@Article{信息:doi 10.2196 / / jmir。1668，作者=“Wen, Kuang-Yi and Kreps, Gary and Zhu, Fang and Miller, Suzanne”，标题=“消费者对个人健康记录和健康信息交换的认知和使用:2007年全国健康信息趋势调查分析”，期刊=“J Med Internet Res”，年=“2010”，月=“12”，日=“18”，卷=“12”，数=“4”，页=“e73”，关键词=“互联网;个人健康记录;卫生信息交流;消费者的认知和利用率;人口统计学的;保健调查;背景:个人健康记录(PHRs)和通过健康信息交换(HIE)共享健康信息已被提倡作为有效提供现代卫生保健的关键新组成部分。重要的是了解消费者对使用PHRs和HIE的态度，以评估公众采用这些新的医疗工具的意愿。目的:本研究的目的是调查消费者对PHRs的态度及其医疗服务提供者对HIE的使用情况，以及评估消费者使用互联网跟踪PHRs的情况。 Methods: Analysis of data from the 2007 iteration of the Health Information National Trends Study (HINTS, N=7674) was conducted using multivariate logistic regression to identify predictors of consumer (1) appraisal of PHRs, (2) appraisal of health care provider use of HIE, and (3) use of the Internet for tracking PHRs. Results: : Approximately 86{\%} of US adults rated electronic access to their PHRs as important. However, only 9{\%} of them used the Internet for tracking PHRs. Those who rated electronic access to their PHRs as important were more likely to be Hispanic (odds ratio [OR] = 1.34, 95{\%} confidence interval [CI] 1.04 - 1.72) and Internet users (OR = 1.27, 95{\%} CI = 1.02 - 1.57) and less likely to be age 65 and above (OR = 0.50, 95{\%} CI = 0.38 - 0.67) or individuals whose doctors always ensured their understanding of their health (OR = 0.62, 95{\%} CI = 0.49 -- 0.78). Those who rated HIE as important were more likely to be 45 to 54 years of age (OR = 1.46, 95{\%} CI = 1.03 - 2.08), 55 to 64 years of age (OR = 1.83, 95{\%} CI = 1.32 - 2.53), or 65 and above (OR = 1.76, 95{\%} CI = 1.27 - 2.43) and less likely to be women (OR = 0.80, 95{\%} CI = 0.68 - 0.95) or individuals who perceive their health information as not safely guarded by their doctors (OR = 0.53, 95{\%} CI = 0.40 - 0.69). Among Internet users, those who used the Internet to track their PHRs were more likely to be college graduates (OR = 1.84, 95{\%} = 1.32 - 2.59) or to have completed some college courses (OR = 1.46, 95{\%} CI = 1.02 - 2.11), to be Hispanic (OR = 1.92, 95{\%} CI = 1.23 - 2.98), or to be individuals with health care provider access (OR = 1.90, 95{\%} CI = 1.21 - 2.97). Women were less likely to use the Internet for tracking PHRs than men (OR = 0.78, 95{\%} CI = 0.61 - 1.00). Conclusions: Despite widespread positive appraisal of electronic access to PHRs as important, Internet use for tracking PHRs remains uncommon. To promote PHR adoption, the digital divide associated with the gap in health literacy must be improved, and cultural issues and the doctor-patient relationship need to be studied. Further work also needs to address consumer concerns regarding the security of HIE. ", issn="1438-8871", doi="10.2196/jmir.1668", url="//www.mybigtv.com/2010/4/e73/", url="https://doi.org/10.2196/jmir.1668", url="http://www.ncbi.nlm.nih.gov/pubmed/21169163" }