scholarly journals Perceived challenges for adopting the Personal Health Record (PHR) at Ministry of National Guard Health Affairs (MNGHA) – Riyadh

2016 ◽  
Vol 8 (3) ◽  
Author(s):  
Aljowhara Alsahan ◽  
Basema Saddik
Keyword(s):  
Focus Groups ◽  
Health Information ◽  
National Guard ◽  
Personal Health Record ◽  
Electronic Record ◽  
Perceived Barriers ◽  
Personal Health ◽  
Health Record ◽  
Cross Sectional ◽  
Adoption Rate

AbstractBackground: The Personal Health Record (PHR) is an electronic record that allows patients to maintain, manage and access their health information in one secure location. However, despite these potential capabilities, the adoption rate of the PHR has been slow due to various challenges.Objectives: This study, being the first of its kind in Saudi Arabia, investigates the perceived barriers and /or challenges for PHR adoption in the Ministry of National Guard Health Affairs (MNGHA). The study explored perceived barriers and /or challenges from two different perspectives; a technical perspective and a social perspective.Methods: The study was conducted using a mixed methods approach. A cross-sectional study design using a questionnaire was used to measure patients’ perceptions of the PHR and a qualitative approach through focus groups was used to capture comments and opinions from technical personnel for perceived technical barriers to PHR adoption.Result: Results from 424 patients revealed a positive perception for PHR adoption with almost all of the participants (96.7%) indicating interest in using the PHR and the majority (73.3%) expressing no confidentiality concerns for the online accessibility of their health information. Patients with higher levels of education indicated higher interest in using the PHR and expressed more concern with confidentiality than patients with lower levels of education. However, the majority of patients (78.3%) expressed their lack of awareness of existing patient e-services on the MNGHA website. The themes that emerged from the focus groups reinforced lack of awareness of e-services as a potential barrier for PHR adoption as well as the role of policy in the regulation and business process for PHR adoption.Conclusion: This study has highlighted the perceived challenges and barriers for adoption of the PHR in MNGHA-Riyadh. In order to ensure an efficient PHR with a strong adoption rate, effective steps need to be undertaken by building PHR awareness as well as setting clear guidelines and regulations from policy makers.

scholarly journals Adoption of a Personal Health Record in the Digital Age: Cross-Sectional Study

10.2196/22913 ◽  
2020 ◽  
Vol 22 (10) ◽  
pp. e22913
Author(s):  
Consuela Cheriece Yousef ◽  
Abin Thomas ◽  
Ahmed O Alenazi ◽  
Sumaya Elgadi ◽  
Laila Carolina Abu Esba ◽  
...  
Keyword(s):  
Health Care ◽  
National Guard ◽  
Personal Health Record ◽  
Patient Centered Care ◽  
Personal Health ◽  
Health Record ◽  
Objective Data ◽  
Patient Centered ◽  
Cross Sectional ◽  
Centered Care

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 in accordance 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 was 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), high school or university educated (P<.001), employed (P<.001), have a chronic condition (P=.046), use the internet to search for health-related information (P<.001), and use health apps on their mobile phones (P<.001). Conclusions The results of this study show that there is substantial interest for the use of MNGHA Care personal health record with 70% of participants self-reporting use. 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.

scholarly journals Adoption of a Personal Health Record in the Digital Age: Cross-Sectional Study (Preprint)

2020 ◽  
Author(s):  
Consuela Cheriece Yousef ◽  
Abin Thomas ◽  
Ahmed O Alenazi ◽  
Sumaya Elgadi ◽  
Laila Carolina Abu Esba ◽  
...  
Keyword(s):  
Health Care ◽  
National Guard ◽  
Personal Health Record ◽  
Patient Centered Care ◽  
Personal Health ◽  
Health Record ◽  
Objective Data ◽  
Patient Centered ◽  
Cross Sectional ◽  
Centered Care

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 in accordance 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 was 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 (<i>P</i>&lt;.001), high school or university educated (<i>P</i>&lt;.001), employed (<i>P</i>&lt;.001), have a chronic condition (<i>P</i>=.046), use the internet to search for health-related information (<i>P</i>&lt;.001), and use health apps on their mobile phones (<i>P</i>&lt;.001). CONCLUSIONS The results of this study show that there is substantial interest for the use of MNGHA Care personal health record with 70% of participants self-reporting use. 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.

Personal Health Records Systems Go Mobile

2011 ◽  
pp. 750-772
Author(s):  
Phillip Olla ◽  
Joseph Tan
Keyword(s):  
Health Information ◽  
Mobile Device ◽  
Personal Health Record ◽  
Personal Health Records ◽  
Personal Health ◽  
Health Record ◽  
Health Records ◽  
Extant Literature ◽  
The Past ◽  
Secure Environment

This chapter provides an overview of mobile personal health record (MPHR) systems. A Mobile personal health record is an eclectic application through which patients can access, manage, and share their health information from a mobile device in a private, confidential, and secure environment. Personal health records have evolved over the past three decades from a small card or booklet with immunizations recorded into fully functional mobile accessible portals, and it is the PHR evolution outside of the secure healthcare environment that is causing some concerns regarding privacy. Specifically, the chapter reviews the extant literature on critical evaluative components to be considered when assessing MPHR systems.

scholarly journals A worker-centered personal health record app using Fast Healthcare Interoperability Resources and national healthcare datasets: A design and development study (Preprint)

2021 ◽  
Author(s):  
Hyun Sang Park ◽  
Kwang Il Kim ◽  
Ho-Young Chung ◽  
Sung Moon Jeong ◽  
Jae Young Soh ◽  
...  
Keyword(s):  
Occupational Health ◽  
Health Information ◽  
Personal Health Record ◽  
Healthcare Services ◽  
Usability Evaluation ◽  
Economic Losses ◽  
Personal Health ◽  
Health Record ◽  
Medical Checkup ◽  
National Healthcare

BACKGROUND Personal Health Record (PHR) is a healthcare technology that can be used to support workplace health promotion, and prevent social and economic losses related to workers’ health management. PHR services can not only ensure interoperability, security, privacy, and data quality, but also consider the user's perspective in their design. OBJECTIVE This study aimed to design and develop a PHR app using Fast Healthcare Interoperability Resources (FHIR) and national healthcare datasets to provide worker-centered, interconnected PHR services. METHODS This study considered the user's perspective using the Human-Centered Design (HCD) methodology to develop a PHR app suitable for occupational health. A prototype was developed by analyzing quantitative and qualitative data collected from workers and an expert group, following which a usability evaluation was performed. We structured the workers’ PHR items based on the analyzed data and then ensured structural and semantic interoperability using FHIR, Systematized Nomenclature of Medicine-Clinical Terms (SNOMED-CT), and logical observation identifiers names and codes (LOINC). This study integrated workers’ health information that was scattered across different Korean institutions through a linkage method, and workers’ PHRs were managed through a cloud server using Azure API for FHIR. RESULTS In total, 562 workers participated in the quantitative study. The preferred data items for the PHR were medication, number of steps walked, diet, blood pressure, weight, and blood glucose. The preferred functions were accessing medical checkup results, content provision for health information, consultation record inquiry, and teleconsultation. The worker-centered PHR app collected data on topics such as life-logs, vital signs, and medical checkup results; offered healthcare services such as reservation and teleconsultation; and provided occupational safety and health information through material safety data sheet search and health questionnaires. The app reflected the improvements regarding user convenience and app usability that were proposed by 19 participants (7 experts and 12 end-users) who partook in the usability evaluation. The After Scenario Questionnaire (ASQ) was evaluated at 5.90 (± 0.34) out of 7, and the System Usability Scale (SUS) was evaluated at 88.7 (± 4.83) out of 100. CONCLUSIONS The worker-centered PHR app integrates workers’ health information that is scattered across different institutions, providing a variety of healthcare services from linked institutions through workers’ shared PHR. This app is expected to allow workers to have autonomy over their health information and support medical personnel’s decision making regarding workers’ health in the workplace. Particularly, the PHR app we developed would provide solutions for the major challenges of PHR, and its design, which would consider the user's perspective, thereby satisfying the prerequisites for its utilization in occupational health.

scholarly journals Personal Health Record Reach in the Veterans Health Administration: A Cross-Sectional Analysis

2014 ◽  
Vol 16 (12) ◽  
pp. e272 ◽  
Author(s):  
Stephanie Leah Shimada ◽  
Cynthia A Brandt ◽  
Hua Feng ◽  
D Keith McInnes ◽  
Sowmya R Rao ◽  
...  
Keyword(s):  
Personal Health Record ◽  
Veterans Health Administration ◽  
Personal Health ◽  
Health Record ◽  
Veterans Health ◽  
Health Administration ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Sectional Analysis

scholarly journals Characteristics of Innovators Adopting a National Personal Health Record in Portugal: Cross-Sectional Study

2017 ◽  
Vol 5 (4) ◽  
pp. e37 ◽  
Author(s):  
Liliana Laranjo ◽  
Inês Rodolfo ◽  
Ana Marta Pereira ◽  
Armando Brito de Sá
Keyword(s):  
Personal Health Record ◽  
Cross Sectional Study ◽  
Personal Health ◽  
Health Record ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals A Cross-Sectional Study of Barriers to Personal Health Record Use among Patients Attending a Safety-Net Clinic

PLoS ONE ◽  
2012 ◽  
Vol 7 (2) ◽  
pp. e31888 ◽  
Author(s):  
Joan F. Hilton ◽  
Lynsey Barkoff ◽  
Olivia Chang ◽  
Lindsay Halperin ◽  
Neda Ratanawongsa ◽  
...  
Keyword(s):  
Personal Health Record ◽  
Safety Net ◽  
Cross Sectional Study ◽  
Personal Health ◽  
Health Record ◽  
Sectional Study ◽  
Cross Sectional ◽  
Safety Net Clinic

Personal Health Records Systems Go Mobile

2010 ◽  
pp. 45-70
Author(s):  
Phillip Olla ◽  
Joseph Tan
Keyword(s):  
Health Information ◽  
Mobile Device ◽  
Personal Health Record ◽  
Personal Health Records ◽  
Personal Health ◽  
Health Record ◽  
Health Records ◽  
Extant Literature ◽  
The Past ◽  
Secure Environment

This chapter provides an overview of mobile personal health record (MPHR) systems. A Mobile personal health record is an eclectic application through which patients can access, manage, and share their health information from a mobile device in a private, confidential, and secure environment. Personal health records have evolved over the past three decades from a small card or booklet with immunizations recorded into fully functional mobile accessible portals, and it is the PHR evolution outside of the secure healthcare environment that is causing some concerns regarding privacy. Specifically, the chapter reviews the extant literature on critical evaluative components to be considered when assessing MPHR systems.

Implementing the lifelong personal health record in a regionalised health information system: The case of Lombardy, Italy

2015 ◽  
Vol 59 ◽  
pp. 164-174 ◽  
Author(s):  
Fulvio Barbarito ◽  
Francesco Pinciroli ◽  
Antonio Barone ◽  
Fabrizio Pizzo ◽  
Riccardo Ranza ◽  
...  
Keyword(s):  
Information System ◽  
Health Information ◽  
Personal Health Record ◽  
Health Information System ◽  
Personal Health ◽  
Health Record
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