Department of Information Systems, University of Maryland Baltimore County, 1000 Hilltop Circle, Baltimore, MD 21250, USA.
GRECC, James J Peters VA Medical Center, 130 W Kingsbridge Road, Bronx, NY, USA.
Appl Ergon. 2014 May;45(3):613-28. doi: 10.1016/j.apergo.2013.09.005. Epub 2013 Oct 10.
Personal Health Records (PHR) are electronic applications for individuals to access, manage and share their health information in a secure environment. The goal of this study was to evaluate the usefulness and usability of a Web-based PHR technology aimed at improving preventive care, from both the patients' and primary care providers' perspectives. We conducted a multi-method descriptive study that included direct observations, concurrent think-aloud, surveys, interviews and focus groups in a suburban primary care clinic. Patients found the tailored health recommendations useful and the PHR easy to understand and use. They also reported asking useful health-related questions to their physicians because of using the system. Generally, care providers were interested in using the system due to its useful content and impact on patient activation. Future successful systems should be better integrated with hospital records; put more emphasis on system security; and offer more tailored health information based on comprehensive health databases.
个人健康记录（PHR）是一种电子应用程序，个人可以在安全的环境中访问、管理和共享他们的健康信息。本研究的目的是从患者和初级保健提供者的角度评估一种旨在改善预防保健的基于 Web 的 PHR 技术的有用性和可用性。我们在一个郊区的初级保健诊所进行了一项多方法描述性研究，包括直接观察、同时进行的思考 aloud、调查、访谈和焦点小组。患者认为量身定制的健康建议很有用，并且 PHR 易于理解和使用。他们还报告说，由于使用该系统，他们向医生提出了一些有用的与健康相关的问题。一般来说，由于系统的有用内容及其对患者激活的影响，护理提供者有兴趣使用该系统。未来成功的系统应该更好地与医院记录集成；更加重视系统安全性；并根据综合健康数据库提供更多量身定制的健康信息。
