ArticleBMJ open2022
Socioeconomic deprivation, age and language are barriers to accessing personal health records: a cross-sectional study of a large hospital-based personal health record system.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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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
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Digital Inequalities in the Use of eHealth Services in European Public Health Care Systems: Systematic Review of Observational Studies.Journal of medical Internet research · 2026Pooled it
- Assessing Healthcare Access in Rural Algeria: A Survey-Based Cross-Sectional Analysis of Healthcare Utilization Based on Socioeconomic and Health Factors, Experiences, and Spatial Disparities.Health science reports · 2025Article
- Sociodemographic variation in use of and preferences for digital technologies among patients in primary care: Results from the OurCare national survey.Canadian family physician Medecin de famille canadien · 2025Article
- Digital Health Readiness: Making Digital Health Care More Inclusive.JMIR mHealth and uHealth · 2024Article
- Global use of electronic patient-reported outcome systems in nephrology: a mixed methods study.BMJ open · 2023Review
- Integrated personal health record (PHR) security: requirements and mechanisms.BMC medical informatics and decision making · 2023Review
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesTo investigate barriers to accessing a hospital-based personal health record (PHR) system.
designRetrospective cross-sectional study.
settingThis study was conducted in a large secondary and tertiary acute care trust in Birmingham, UK.
participantsData were collected from 28 637 patients who attended liver medicine, diabetes, renal medicine or endocrinology specialist outpatient clinics from 1 June 2017 to 31 May 2018. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome measure was sign up to and activation of the PHR. The secondary outcomes were the use of the PHR, defined as the number of logons and frequency of access of specific PHR functions.
results8070 patients (28.2%) were signed up to the PHR and 4286 patients (53.1% of those signed up) went on to activate their PHR account. Patients aged 75 years and older were significantly less likely to be signed up (adjusted OR, aOR 0.40, 95% CI 0.36 to 0.44) or to activate (aOR 0.39, 0.32 to 0.47) their PHR than patients aged 35-54. Patients who did not need an interpreter were more likely to be signed up (aOR 1.63, 95% CI 1.33 to 1.99) and to activate (aOR 3.16, 95% CI 1.96 to 5.09) their PHR. Patients living in the least deprived areas were more than twice as likely to be signed up (aOR 2.31, 95% CI 2.04 to 2.63), and were three times more likely to activate their PHR (aOR 2.99, 95% CI 2.40 to 3.71), than those in the most deprived.
conclusionSocioeconomic deprivation, older age and non-English language were significant barriers to accessing a hospital-based PHR. Strategies are needed to account for these factors to ensure that PHRs do not widen health inequalities.
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