Characteristics of innovators adopting a national personal health record in Portugal : cross-sectional study

Detalhes bibliográficos
Autor(a) principal: Laranjo, Liliana
Data de Publicação: 2017
Outros Autores: Rodolfo, Inês, Pereira, Ana Marta, Sá, Armando Brito de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/32471
Resumo: ©Liliana Laranjo, Inês Rodolfo, Ana Marta Pereira, Armando Brito de Sá. Originally published in JMIR Medical Informatics (http://medinform.jmir.org), 11.10.2017. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Medical Informatics, is properly cited. The complete bibliographic information, a link to the original publication on http://medinform.jmir.org/, as well as this copyright and license information must be included.
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spelling Characteristics of innovators adopting a national personal health record in Portugal : cross-sectional studyPersonal health recordsDiffusion of innovationDigital dividePatient participationGeographic information systems©Liliana Laranjo, Inês Rodolfo, Ana Marta Pereira, Armando Brito de Sá. Originally published in JMIR Medical Informatics (http://medinform.jmir.org), 11.10.2017. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Medical Informatics, is properly cited. The complete bibliographic information, a link to the original publication on http://medinform.jmir.org/, as well as this copyright and license information must be included.Background: Personal health records (PHRs) are increasingly being deployed worldwide, but their rates of adoption by patients vary widely across countries and health systems. Five main categories of adopters are usually considered when evaluating the diffusion of innovations: innovators, early adopters, early majority, late majority, and laggards. Objective: We aimed to evaluate adoption of the Portuguese PHR 3 months after its release, as well as characterize the individuals who registered and used the system during that period (the innovators). Methods: We conducted a cross-sectional study. Users and nonusers were defined based on their input, or not, of health-related information into the PHR. Users of the PHR were compared with nonusers regarding demographic and clinical variables. Users were further characterized according to their intensity of information input: single input (one single piece of health-related information recorded) and multiple inputs. Multivariate logistic regression was used to model the probability of being in the multiple inputs group. ArcGis (ESRI, Redlands, CA, USA) was used to create maps of the proportion of PHR registrations by region and district. Results: The number of registered individuals was 109,619 (66,408/109,619, 60.58% women; mean age: 44.7 years, standard deviation [SD] 18.1 years). The highest proportion of registrations was observed for those aged between 30 and 39 years (25,810/109,619, 23.55%). Furthermore, 16.88% (18,504/109,619) of registered individuals were considered users and 83.12% (91,115/109,619) nonusers. Among PHR users, 32.18% (5955/18,504) engaged in single input and 67.82% (12,549/18,504) in multiple inputs. Younger individuals and male users had higher odds of engaging in multiple inputs (odds ratio for male individuals 1.32, CI 1.19-1.48). Geographic analysis revealed higher proportions of PHR adoption in urban centers when compared with rural noncoastal districts. Conclusions: Approximately 1% of the country’s population registered during the first 3 months of the Portuguese PHR. Registered individuals were more frequently female aged between 30 and 39 years. There is evidence of a geographic gap in the adoption of the Portuguese PHR, with higher proportions of adopters in urban centers than in rural noncoastal districts.This work was supported by a Junior Clinical Research award from the Harvard Medical School—Portugal program (HMSP-ICJ/0005/2010; Fundação para a Ciência e Tecnologia) attributed to the first author.JMIR PublicationsRepositório da Universidade de LisboaLaranjo, LilianaRodolfo, InêsPereira, Ana MartaSá, Armando Brito de2018-03-21T16:29:13Z2017-10-112017-10-11T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/32471engJMIR Med Inform 2017, vol. 5, iss. 4, e37, p.122291-969410.2196/medinform.7887info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:26:45Zoai:repositorio.ul.pt:10451/32471Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:47:45.122690Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Characteristics of innovators adopting a national personal health record in Portugal : cross-sectional study
title Characteristics of innovators adopting a national personal health record in Portugal : cross-sectional study
spellingShingle Characteristics of innovators adopting a national personal health record in Portugal : cross-sectional study
Laranjo, Liliana
Personal health records
Diffusion of innovation
Digital divide
Patient participation
Geographic information systems
title_short Characteristics of innovators adopting a national personal health record in Portugal : cross-sectional study
title_full Characteristics of innovators adopting a national personal health record in Portugal : cross-sectional study
title_fullStr Characteristics of innovators adopting a national personal health record in Portugal : cross-sectional study
title_full_unstemmed Characteristics of innovators adopting a national personal health record in Portugal : cross-sectional study
title_sort Characteristics of innovators adopting a national personal health record in Portugal : cross-sectional study
author Laranjo, Liliana
author_facet Laranjo, Liliana
Rodolfo, Inês
Pereira, Ana Marta
Sá, Armando Brito de
author_role author
author2 Rodolfo, Inês
Pereira, Ana Marta
Sá, Armando Brito de
author2_role author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Laranjo, Liliana
Rodolfo, Inês
Pereira, Ana Marta
Sá, Armando Brito de
dc.subject.por.fl_str_mv Personal health records
Diffusion of innovation
Digital divide
Patient participation
Geographic information systems
topic Personal health records
Diffusion of innovation
Digital divide
Patient participation
Geographic information systems
description ©Liliana Laranjo, Inês Rodolfo, Ana Marta Pereira, Armando Brito de Sá. Originally published in JMIR Medical Informatics (http://medinform.jmir.org), 11.10.2017. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Medical Informatics, is properly cited. The complete bibliographic information, a link to the original publication on http://medinform.jmir.org/, as well as this copyright and license information must be included.
publishDate 2017
dc.date.none.fl_str_mv 2017-10-11
2017-10-11T00:00:00Z
2018-03-21T16:29:13Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/32471
url http://hdl.handle.net/10451/32471
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv JMIR Med Inform 2017, vol. 5, iss. 4, e37, p.12
2291-9694
10.2196/medinform.7887
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv JMIR Publications
publisher.none.fl_str_mv JMIR Publications
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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