Morgan J Thompson1, Jeremiah D Reilly2, Rupa S Valdez3. 1. Psychology Department, The College of William and Mary, Williamsburg, VA 23187, USA. Electronic address: mjthompson@email.wm.edu. 2. Department of Public Health Sciences, University of Virginia, P.O. Box 800717, Hospital West Complex, Charlottesville, VA 22908, USA. Electronic address: jdr5bd@virginia.edu. 3. Department of Public Health Sciences, University of Virginia, P.O. Box 800717, Hospital West Complex, Charlottesville, VA 22908, USA. Electronic address: rsv9d@virginia.edu.
Abstract
OBJECTIVES: This review applied a human factors/ergonomics (HF/E) paradigm to assess individual, work system/unit, organization, and external environment factors generating barriers to patient, provider, and informal caregiver personal health record (PHR) use. METHODS: The literature search was conducted using five electronic databases for the timeframe January 2000 to October 2013, resulting in 4865 citations. Two authors independently coded included articles (n = 60). RESULTS: Fifty-five, ten and five articles reported barriers to patient, provider and caregiver PHR use, respectively. Barriers centered around 20 subfactors. The most frequently noted were needs, biases, beliefs, and mood (n = 35) and technology functions and features (n = 32). CONCLUSIONS: The HF/E paradigm was effective in framing the assessment of factors creating barriers to PHR use. Design efforts should address literacy, interoperability, access to health information, and secure messaging. A deeper understanding of the interactions between work systems and the role of organization and external environment factors is required.
OBJECTIVES: This review applied a human factors/ergonomics (HF/E) paradigm to assess individual, work system/unit, organization, and external environment factors generating barriers to patient, provider, and informal caregiver personal health record (PHR) use. METHODS: The literature search was conducted using five electronic databases for the timeframe January 2000 to October 2013, resulting in 4865 citations. Two authors independently coded included articles (n = 60). RESULTS: Fifty-five, ten and five articles reported barriers to patient, provider and caregiver PHR use, respectively. Barriers centered around 20 subfactors. The most frequently noted were needs, biases, beliefs, and mood (n = 35) and technology functions and features (n = 32). CONCLUSIONS: The HF/E paradigm was effective in framing the assessment of factors creating barriers to PHR use. Design efforts should address literacy, interoperability, access to health information, and secure messaging. A deeper understanding of the interactions between work systems and the role of organization and external environment factors is required.
Authors: Michelle A Jahn; Brian W Porter; Himalaya Patel; Alan J Zillich; Steven R Simon; Alissa L Russ Journal: Appl Clin Inform Date: 2018-06-27 Impact factor: 2.342
Authors: Jennifer N Hill; Bridget M Smith; Frances M Weaver; Kim M Nazi; Florian P Thomas; Barry Goldstein; Timothy P Hogan Journal: J Spinal Cord Med Date: 2017-03-21 Impact factor: 1.985