Kevin T. Fuji|Amy A. Abbott|Kimberly A. Galt
A Qualitative Study of How Patients with Type 2 Diabetes Use an Electronic Stand-Alone Personal Health Record
Creighton University|Creighton University|Creighton University
patient use personal health records phrs manage health information proposed enhance patient knowledge empower patients make changes selfcare behaviors however remains gap understanding patients actual phr use behaviors purpose qualitative study explore patients type 2 diabetes used phr manage diabetesrelated health information selfcarefiftynine patients type 2 diabetes interviewed 36 months receiving initial training freeofcharge webbased phr interviews audiorecorded transcribed analyzed using iterative process vivo coding categorization theme developmentnine themes emerged three expressed positive experiences complete accessible record increased awareness behavioral changes remaining six themes expressed negative experiences sight mind would used sicker economic infrastructure computer literacy barriers lack patientprovider engagement double tracking privacy security concernsdespite potential positive benefits resulting phr use several barriers inhibited sustained effective use time provider patient education benefits phr use potential filling information gaps providerbased record key engage patients stimulate phr adoption use