Evidence map›Paper›PMID 28576755›Full record

ArticleJournal of medical Internet research2017

Access to Electronic Personal Health Records Among Patients With Multiple Chronic Conditions: A Secondary Data Analysis.

Alexandra J Greenberg, Angela L Falisi, Lila J Finney Rutten, Wen-Ying Sylvia Chou, Vaishali Patel, Richard P Moser, Bradford W Hesse

Erratum issuedAbstract read
In one paragraph

Article in Journal of medical Internet research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing 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

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

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  20. Riding the Wave of Digital Transformation in Behavioral Medicine.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Alexandra J GreenbergMayo Clinic, Rochester, MN, United States.ORCID 0000-0001-5935-3239
Angela L FalisiBehavioral Research Program, National Cancer Institute, Bethesda, MD, United States.ORCID 0000-0001-6428-5453
Lila J Finney RuttenMayo Clinic, Rochester, MN, United States.ORCID 0000-0001-7487-9407
Wen-Ying Sylvia ChouBehavioral Research Program, National Cancer Institute, Bethesda, MD, United States.ORCID 0000-0002-9140-6094
Vaishali PatelOffice of the National Coordinator, US Department of Health and Human Services, Washington, DC, United States.ORCID 0000-0002-1175-4428
Richard P MoserBehavioral Research Program, National Cancer Institute, Bethesda, MD, United States.ORCID 0000-0001-6884-0653
Bradford W HesseBehavioral Research Program, National Cancer Institute, Bethesda, MD, United States.ORCID 0000-0003-1142-1161

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the United States, national incentives for offering access to electronic personal health records (ePHRs) through electronic means are geared toward creating a culture of patient engagement. One group of patients who stand to benefit from online access to ePHRs is the growing population with multiple chronic conditions (MCC). However, little is known about the current availability and use of ePHRs and patient portals among those managing MCC.

objectiveThe aim was to determine the associations between number of chronic conditions and sociodemographic characteristics and usage of ePHRs, and to assess how the public's use of ePHRs varies across subpopulations, including those with MCC.

methodsThis study used data collected from the 2014 Health Information National Trends Survey (HINTS), and assessed differences in use of ePHRs between those with and without MCC (N=3497) using multiple logistic regression techniques. Variables associated with health care systems (insurance status, having a regular provider) and patient-reported self-efficacy were included in the statistical models.

resultsThose with MCC (n=1555) had significantly higher odds of accessing their records three or more times in the past year compared to those reporting no chronic conditions (n=1050; OR 2.46, 95% CI 1.37-4.45), but the overall percentage of those with MCC using ePHRs remained low (371 of 1529 item respondents, 25.63% weighted). No difference in odds of accessing their records was found between those reporting one chronic condition (n=892) and those reporting none (n=1050; OR 1.02, 95% CI 0.66-1.58). Significant differences in odds of accessing ePHRs were seen between income and age groups (P<.001 and P=.05, respectively), and by whether respondents had a regular provider (P=.03).

conclusionsWe conclude that ePHRs provide a unique opportunity to enhance MCC patient self-management, but additional effort is needed to ensure that these patients are able to access their ePHRs. An increase in availability of patient access to their ePHRs may provide an opportunity to increase patient engagement and support self-management for all patients and especially those with MCC.

Indexed as

AdultAgedChronic DiseaseDelivery of Health CareElectronic Health RecordsFemaleHealth Records, PersonalHumansMaleMiddle AgedMultiple Chronic ConditionsTreatment OutcomeUnited StatesYoung Adultelectronic health recordselectronic personal health informationmultiple chronic conditionspatient engagement

Identifiers

PMID28576755
PMCPMC5473948

What OpenQuestion holds

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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.