Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Jul 30, 2020
Date Accepted: Sep 30, 2020
Date Submitted to PubMed: Oct 1, 2020
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
The Digital Age: A Cross-Sectional Study of the Adoption of a Personal Health Record
ABSTRACT
Background:
As health care organizations strive to improve health care access, quality, and costs, they have implemented patient-facing eHealth technologies such as personal health records to better engage patients in the management of their health. In the Kingdom of Saudi Arabia, eHealth is also growing with Vision 2030 and its National Transformation Program framework creating a roadmap for increased quality and efficiency of the health care system and supporting the goal of patient-centered care.
Objective:
The aim of this study is to investigate the adoption of the personal health record of the Ministry of National Guard Health Affairs (MNGHA Care).
Methods:
A cross-sectional survey was conducted in adults visiting outpatient clinics in hospitals at the Ministry of National Guard Health Affairs hospitals in Riyadh, Jeddah, Dammam, Madinah, and Al Ahsa and Primary Health Care Clinics in Riyadh and Qassim. The main outcome measure was self-reported use of MNGHA Care.
Results:
In the sample of 546 adult patients, 383 (70.1%) reported being users of MNGHA Care. MNGHA Care users were more likely to be: younger (P<.001), more educated (P<.001), employed (P<.001), with at least one chronic medical condition (P=.002), users of the internet to search for health-related information (P <.001), and users of health apps on their mobile phones (P<.001).
Conclusions:
In conclusion, the results of this study show that there is a great deal of interest in use of the MNGHA Care personal health record with 70% of participants self-reporting use. In order to confirm these findings, objective data from the portal usage logs are needed. Maximizing the potential of MNGHA Care supports patient engagement and is aligned with the national eHealth initiative to encourage the use of technology for high quality, accessible patient-centered care. Future research should include health care provider perspectives, incorporate objective data, employ a mixed-methods approach, and use a theoretical framework.
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