Gartrell Kyungsook, Trinkoff Alison M, Storr Carla L, Wilson Marisa L
Author Affiliations: National Institutes of Health/National Library Medicine/Lister Hill National Center for Biomedical Communications (Dr Gartrell); School of Nursing, University of Maryland (Drs Trinkoff and Storr); and School of Nursing, The Johns Hopkins University (Dr Wilson), Baltimore, MD.
Comput Inform Nurs. 2015 Jul;33(7):306-14. doi: 10.1097/CIN.0000000000000163.
An electronic personal health record is a patient-centric tool that enables patients to securely access, manage, and share their health information with healthcare providers. It is presumed the nursing informatics community would be early adopters of electronic personal health record, yet no studies have been identified that examine the personal adoption of electronic personal health record's for their own healthcare. For this study, we sampled nurse members of the American Medical Informatics Association and the Healthcare Information and Management Systems Society with 183 responding. Multiple logistic regression analysis was used to identify those factors associated with electronic personal health record use. Overall, 72% were electronic personal health record users. Users tended to be older (aged >50 years), be more highly educated (72% master's or doctoral degrees), and hold positions as clinical informatics specialists or chief nursing informatics officers. Those whose healthcare providers used electronic health records were significantly more likely to use electronic personal health records (odds ratio, 5.99; 95% confidence interval, 1.40-25.61). Electronic personal health record users were significantly less concerned about privacy of health information online than nonusers (odds ratio, 0.32; 95% confidence interval, 0.14-0.70) adjusted for ethnicity, race, and practice region. Informatics nurses, with their patient-centered view of technology, are in prime position to influence development of electronic personal health records. Our findings can inform policy efforts to encourage informatics and other professional nursing groups to become leaders and users of electronic personal health record; such use could help them endorse and engage patients to use electronic personal health records. Having champions with expertise in and enthusiasm for the new technology can promote the adoptionof electronic personal health records among healthcare providers as well as their patients.
电子个人健康记录是一种以患者为中心的工具，它使患者能够安全地访问、管理并与医疗服务提供者共享自己的健康信息。据推测，护理信息学领域会是电子个人健康记录的早期采用者，但尚未发现有研究考察个人出于自身医疗保健目的采用电子个人健康记录的情况。在本研究中，我们对美国医学信息学会和医疗保健信息与管理系统学会的护士成员进行了抽样，有183人回复。采用多元逻辑回归分析来确定与使用电子个人健康记录相关的因素。总体而言，72%的人是电子个人健康记录使用者。使用者往往年龄较大（年龄>50岁）、受教育程度较高（72%拥有硕士或博士学位），并且担任临床信息学专家或首席护理信息学官员等职位。其医疗服务提供者使用电子健康记录的人使用电子个人健康记录的可能性显著更高（比值比，5.99；95%置信区间，1.40 - 25.61）。在对种族、民族和执业地区进行调整后，电子个人健康记录使用者对在线健康信息隐私的担忧明显低于非使用者（比值比，0.32；95%置信区间，0.14 - 0.70）。信息学护士以其以患者为中心的技术观，处于影响电子个人健康记录发展的有利位置。我们的研究结果可为政策制定提供参考，以鼓励信息学及其他专业护理团体成为电子个人健康记录的领导者和使用者；这种使用有助于他们认可并促使患者使用电子个人健康记录。拥有对新技术有专业知识和热情的倡导者可以促进医疗服务提供者及其患者采用电子个人健康记录。
