Department of Pediatrics, Weill Cornell Medical College, New York, NY, USA.
J Med Syst. 2012 Jun;36(3):1043-52. doi: 10.1007/s10916-010-9566-0. Epub 2010 Jul 29.
In order to characterize consumer support for electronic health information exchange (HIE) and personal health records (PHRs) in a community where HIE is underway, we conducted a survey of English speaking adults who visited primary care practices participating in a regional community-wide clinical data exchange, during August, 2008. Amongst the 117 respondents, a majority supported physicians' use of HIE (83%) or expressed interest in potentially using PHRs (76%). Consumers' comfort sending personal information electronically over the Internet and their perceptions regarding the potential benefits of HIE were independently associated with their support for HIE. Consumers' prior experience using the Internet to manage their healthcare, perceptions regarding the potential benefits of PHRs and college education were independently associated with potential PHR use. Bolstering consumer support for HIE and PHRs will require addressing privacy and security concerns, demonstrating clinical benefits, and reaching out to those who are less educated and computer literate.
为了描述在电子健康信息交换（HIE）和个人健康记录（PHR）正在进行的社区中，消费者对其的支持情况，我们在 2008 年 8 月对参加区域性社区范围临床数据交换的初级保健诊所的英语使用者进行了调查。在 117 名受访者中，大多数人支持医生使用 HIE（83%）或表示有兴趣可能使用 PHR（76%）。消费者通过互联网发送个人信息的舒适度及其对 HIE 的潜在好处的看法与他们对 HIE 的支持独立相关。消费者之前使用互联网管理其医疗保健的经验、对 PHR 潜在好处的看法以及大学教育与潜在的 PHR 使用独立相关。增强消费者对 HIE 和 PHR 的支持需要解决隐私和安全问题，展示临床效益，并吸引那些受教育程度较低和计算机知识较少的人群。
