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A looming digital divide? Group differences in the perceived importance of electronic health records

机译:日益显现的数字鸿沟?在电子健康记录重要性方面的群体差异

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Electronic health records (EHRs) are expected to bring a variety of health benefits, including reducing disparities in health-care access, but only if they are valued by all patient populations. We used the 2007 Health Information and National Trends Survey to characterize which healthcare users report that electronic access to their health records is important for themselves and their providers. Respondents from populations that generally experience health-care disparities (Blacks, Latina/os, and patients with psychological distress) were among the most likely to report that the EHR was very important for themselves. Women were less likely than men to deem the EHR very important for their providers. Findings remained consistent after controlling for respondents' socioeconomic status, health status, and health care. By identifying the characteristics of current health-care users who see electronic access to records as important for themselves and providers, we can better understand potential barriers as well as motivators to adoption that could contribute to equitable usage across groups or a digital divide.
机译:电子健康记录(EHR)有望带来各种健康益处,包括减少医疗保健机会上的差异,但前提是所有患者群体都必须重视它们。我们使用2007年健康信息和国家趋势调查来表征哪些医疗保健用户报告说,电子访问其健康记录对自己和提供者很重要。来自普遍存在医疗保健差异的人群(黑人,拉丁裔/ os以及有心理困扰的患者)的受访者最有可能报告电子病历对他们自己非常重要。与男性相比,女性认为电子病历对其提供者非常重要的可能性较小。在控制了受访者的社会经济状况,健康状况和医疗保健之后,调查结果保持一致。通过确定当前的医疗保健用户的特征,他们认为电子获取记录对于他们自己和提供者都很重要,我们可以更好地了解潜在的障碍以及推动采用的动机,这些动机可能有助于跨群体或数字鸿沟的公平使用。

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