Relevant determinants of Dutch patients’ informed decision-making and use of online access to medical records
Bibliographic Data
| ID | 22945214 |
|---|---|
| Authors | Rosa R L C Thielmann (0000-0002-6404-688X, Maastricht University), Ciska Hoving (0000-0003-1357-863X, Maastricht University), Jochen Cals (0000-0001-9550-5674, Maastricht University), Rik Crutzen (0000-0002-3731-6610, Maastricht University) |
| Year | 2025 |
| Volume | 40 |
| Issue | 1 |
| Publication date | 2025-01-17 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Promotion International (JOURNAL) |
| Journal identifiers | ISSN: 0957-4824 • E-ISSN: 1460-2245 |
| Publisher | Oxford University Press (OUP) (PUBLISHER) |
| DOI | 10.1093/heapro/daae071 |
| PMID | 39980314 |
| OpenAlex | W4407800625 |
| Language | EN |
| References cited | 34 |
Patient online access to medical records can foster patient empowerment and advance patient-centered healthcare. Despite high patient interest, user rates often remain low. While previous research has identified determinants influencing the adoption of online access, this study assessed the relevance of these determinants. By doing so, this study aimed to point towards measures to improve adoption efficiently. Furthermore, supporting patient-informed decision-making about using online access might facilitate sustained use. Therefore, conducting a nationwide online survey study among Dutch adults, we examined the relevance of 22 psychological determinants for the use of online access (N = 1888) and decisional conflict (as an indicator of uninformed decision-making) regarding use (N = 3403). Analyses concerned visualization of univariate distributions of determinants and their associations with (i) use and (ii) decisional conflict regarding use. Greater relevance was indicated by lower means and stronger associations. Results showed that secured data privacy and feeling sufficiently instructed were most relevant for use. Concerning decisional conflict regarding the use, additionally, patients’ beliefs about the effects of online access on their ability to participate in their healthcare process and on the patient–provider relationship were most relevant. Overall explained variance was low (R2 = 0.17 for use and R2 = 0.19 for decisional conflict). Efficiently supporting the use of online access and informed decision-making about use might be achieved by addressing data privacy, providing clear instructions and communicating potential effects. The low explained variance indicates the need for additional measures, such as facilitating easy opportunities and understanding individual patient preferences.
Family medicine · Internet privacy · Medical decision making · Medical record · MEDLINE · Political science · Computer Science · Health Literacy and Information Accessibility · Healthcare Policy and Management · Medicine · Patient-Provider Communication in Healthcare · Psychology
The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement
Validation of a Decisional Conflict Scale
Patient empowerment, patient participation and patient-centeredness in hospital care
Predicting and Explaining Intentions and Behavior
Knowing how effective an intervention, treatment, or manipulation is and increasing replication rates
A measure of informed choice
The urban underserved
Beyond Reading and Understanding
Towards a comprehensive, person-centred assessment of health literacy
| Citation velocity | historical |
|---|---|
| Highly cited | No |