The University of Newcastle, NSW, Australia.
The University of Newcastle, NSW, Australia.
Patient Educ Couns. 2018 Jan;101(1):2-15. doi: 10.1016/j.pec.2017.07.010. Epub 2017 Jul 11.
To integrate the findings of research on electronic personal health records (e-PHRs) for an understanding of their health literacy demands on both patients and providers.
We sought peer-reviewed primary research in English addressing the health literacy demands of e-PHRs that are online and allow patients any degree of control or input to the record. A synthesis of three theoretical models was used to frame the analysis of 24 studies.
e-PHRs pose a wide range of health literacy demands on both patients and health service providers. Patient participation in e-PHRs relies not only on their level of education and computer literacy, and attitudes to sharing health information, but also upon their executive function, verbal expression, and understanding of spoken and written language.
The multiple health literacy demands of e-PHRs must be considered when implementing population-wide initiatives for storing and sharing health information using these systems.
The health literacy demands of e-PHRs are high and could potentially exclude many patients unless strategies are adopted to support their use of these systems. Developing strategies for all patients to meet or reduce the high health literacy demands of e-PHRs will be important in population-wide implementation.
整合电子个人健康记录（e-PHR）研究结果，以了解其对患者和提供者的健康素养要求。
我们寻找了以英语发表的、针对在线且允许患者对记录进行任何程度控制或输入的 e-PHR 的健康素养要求的同行评审原始研究。使用三个理论模型的综合方法来分析 24 项研究。
e-PHR 对患者和医疗服务提供者都提出了广泛的健康素养要求。患者参与 e-PHR 不仅依赖于他们的教育和计算机素养水平、对共享健康信息的态度，还依赖于他们的执行功能、口头表达能力以及对口语和书面语言的理解。
在使用这些系统存储和共享健康信息时，必须考虑 e-PHR 对健康素养的多种要求。
e-PHR 的健康素养要求很高，如果不采取支持患者使用这些系统的策略，可能会将许多患者排除在外。制定所有患者都能满足或降低 e-PHR 高健康素养要求的策略，对于在人群中实施这些系统将非常重要。
