Blue Button use by patients to access and share health record information using the Department of Veterans Affairs' online patient portal

被引：81

作者：

Turvey, Carolyn ^{[1
,2
]}

Klein, Dawn ^{[1
,2
]}

Fix, Gemmae ^{[3
,4
]}

Hogan, Timothy P. ^{[3
,5
,6
]}

Woods, Susan ^{[7
,8
]}

Simon, Steven R. ^{[9
,10
]}

Charlton, Mary ^{[1
,11
]}

Vaughan-Sarrazin, Mary ^{[1
,12
]}

Zulman, Donna M. ^{[13
,14
]}

Dindo, Lilian ^{[2
]}

Wakefield, Bonnie ^{[1
,15
]}

Graham, Gail ^{[16
]}

Nazi, Kim ^{[16
]}

机构：

[1] Iowa City VA Hlth Care Syst, Comprehens Access & Delivery Res & Evaluat CADRE, Iowa City, IA USA

[2] Univ Iowa, Dept Psychiat, Carver Coll Med, Iowa City, IA 52242 USA

[3] Edith Nourse Rogers Mem Vet Adm Hosp, CHOIR, A VA HSR&D Ctr Innovat, Bedford, MA 01730 USA

[4] Boston Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Boston, MA USA

[5] Edith Nourse Rogers Mem Vet Adm Hosp, eHlth Qual Enhancement Res Initiat, Natl eHlth QUERI Coordinating Ctr, Bedford, MA 01730 USA

[6] Univ Massachusetts, Sch Med, Dept Quantitat Hlth Sci, Div Hlth Informat & Implementat Sci, Worcester, MA USA

[7] Portland VA Med Ctr, Hlth Serv Res & Dev, Portland, OR USA

[8] Oregon Hlth & Sci Univ, Dept Med Informat & Clin Epidemiol, Portland, OR 97201 USA

[9] Vet Affairs Boston Healthcare Syst, Gen Internal Med Sect, Boston, MA USA

[10] Brigham & Womens Hosp, Div Gen Med & Primary Care, Boston, MA 02115 USA

[11] Univ Iowa, Coll Publ Hlth, Dept Epidemiol, Iowa City, IA USA

[12] Univ Iowa, Dept Internal Med, Carver Coll Med, Iowa City, IA 52242 USA

[13] Vet Affairs Palo Alto Hlth Care Syst, Ctr Innovat Implementat, Menlo Pk, CA USA

[14] Stanford Univ, Div Gen Med Disciplines, Stanford, CA 94305 USA

[15] Univ Missouri, Sinclair Sch Nursing, Columbia, MO USA

[16] Vet Hlth Adm, Off Informat & Analyt, Vet & Consumers Hlth Informat Off, Washington, DC USA

来源：

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION | 2014年 / 21卷 / 04期

关键词：

PRIMARY-CARE PHYSICIANS; CLINICAL INFORMATION; DIGITAL DIVIDE; COMMUNICATION; DOCTORS; PERCEPTIONS; TECHNOLOGY; INTERNET; EXCHANGE; ADOPTION;

D O I：

10.1136/amiajnl-2014-002723

中图分类号：

TP [自动化技术、计算机技术];

学科分类号：

0812 ;

摘要：

Objective The Blue Button feature of online patient portals promotes patient engagement by allowing patients to easily download their personal health information. This study examines the adoption and use of the Blue Button feature in the Department of Veterans Affairs' (VA) personal health record portal, My HealtheVet. Materials and methods An online survey presented to a 4% random sample of My HealtheVet users between March and May 2012. Questions were designed to determine characteristics associated with Blue Button use, perceived value of use, and how Veterans with non-VA providers use the Blue Button to share information with their non-VA providers. Results Of the survey participants (N=18 398), 33% were current Blue Button users. The most highly endorsed benefit was that it helped patients understand their health history better because all the information was in one place (73%). Twenty-one percent of Blue Button users with a non-VA provider shared their VA health information, and 87% reported that the non-VA provider found the information somewhat or very helpful. Veterans' self-rated computer ability was the strongest factor contributing to both Blue Button use and to sharing information with non-VA providers. When comparing Blue Button users and non-users, barriers to adoption were low awareness of the feature and difficulty using the Blue Button. Conclusions This study contributes to the understanding of early Blue Button adoption and use of this feature for patient-initiated sharing of health information. Educational efforts are needed to raise awareness of the Blue Button and to address usability issues that hinder adoption.

引用

页码：657 / 663

页数：7

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