a cross-sectional study of barriers to personal health record use among patients attending a safety-net clinic横断面研究的个人健康记录使用障碍患者参加一个安全网诊所.pdfVIP

A Cross-Sectional Study of Barriers to Personal Health Record Use among Patients Attending a Safety-Net Clinic 1 2 2 2 2 Joan F. Hilton *, Lynsey Barkoff , Olivia Chang , Lindsay Halperin , Neda Ratanawongsa , Urmimala 2 3 ˜ 3 4 2 Sarkar , Yan Leykin , Ricardo F. Munoz , David H. Thom , James S. Kahn 1 Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, United States of America, 2 Department of Medicine, University of California San Francisco and HIV/AIDS Division, San Francisco General Hospital, San Francisco, California, United States of America, 3 Department of Psychiatry, University of California San Francisco, San Francisco, California, United States of America, 4 Department of Family and Community Medicine, University of California San Francisco at San Francisco General Hospital, San Francisco, California, United States of America Abstract Background: Personal health records (PHR) may improve patients’ health by providing access to and context for health information. Among patients receiving care at a safety-net HIV/AIDS clinic, we examined the hypothesis that a mental health (MH) or substance use (SU) condition represents a barrier to engagement with web-based health information, as measured by consent to participate in a trial that provided access to personal (PHR) or general (non-PHR) health information portals and by completion of baseline study surveys posted there. Methods: Participants were individually trained to access and navigate individualized online accounts and to complete study surveys. In response to need, during accrual months 4 to 12 we