Evidence map›Paper›PMID 28232300›Full record

ArticleJMIR mHealth and uHealth2017

Support for Sustainable Use of Personal Health Records: Understanding the Needs of Users as a First Step Towards Patient-Driven Mobile Health.

Se Young Jung, Keehyuck Lee, Hee Hwang, Sooyoung Yoo, Hyun Young Baek, Jeehyoung Kim

Abstract read
In one paragraph

Article in JMIR mHealth and uHealth, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Se Young JungDepartment of Family Medicine, Seoul National University Bundang Hospital, Seongnam, Republic Of Korea.ORCID http://orcid.org/0000-0001-9946-8807
Keehyuck LeeDepartment of Family Medicine, Seoul National University Bundang Hospital, Seongnam, Republic Of Korea.ORCID http://orcid.org/0000-0001-6906-4887
Hee HwangDepartment of Pediatrics, Seoul National University Bundang Hospital, Seongnam, Republic Of Korea.ORCID http://orcid.org/0000-0002-7964-1630
Sooyoung YooCenter for Medical Informatics, Seoul National University Bundang Hospital, Seongnam, Republic Of Korea.ORCID http://orcid.org/0000-0001-8620-4925
Hyun Young BaekCenter for Medical Informatics, Seoul National University Bundang Hospital, Seongnam, Republic Of Korea.ORCID http://orcid.org/0000-0003-0810-9396
Jeehyoung KimDepartment of Orthopedic Surgery, Seoul Sacred Heart General Hospital, Seoul, Republic Of Korea.ORCID http://orcid.org/0000-0003-3380-1683

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe tethering of a personal health record (PHR) to an electronic medical record (EMR) may serve as a catalyst in accelerating the distribution of integrated PHRs. Creating shared health records for patients and their health care professionals using self-administered functions of EMR-tethered PHRs is crucial to support sustainable use of the system.

objectiveThis study assesses the factors related to active use of a self-administered function (Health Notes) in an EMR-tethered PHR (Health4U) in a tertiary academic hospital.

methodsThis research is a cross-sectional study conducted in a tertiary academic hospital in South Korea. The enrollees included adults aged 19 years and older with experience accessing Health4U in the 13-month period after June 2013. The primary outcome was the adoption of Health Notes in accordance with the number of chronic diseases. Socio-demographic variables were included as confounding factors.

resultsSubjects 71 years of age and older were less likely to become active users of Health Notes than those 30 years and younger. Moreover, compared with men, women had 44% and 40% lower tendencies to become Health Notes users and active users, respectively. Those who accessed the desktop page and/or mobile page had higher tendencies to become users of Health Notes. We found a consistent increase in the odds ratio as the number of chronic diseases increased in the active users. When considering specific diseases, patients who had cancer or chronic kidney disease had higher tendencies to become users of Health Notes.

conclusionsPatients with a greater number of chronic diseases tended to use PHR more actively, and used the self-administered function. Women and the elderly may have lower tendencies to actively use PHR. Therefore, items specific to the health of each demographic-women, the elderly, and those with chronic diseases-should be carefully considered to support sustainable use of PHRs.

Indexed as

electronic health recordhospital information systemsmedical informaticspersonal health record

Identifiers

PMID28232300
PMCPMC5344982

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.