ArticleJournal of medical Internet research2021
Online Medical Record Nonuse Among Patients: Data Analysis Study of the 2019 Health Information National Trends Survey.
Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Transforming Health Data to Actionable Information: Recent Progress and Future Opportunities in Health Information Exchange.Yearbook of medical informatics · 2022Pooled it
- The Impact of Social Drivers of Health on Patient Portal Utilization for Total Joint Arthroplasty Patients: A Qualitative Study.Arthroplasty today · 2026Article
- Disparities in Internet Medical Service Utilization Among Patients in Post-COVID-19 China: Cross-Sectional Study of Data From Provincial Field and National Online Surveys.Journal of medical Internet research · 2025Article
- Digital Health Portals for Individuals Living With or Beyond Cancer: Patient-Driven Scoping Review.JMIR cancer · 2025Article
- Patients' Understanding of Health Information in Online Medical Records and Patient Portals: Analysis of the 2022 Health Information National Trends Survey.Journal of medical Internet research · 2025Article
- Heterogeneity in Online Medical Record Use Based on the Intersectionality of Community and Racioethnicity: A National Study Using Health Information National Trends Survey Data.Advances in health information science and practice · 2025Article
- Frequent use of online medical records: analysis of influence factors based on structural equation modeling.Frontiers in public health · 2025Article
- Disparities and Determinants of Online Medical Record Access among Cancer Survivors.Healthcare (Basel, Switzerland) · 2024Article
- Factors Associated with Online Patient Portal Utilization Experience in an Arkansas Phone Survey.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024Article
- Disparities in Patient Portal Use Among Adults With Chronic Conditions.JAMA network open · 2024Article
- Identifying contributors to disparities in patient access of online medical records: examining the role of clinician encouragement.JAMIA open · 2023Article
- Using the H2O Automatic Machine Learning Algorithms to Identify Predictors of Web-Based Medical Record Nonuse Among Patients in a Data-Rich Environment: Mixed Methods Study.JMIR medical informatics · 2023Article
- Disparities in patient portal access by US adults before and during the COVID-19 pandemic.JAMIA open · 2022Article
- Ageism in healthcare technology: the older patients' aspirations for improved online accessibility.JAMIA open · 2022Article
- The Disparities in Patient Portal Use Among Patients With Rheumatic and Musculoskeletal Diseases: Retrospective Cross-sectional Study.Journal of medical Internet research · 2022Article
- Association Between Patient Portal Use and Perceived Patient-Centered Communication Among Adults With Cancer: Cross-sectional Survey Study.JMIR cancer · 2022Article
- Anxiety, Burnout and Depression, Psychological Well-Being as Predictor of Healthcare Professionals' Turnover during the COVID-19 Pandemic: Study in a Pandemic Hospital.Healthcare (Basel, Switzerland) · 2022Article
- Acceptability and usability of a patient portal for men with prostate cancer in follow-up care.Frontiers in digital health · 2022Article
- Frequent and diverse use of electronic health records in the United States: A trend analysis of national surveys.Digital healthArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundOnline medical records are being used to organize processes in clinical and outpatient settings and to forge doctor-patient communication techniques that build mutual understanding and trust.
objectiveWe aimed to understand the reasons why patients tend to avoid using online medical records and to compare the perceptions that patients have of online medical records based on demographics and cancer diagnosis.
methodsWe used data from the Health Information National Trends Survey Cycle 3, a nationally representative survey, and assessed outcomes using descriptive statistics and chi-square tests. The patients (N=4328) included in the analysis had experienced an outpatient visit within the previous 12 months and had answered the online behavior question regarding their use of online medical records.
resultsPatients who were nonusers of online medical records consisted of 58.36% of the sample (2526/4328). The highest nonuser rates were for patients who were Hispanic (460/683, 67.35%), patients who were non-Hispanic Black (434/653, 66.46%), and patients who were older than 65 years (968/1520, 63.6%). Patients older than 65 years were less likely to use online medical records (odds ratio [OR] 1.51, 95% CI 1.24-1.84, P<.001). Patients who were White were more likely to use online medical records than patients who were Black (OR 1.71, 95% CI 1.43-2.05, P<.001) or Hispanic (OR 1.65, 95% CI 1.37-1.98, P<.001). Patients who were diagnosed with cancer were more likely to use online medical records compared to patients with no cancer (OR 1.31, 95% CI 1.11-1.55, 95% CI 1.11-1.55, P=.001). Among nonusers, older patients (≥65 years old) preferred speaking directly to their health care providers (OR 1.76, 95% CI 1.35-2.31, P<.001), were more concerned about privacy issues caused by online medical records (OR 1.79, 95% CI 1.22-2.66, P<.001), and felt uncomfortable using the online medical record systems (OR 10.55, 95% CI 6.06-19.89, P<.001) compared to those aged 18-34 years. Patients who were Black or Hispanic were more concerned about privacy issues (OR 1.42, 1.09-1.84, P=.007).
conclusionsStudies should consider social factors such as gender, race/ethnicity, and age when monitoring trends in eHealth use to ensure that eHealth use does not induce greater health status and health care disparities between people with different backgrounds and demographic characteristics.
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Registered trials
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.