Abstract

BackgroundOlder adults are not adopting personal health records (PHRs) at the same rates as other adult populations. Disparities in adoption rates are also reported in older adult subgroups. The variability...

Highlights

  • Older adults are not adopting personal health records (PHRs) at the same rates as other adult populations

  • Personal health records (PHRs) are tools that have been designed to support patient activation by allowing consumers to access, manage and share their personal health information.[5]. Recent governmental efforts such as the Affordable Care Act (United States (US)) and the Digital Agenda for Europe (European Union) have sought to increase adoption of PHRs among healthcare consumers.[6]. These efforts have led to a rise in PHR adoption rates,[7,8] but recent studies have found that older adults are less likely to adopt PHRs than younger or middle-aged adults.[9,10,11]

  • Our review suggests that older adults are willing, able, and highly satisfied using PHRs

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Summary

Introduction

Older adults are not adopting personal health records (PHRs) at the same rates as other adult populations. Discussion Many PHR evaluations do not include diverse older adult participants This may lead to consistency in outcomes, but it may create gaps in identifying user needs. Personal health records (PHRs) are tools that have been designed to support patient activation by allowing consumers to access, manage and share their personal health information.[5] To support increased activation, recent governmental efforts such as the Affordable Care Act (United States (US)) and the Digital Agenda for Europe (European Union) have sought to increase adoption of PHRs among healthcare consumers.[6] These efforts have led to a rise in PHR adoption rates,[7,8] but recent studies have found that older adults are less likely to adopt PHRs than younger or middle-aged adults.[9,10,11] Disparities are even more pronounced in older adult minority populations, and with older adults with lower levels of education attainment.[10,11] One reason for these disparities may be that the PHRs have not been designed to truly meet older adult needs.[12,13] This hypothesis is consistent with other research that suggests older adults adopt health information technology for different reasons than younger adults.[14]

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