Format

Send to

Choose Destination
See comment in PubMed Commons below
Hum Factors. 2015 May;57(3):491-506. doi: 10.1177/0018720814549238. Epub 2014 Sep 5.

The usability of electronic personal health record systems for an underserved adult population.

Author information

1
University of Miami, Miami, Florida sczaja@med.miami.edu.
2
Hunter College, New York, New York.
3
University of Miami, Miami, Florida.
4
Columbia University, New York, New York.
5
Joslyn Levy and Associates, New York, New York.

Abstract

OBJECTIVE:

The goals of this study were to identify the demands associated with using electronic personal health records (PHRs) and to evaluate the ability of adults of lower socioeconomic status and low health literacy to use PHRs to perform health management activities.

BACKGROUND:

PHRs are proliferating in clinical practices and health care organizations. These systems offer the potential of increasing the active involvement of patients in health self-management. However, little is known about the actual usability of these tools for health consumers.

METHOD:

We used task analysis and health literacy load analysis to identify the cognitive and literacy demands inherent in the use of PHRs and evaluated the usability of three currently available PHR systems with a sample of 54 adults. Participants used the systems to perform tasks related to medication management, interpretation of lab/test results, and health maintenance. Data were also gathered on the participants' perception of the potential value of using a PHR.

RESULTS:

The results indicated that a majority of the participants had difficulty completing the tasks and needed assistance. There was some variability according to task and PHR system. However, most participants perceived the use of PHRs as valuable.

CONCLUSIONS:

Although considered a valuable tool by consumers, the use of PHR systems may be challenging for many people. Strategies are needed to enhance the usability of these systems, especially for people with low literacy, low health literacy, or limited technology skills.

APPLICATION:

The data from this study have implications for the design of PHRs.

KEYWORDS:

electronic medical records; patient portal; usability

PMID:
25875437
PMCID:
PMC4710573
DOI:
10.1177/0018720814549238
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Atypon Icon for PubMed Central
    Loading ...
    Support Center