Lead Institution: Dartmouth

Project Leader: Denise Anthony

Research Progress

• Abstract

  To explore consumers’ attitudes toward EMRs in a nationally representative sample; to identify groups or individual characteristics associated with more/less concern about EMRs.

• Focus of the research/Market need for this project

  Lack of adequate understanding of how consumers/patients value EMRs, or whether particular groups have specific types of concerns, may lead to unexpected and problematic behavior by patients (non-disclosure, delayed utilization), or unequal access to or use of such technologies across groups.

• Project Aims/Goals

  We used the 2007 Health Information and National Trends Survey (HINTS) to characterize which health care users report that electronic access to their health records is important for themselves and their providers. By identifying the characteristics of current health care users who see electronic access to records as important (or not) for themselves and providers, we can better understand the needs of likely users, as well as potential barriers to adoption that would generate a digital divide among patients.

• Key Conclusions/Significant Findings/Milestones Reached/Deliverables
  • Findings: Respondents from populations that generally experience health care disparities (Blacks, Latina/os, and patients with psychological distress) were among the most likely to report that the EHR was very important for themselves. Women were less likely than men to deem the EHR very important for their providers. Findings remained consistent after controlling for respondents’ socio-economic status, health status and health care.
  • Deliverables:
    Do Health Care Users Think Electronic Health Records Are Important for Themselves and Their Providers? Exploring Group Differences in a National Survey. Denise L. Anthony and Celeste Campos-Castillo. Preliminary analyses and findings presented at 3 conferences:
    • American Medical Informatics Association (AMIA) Conference. Washington DC, November 2013.
    • IEEE International Health Care Informatics Symposium, September 2013, Philadelphia, PA.
    • American Sociological Association Annual Meeting, August 2013, New York City, NY.
• Available Materials for Other Investigators/Interested parties

  AMIA Conference paper published in proceedings available at: http://www.ncbi.nlm.nih.gov/pmc/issues/232791/

• Market entry strategies

  N/A

Bibliography
Do Health Care Users Think Electronic Health Records Are Important for Themselves and Their Providers?
Denise L. Anthony and Celeste Campos-Castillo
AMIA Annual Symposium Proceedings, 42-49, 2013

Do Health Care Users Think Electronic Health Records Are Important for Themselves and Their Providers? Exploring Group Differences in a National Survey
Denise L. Anthony and Celeste Campos-Castillo
AMIA Annual Symposium Proceedings, 42-49, 2013