大型学术医疗中心苹果健康记录的早期采用者：用户横断面调查

Early Adopters of Apple Health Records at a Large Academic Medical Center: Cross-sectional Survey of Users.

作者信息

Rolnick Joshua, Ward Robin, Tait Gordon, Patel Neha

机构信息

United States Department of Veterans Affairs, Philadelphia, PA, United States.

Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.

出版信息

J Med Internet Res. 2022 Jan 25;24(1):e29367. doi: 10.2196/29367.

DOI:10.2196/29367

PMID:35076397

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8826150/

Abstract

BACKGROUND

Mobile applications offer a new approach to personal health records, which are internet-based tools for patients to consolidate and manage their health information. The University of Pennsylvania Health System (UPHS) was one of the first health systems to participate in Apple Health Records (AHR), a prominent example of this new generation of personal health records.

OBJECTIVE

This study aimed to characterize early adoption of AHR among UPHS patients and understand user perspectives.

METHODS

An email-based survey with fixed answer, Likert scale, and open-ended questions was administered to all UPHS patients using AHR in the first 10 months of enrollment. Survey data linked to the UPHS electronic health record system were used to analyze responses. Multivariable logistic regression modeled the association of patient characteristics with user ratings. Content analysis was used to analyze open-ended questions.

RESULTS

At the time of the survey, a total of 1458 patients had used AHR at least once. Mean age of AHR users was 47.5 years, 66.3% (967/1458) were male, 70.9% (1033/1458) were white, and 80.8% (1178/1458) had private insurance. Response rate was 26.8% (391/1458); 46.3% (180/389) were very satisfied with AHR, and 67.7% (264/390) described it as very easy to use. The most commonly utilized features were lab results (324/391, 82.9%), clinical vitals (264/391, 67.5%), and medications (253/391, 64.7%). No patient characteristics were associated with reporting high satisfaction or ease of use. The most common reason for using AHR was convenience/ease of use, and 58.2% (160/275) of users reported allowing no other apps to access their health information, citing privacy as one consideration.

CONCLUSIONS

Early adopters of AHR were demographically white, male, and privately insured. Convenience was an important facilitator, and users were selective in which apps they allowed to access their health information.

摘要

背景

移动应用为个人健康记录提供了一种新方法，个人健康记录是患者用于整合和管理其健康信息的基于互联网的工具。宾夕法尼亚大学医疗系统（UPHS）是最早参与苹果健康记录（AHR）的医疗系统之一，AHR是新一代个人健康记录的一个突出例子。

目的

本研究旨在描述UPHS患者对AHR的早期采用情况，并了解用户观点。

方法

在注册的前10个月，对所有使用AHR的UPHS患者进行了一项基于电子邮件的调查，该调查包含固定答案、李克特量表和开放式问题。与UPHS电子健康记录系统相关联的调查数据用于分析回答。多变量逻辑回归模型分析了患者特征与用户评分之间的关联。内容分析用于分析开放式问题。

结果

在调查时，共有1458名患者至少使用过一次AHR。AHR用户的平均年龄为47.5岁，66.3%（967/1458）为男性，70.9%（1033/1458）为白人，80.8%（1178/1458）拥有私人保险。回复率为26.8%（391/1458）；46.3%（180/389）对AHR非常满意，67.7%（264/390）认为其使用非常方便。最常使用的功能是实验室检查结果（324/391，82.9%）、临床生命体征（264/391，67.5%）和药物（253/391，64.7%）。没有患者特征与高满意度或易用性相关。使用AHR最常见的原因是方便/易用，58.2%（160/275）的用户表示不允许其他应用访问其健康信息，将隐私作为一个考虑因素。