Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: May 17, 2022
Date Accepted: Sep 24, 2022
Improving Health for Cancer Survivors through the Use of Patient-Accessible Electronic Health Record (PAEHR) Portals: Cross-sectional Survey Study
ABSTRACT
Background:
In the past decade, electronic health record (EHR) systems emerge as an important avenue for health management both at the hospital level and individual level. However, little is known about EHR patient portals in facilitating survivorship care delivery for patients with chronic health conditions.
Objective:
This study aims to investigate cancer survivors’ EHR patient portal use and its influences on their health outcomes, as well as examine the mediation pathways through patient-centered care and health self-efficacy.
Methods:
Data for this study were derived from the Health Information National Trends Survey (HINTS 5 Cycle 4) collected from February to June 2020. This study only involved respondents who reported having been diagnosed with cancer (n = 626). Descriptive analyses were performed, and the mediation models were tested using Model 6 from the SPSS macro PROCESS.
Results:
No positive direct associations between EHR patient portal use and cancer survivors’ health outcomes were found. The results suggested that the influence of EHR patient portal use on cancer survivors’ physical and psychological health would be indirect through the mediated associations with PCC and health self-efficacy.
Conclusions:
This study offers empirical evidence about the significant role of EHR patient portals in delivering PCC, improving health self-efficacy, and ultimately contributing to cancer survivors’ physical and psychological health.
Citation
Request queued. Please wait while the file is being generated. It may take some time.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.