Consumer Support for Health Information Exchange and Personal Health Records: A Regional Health Information Organization Survey

  • Authors:

  • Vaishali N. Patel;Rina V. Dhopeshwarkar;Alison Edwards;Yolanda Barrón;Jeffrey Sparenborg;Rainu Kaushal

  • Affiliations:

  • Department of Pediatrics, Weill Cornell Medical College, New York, USA and Department of Public Health, Weill Cornell Medical College, New York, USA and Health Information Technology Evaluation Co ...;Department of Pediatrics, Weill Cornell Medical College, New York, USA and Health Information Technology Evaluation Collaborative (HITEC), New York, USA;Department of Public Health, Weill Cornell Medical College, New York, USA and Health Information Technology Evaluation Collaborative (HITEC), New York, USA;Department of Public Health, Weill Cornell Medical College, New York, USA and Health Information Technology Evaluation Collaborative (HITEC), New York, USA;University of Rochester School of Medicine and Dentistry and the Simon School of Business, Rochester, USA;Department of Pediatrics, Weill Cornell Medical College, New York, USA and Department of Public Health, Weill Cornell Medical College, New York, USA and Department of Medicine, Weill Cornell Medic ...

  • Venue:
  • Journal of Medical Systems
  • Year:
  • 2012

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Abstract

In order to characterize consumer support for electronic health information exchange (HIE) and personal health records (PHRs) in a community where HIE is underway, we conducted a survey of English speaking adults who visited primary care practices participating in a regional community-wide clinical data exchange, during August, 2008. Amongst the 117 respondents, a majority supported physicians' use of HIE (83%) or expressed interest in potentially using PHRs (76%). Consumers' comfort sending personal information electronically over the Internet and their perceptions regarding the potential benefits of HIE were independently associated with their support for HIE. Consumers' prior experience using the Internet to manage their healthcare, perceptions regarding the potential benefits of PHRs and college education were independently associated with potential PHR use. Bolstering consumer support for HIE and PHRs will require addressing privacy and security concerns, demonstrating clinical benefits, and reaching out to those who are less educated and computer literate.