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Electronic Health Record Patient Portal Adoption by Health Care Consumers: An Acceptance Model and Survey Our research helps to understand …
Feb 03, 2016 · Background: The future of health care delivery is becoming more citizen centered, as today’s user is more active, better informed, and more demanding. Worldwide governments are promoting online health services, such as electronic health record (EHR) patient portals and, as a result, the deployment and use of these services. Overall, this makes the adoption of patient …
Mar 02, 2016 · Electronic Health Record Patient Portal Adoption by Health Care Consumers: An Acceptance Model and Survey March 2016 Journal of Medical Internet Research 18(3):e49
Mar 06, 2021 · With ongoing health care reform efforts in the United States, focus is shifting to the quality of health care delivery.1 Standardized quality indicators have been developed and proposed to measure key components of care across the full continuum of care delivery, including patient-centered outcomes, defined as outcomes meaningful and important to …
Hedonic motivation is linked to the motivational principle that people approach pleasure and avoid pain [ 53, 54 ]. People use EHR portals very often when they are sick [ 1, 5] and that can be regarded by many as not being a pleasant process [ 55 ]. Extensive analysis has been performed in physiology and cognitive behaviour about hedonic motivation [ 19, 53 ]. Findings from literature point out that beyond the hedonic proprieties of a value target that should contribute to the engagement strength and pleasure, there are also other factors, different from the target’s hedonic proprieties, which influence engagement strength and thus contribute to the intensity of attraction or repulsion, in a manner that can be the opposite of what is expected [ 55 ]. Literature in healthcare care shows that people using more health services and e-health have greater concerns about their health, more serious health problems, and have higher depression rates than the population average [ 34, 55, 56, 57, 58 ]. Depression and poor health are also linked to less enjoyment in life [ 59, 60 ]. Because most of the people that access EHR Portals do it because they have a health problem [ 1, 5 ], it would not be surprising that they do not regard the use as fun, because it is linked with a pre-existing health condition, and this is the factor different from the target’s hedonic proprieties that contributes to the intensity of repulsion and the decrease of enjoyment [ 53 ].
Performance expectancy is conceptualized as the extent to which the use of a technology will provide benefits to consumers in performing specific tasks [ 48, 49 ]. Overall healthcare consumers adopt and use more eHealth technologies that deliver benefits in performing on-line health related tasks [ 6, 50, 51 ].
While most hospitals have adopted electronic health records (EHRs), we know little about whether hospitals use EHRs in advanced ways that are critical to improving outcomes, and whether hospitals with fewer resources – small, rural, safety-net – are keeping up.
Over the past 6 years, US hospitals have rapidly adopted electronic health records (EHRs) in response to financial incentives through Medicare and Medicaid. 1,2 In the last national data, over three-quarters of hospitals had adopted at least a basic EHR, up from 9% in 2008.
In this study, we use data from the most recent American Hospital Association (AHA) Annual Survey of Hospitals Information Technology (IT) Supplement to report the most recent measures of EHR adoption across US hospitals.
We used data from the AHA Annual Survey IT Supplement for information technology adoption from 2008 to 2015. The survey is sent to the chief executive officer of every US hospital, who is asked to complete it or delegate completion to the most appropriate person in the organization.
A total of 80.5% of US hospitals had adopted at least a basic EHR in 2015, an increase of 5.3 percentage points from 2014 (75.2%) ( Figure 1 ). Basic EHR adoption increased very slightly, from 41.1% in 2014 to 41.4% in 2015, while comprehensive EHR adoption levels rose from 34.1% to 39.1%.
Our study continues to track progress toward nationwide EHR adoption among US hospitals and introduces new measures that are likely more critical to track moving forward, because they capture advanced uses of EHRs. In terms of at least basic EHR adoption, we observed a small but meaningful increase of 5.3 percentage points.
Our study has several limitations. Although the survey achieved a high response rate and we used a model to adjust for potential nonresponse bias, these adjustments may not have been perfect. Second, we used self-reported survey data and were not able to verify the accuracy of the responses.