Zahra Niazkhani|Esmaeel Toni|Mojgan Cheshmekaboodi|Andrew Georgiou|Habibollah Pirnejad
Barriers to patient, provider, and caregiver adoption and use of electronic personal health records in chronic care: a systematic review
Urmia University|Urmia University|Urmia University|Macquarie University|Urmia University|Erasmus University Rotterdam
abstract background electronic personal health records ephrs defined electronic applications individuals access manage share health information private secure confidential environment existing evidence shows benefits improving outcomes especially chronic disease patients however use widespread expected partly due barriers faced adoption use aimed identify types barriers patient provider caregiver adoptionuse ephrs analyze extent chronic disease care methods systematic search medline pubmed science direct cumulative index nursing allied health literature cinahl cochrane central register controlled trials institute electrical electronics engineers ieee database performed find original studies assessing barriers ephr adoptionuse chronic care end 2018 two researchers independently screened extracted data used phr adoption model unified theory acceptance use technology analyze results mixed methods appraisal tool mmat version 2018 used assess quality evidence included studies results sixty publications met inclusion criteria issues found hindering ephr adoptionuse chronic disease care associated demographic factors eg patient age gender along key variables related health status computer literacy preferences direct communication patients strategy coping chronic condition well factors related medical practiceenvironment eg providers lack interest resistance adopting ephrs due workload lack reimbursement lack user training technological eg concerns privacy security interoperability electronic health record systems lack customized features chronic conditions chronic disease characteristics eg multiplicities comorbid conditions settings providers involved chronic care conclusions ephrs meaningfully used chronic disease care implemented component comprehensive care models specifically developed care results provide insight hurdles barriers mitigating ephr adoptionuse chronic disease care deeper understating interplay barriers provide opportunities lead enhanced ephr adoptionuse