clinical condition.
methodsThis was a cross-sectional analysis of all veterans nationwide with at least one inpatient admission or two outpatient visits between April 2010 and March 2012. We compared adoption (registration, authentication, opt-in to use secure messaging) and use (prescription refill and secure messaging) of MHV in April 2012 across 18 specific clinical conditions prevalent in and of high priority to the VA. We calculated predicted probabilities of adoption by condition using multivariable logistic regression models adjusting for sociodemographics, comorbidities, and clustering of patients within facilities.
resultsAmong 6,012,875 veterans, 6.20% were women, 61.45% were Caucasian, and 26.31% resided in rural areas. The mean age was 63.3 years. Nationwide, 18.64% had registered for MHV, 11.06% refilled prescriptions via MHV, and 1.91% used secure messaging with their clinical providers. Results from the multivariable regression suggest that patients with HIV, hyperlipidemia, and spinal cord injury had the highest predicted probabilities of adoption, whereas those with schizophrenia/schizoaffective disorder, alcohol or drug abuse, and stroke had the lowest. Variation was observed across diagnoses in actual (unadjusted) adoption and use, with registration rates ranging from 29.19% of patients with traumatic brain injury to 14.18% of those with schizophrenia/schizoaffective disorder. Some of the variation in actual reach can be explained by facility-level differences in MHV adoption and by differences in patients' sociodemographic characteristics (eg, age, race, income) by diagnosis.
conclusionsIn this phase of early adoption, opportunities are being missed for those with specific medical conditions that require intensive treatment and self-management, which could be greatly supported by functions of a tethered personal health record.
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