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Frequent and diverse use of electronic health records in the United States: A trend analysis of national surveys
OBJECTIVE: Considering the increasing integration of electronic health records (EHRs) into medical practice by healthcare organizations, it is especially pertinent to understand its actual usage by the general public in recent years. This study aims to explore factors associated with the frequency a...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9272053/ https://www.ncbi.nlm.nih.gov/pubmed/35832476 http://dx.doi.org/10.1177/20552076221112840 |
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author | Zheng, Han Jiang, Shaohai |
author_facet | Zheng, Han Jiang, Shaohai |
author_sort | Zheng, Han |
collection | PubMed |
description | OBJECTIVE: Considering the increasing integration of electronic health records (EHRs) into medical practice by healthcare organizations, it is especially pertinent to understand its actual usage by the general public in recent years. This study aims to explore factors associated with the frequency and diversity of EHR usage in the United States over time. METHODS: We analyzed three iterations (2017, 2018, and 2019) of the Health Information National Trends Survey (HINTS). HINTS is a national cross-sectional survey conducted by the National Cancer Institute to document attitudes and perceptions about health information access and use among American adults. RESULTS: Both frequency and diversity of EHR usage have slightly increased across the years. However, its overall usage still remained low. Three technology-related enablers (access to digital devices, access to the Internet, and perceived usefulness of EHRs) were positively related to EHR usage in all three iterations. In addition, perceived health status was a constant and negative predictor of EHR usage over years. Doctor–patient communication was positively associated with the frequency of EHR usage in two survey waves. CONCLUSIONS: More initiatives to increase EHR usage in the United States are needed. We advocate for providing affordable Internet access and smartphone to underserved populations; in medical encounters, doctors should have more patient-centered communication, introduce the benefits of EHRs to patients, and promote EHR adoption in terms of frequency and diversity. |
format | Online Article Text |
id | pubmed-9272053 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-92720532022-07-12 Frequent and diverse use of electronic health records in the United States: A trend analysis of national surveys Zheng, Han Jiang, Shaohai Digit Health Original Research OBJECTIVE: Considering the increasing integration of electronic health records (EHRs) into medical practice by healthcare organizations, it is especially pertinent to understand its actual usage by the general public in recent years. This study aims to explore factors associated with the frequency and diversity of EHR usage in the United States over time. METHODS: We analyzed three iterations (2017, 2018, and 2019) of the Health Information National Trends Survey (HINTS). HINTS is a national cross-sectional survey conducted by the National Cancer Institute to document attitudes and perceptions about health information access and use among American adults. RESULTS: Both frequency and diversity of EHR usage have slightly increased across the years. However, its overall usage still remained low. Three technology-related enablers (access to digital devices, access to the Internet, and perceived usefulness of EHRs) were positively related to EHR usage in all three iterations. In addition, perceived health status was a constant and negative predictor of EHR usage over years. Doctor–patient communication was positively associated with the frequency of EHR usage in two survey waves. CONCLUSIONS: More initiatives to increase EHR usage in the United States are needed. We advocate for providing affordable Internet access and smartphone to underserved populations; in medical encounters, doctors should have more patient-centered communication, introduce the benefits of EHRs to patients, and promote EHR adoption in terms of frequency and diversity. SAGE Publications 2022-07-06 /pmc/articles/PMC9272053/ /pubmed/35832476 http://dx.doi.org/10.1177/20552076221112840 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Zheng, Han Jiang, Shaohai Frequent and diverse use of electronic health records in the United States: A trend analysis of national surveys |
title | Frequent and diverse use of electronic health records in the United States: A trend analysis of national surveys |
title_full | Frequent and diverse use of electronic health records in the United States: A trend analysis of national surveys |
title_fullStr | Frequent and diverse use of electronic health records in the United States: A trend analysis of national surveys |
title_full_unstemmed | Frequent and diverse use of electronic health records in the United States: A trend analysis of national surveys |
title_short | Frequent and diverse use of electronic health records in the United States: A trend analysis of national surveys |
title_sort | frequent and diverse use of electronic health records in the united states: a trend analysis of national surveys |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9272053/ https://www.ncbi.nlm.nih.gov/pubmed/35832476 http://dx.doi.org/10.1177/20552076221112840 |
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