Abstract:
BACKGROUND:While individual access to health records has traditionally been through paper and other physical media, there has been a recent push toward digitizing this process. Direct patient access to health data through application programming interfaces (APIs) is an important part of current United States policy initiatives, and Apple has created the product "Health Records on iPhone" to leverage APIs for this purpose. OBJECTIVE:The objective of this study was to examine the characteristics of patients at our institution who connected their personal iPhone devices to our electronic health records (EHRs) system through "Health Records on iPhone", as compared to patients at our institution who used our patient portal but did not connect a personal device to our system. METHODS:We examined adult patients at our institution who had authorized an iPhone device to download their health data from the Partners HealthCare EHR via APIs through "Health Records on iPhone" from February 18, 2018 (the date this feature was enabled at our health system) until February 17, 2019. We compared these patients to adult patients who used our portal at least once during this period but did not authorize an iPhone device to download their data via APIs. RESULTS:Variables associated with an increased likelihood of using "Health Records on iPhone" included male gender (adjusted OR 3.36; 95% CI 3.11-3.62; P<.001) and younger age, particularly below 50 years of age. With each decade of age over 50, people were less likely to be "Health Records on iPhone" product users. Asian patients were more likely to use the product than Caucasian patients (adjusted OR 1.32; 95% CI 1.16-1.51; P<.001), though there was no significant difference between African Americans and Caucasians (adjusted OR 1.15; 95% CI 0.94-1.41; P=.17). Patients who resided in higher ZIP code income quartiles were more likely to be users than those in the lowest quartile. CONCLUSIONS:Early results from the implementation of patient-facing APIs at a single institution suggest that there are opportunities for expanding these technologies to ensure all patients are aware of, and have access to, their health data on their personal devices. More work is needed on expanding these technologies to different patient populations.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Gordon WJ,Bates DW,Fuchs D,Pappas J,Silacci S,Landman Adoi
10.2196/14871subject
Has Abstractpub_date
2019-08-22 00:00:00pages
e14871issue
8eissn
1439-4456issn
1438-8871pii
v21i8e14871journal_volume
21pub_type
杂志文章,随机对照试验abstract:BACKGROUND:Much has been written about the Internet's potential to revolutionize health care delivery. As younger populations increasingly utilize Internet-based health care information, it will be essential to ensure that the elderly become adept at using this medium for health care purposes, especially those from min...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7.2.e19
更新日期:2005-06-30 00:00:00
abstract:BACKGROUND:An understanding of the factors that predict retention and website use are critical to the development of effective Web-based weight loss interventions. However, poor retention (dropout attrition) and website utilization (nonusage attrition) are major inhibitors to the effectiveness of Web-based programs. O...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1640
更新日期:2010-12-14 00:00:00
abstract:BACKGROUND:Youth mental health is a significant public health concern due to the high prevalence of mental health problems in this population and the low rate of those affected seeking help. While it is increasingly recognized that prevention is better than cure, most youth prevention programs have utilized interventio...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.3176
更新日期:2014-06-04 00:00:00
abstract:BACKGROUND:Social support is known to reduce risks of postnatal depression (PND) and improve maternal emotional well-being. However, the Asian cultural context is often neglected when appraising maternal needs and mothers' preferences for social support. While many preventive efforts have experimented with technology, ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/12915
更新日期:2019-08-29 00:00:00
abstract:BACKGROUND:eHealth tools on the Internet have the potential to help people manage their health and health care. However, little is known about the distribution and use of different kinds of eHealth tools across the population or within population subgroups. OBJECTIVE:The purpose of this study was to examine the preval...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1035
更新日期:2009-02-20 00:00:00
abstract:BACKGROUND:The National Institutes of Health (NIH), US Department of Health and Human Services (HHS), realized the need to better understand its Web users in order to help assure that websites are user friendly and well designed for effective information dissemination. A trans-NIH group proposed a trans-NIH project to ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.944
更新日期:2008-02-15 00:00:00
abstract:BACKGROUND:In recent years, online physician-rating websites have become prominent and exert considerable influence on patients' decisions. However, the quality of these decisions depends on the quality of data that these systems collect. Thus, there is a need to examine the various data quality issues with physician-r...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/15916
更新日期:2020-09-28 00:00:00
abstract:BACKGROUND:Poor quality primary health care is a major issue in China, particularly in blindness prevention. Artificial intelligence (AI) could provide early screening and accurate auxiliary diagnosis to improve primary care services and reduce unnecessary referrals, but the application of AI in medical settings is sti...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14316
更新日期:2019-10-17 00:00:00
abstract:BACKGROUND:For the last decade, mHealth has constantly expanded as a part of eHealth. Mobile applications for health have the potential to target heterogeneous audiences and address specific needs in different situations, with diverse outcomes, and to complement highly developed health care technologies. The market is ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.2430
更新日期:2013-05-21 00:00:00
abstract:BACKGROUND:The ease by which the Internet is able to distribute information to geographically-distant users on a wide variety of computers makes it an obvious candidate for a technological solution for electronic patient record systems. Indeed, second-generation Internet technologies such as the ones described in this ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3.1.e8
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:The benefits of electronic patient reported outcomes (PRO) questionnaires have been demonstrated in many settings, including in hospitals and patient homes. However, it remains to be investigated how melanoma patients and their treating clinicians experience the electronic self-reporting of side effects and ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14896
更新日期:2020-04-09 00:00:00
abstract:BACKGROUND:Diabetic retinopathy (DR), a common complication of diabetes mellitus, is the leading cause of impaired vision in adults worldwide. Smartphone ophthalmoscopy involves using a smartphone camera for digital retinal imaging. Utilizing smartphones to detect DR is potentially more affordable, accessible, and easi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,meta分析,评审
doi:10.2196/16658
更新日期:2020-05-15 00:00:00
abstract:BACKGROUND:Adolescents present many challenges in providing them effective preventive services and health care. Yet, they are typically the early adopters of new technology (eg, the Internet). This creates important opportunities for engaging youths via eHealth. OBJECTIVE:To describe how adolescents use technology for...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5.4.e32
更新日期:2003-12-18 00:00:00
abstract:BACKGROUND:Outbreaks of human infection with a new avian influenza A H7N9 virus occurred in China in the spring of 2013. Control and prevention of a new human infectious disease outbreak can be strongly affected by public reaction and social impact through the Internet and social media. OBJECTIVE:This study aimed to i...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2911
更新日期:2014-01-17 00:00:00
abstract:BACKGROUND:Mobile phone use and the adoption of healthy lifestyle software apps ("health apps") are rapidly proliferating. There is limited information on the users of health apps in terms of their social demographic and health characteristics, intentions to change, and actual health behaviors. OBJECTIVE:The objective...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5604
更新日期:2017-04-19 00:00:00
abstract:BACKGROUND:In recent years, many tailored lifestyle counseling programs have become available through the Internet. Previous research into such programs has shown selective enrollment of relatively healthy people. However, because of the known dose-response relationship between the intensity and frequency of counseling...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9.1.e1
更新日期:2007-01-22 00:00:00
abstract:BACKGROUND:Digital health stations offer an affordable and accessible platform for people to monitor their health; however, there is limited information regarding the demographic profile of users and the health benefits of this technology. OBJECTIVE:This study aimed to assess the demographic representativeness of heal...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14977
更新日期:2020-06-26 00:00:00
abstract:BACKGROUND:Information has been identified as a commonly unmet supportive care need for those living with cancer (ie, patients and their friends and family). The information needed to help individuals plan their lives around the consequences of cancer, such as the receipt of health care, is an example of an important i...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/20510
更新日期:2020-10-29 00:00:00
abstract:BACKGROUND:In traditional epidemiological studies, participants are likely motivated by perceived benefits, feelings of accomplishment, and belonging. No study has explored motives for participation in a Web-based cohort and the associated participant characteristics, although such information is useful for enhancing r...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3161
更新日期:2014-08-07 00:00:00
abstract:BACKGROUND:Self-reported medical history information is included in many studies. However, data on the validity of Web-based questionnaires assessing medical history are scarce. If proven to be valid, Web-based questionnaires may provide researchers with an efficient means to collect data on this parameter in large pop...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3847
更新日期:2015-06-16 00:00:00
abstract:BACKGROUND:Supporting patients to engage in (Web-based) self-management tools is increasingly gaining importance, but the engagement of health care professionals is lagging behind. This can partly be explained by resistance among health care professionals. OBJECTIVE:The aim of this study was to investigate drivers of ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14985
更新日期:2019-12-17 00:00:00
abstract:BACKGROUND:E-liquid is one of the main components in electronic nicotine delivery systems (ENDS). ENDS review comments could serve as an early warning on use patterns and even function to serve as an indicator of problems or adverse events pertaining to the use of specific e-liquids-much like types of responses tracked...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9373
更新日期:2018-08-15 00:00:00
abstract:BACKGROUND:In response to the high cost of HIV pre-exposure prophylaxis (PrEP) medications in Canada, community organizations have created internet-based guides detailing how to legally order generic medications online and travel to collect them in the United States. However, little is known about the patients followin...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/12076
更新日期:2019-07-22 00:00:00
abstract:BACKGROUND:Men continue to smoke in greater numbers than women; however, few interventions have been developed and tested to support men's cessation. Men tend to rely on quitting strategies associated with stereotypical manliness, such as willpower, stoicism, and independence, but they may lack the self-efficacy skills...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4491
更新日期:2015-08-10 00:00:00
abstract:BACKGROUND:Stress is a common experience in today's society. Smartphone ownership is widespread, and smartphones can be used to monitor health and well-being. Smartphone-based self-assessment of stress can be done in naturalistic settings and may potentially reflect real-time stress level. OBJECTIVE:The objectives of ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.6397
更新日期:2017-02-13 00:00:00
abstract:BACKGROUND:Health care systems increasingly rely on patients' data entry efforts to organize and assist in care delivery through health information exchange. OBJECTIVES:We sought to determine (1) the variation in burden imposed on parents by data entry efforts across paper-based and computer-based environments, and (2...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.1612
更新日期:2011-01-26 00:00:00
abstract:BACKGROUND:Health care consumers are increasingly using online ratings to select providers, but differences in the distribution of scores across specialties and skew of the data have the potential to mislead consumers about the interpretation of ratings. OBJECTIVE:The objective of our study was to determine whether di...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9160
更新日期:2018-05-09 00:00:00
abstract:BACKGROUND:Health risk assessments are becoming more popular as a tool to conveniently and effectively reach community-dwelling adults who may be at risk for serious chronic conditions such as coronary heart disease (CHD). The use of such instruments to improve adults' risk factor awareness and concordance with clinica...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2369
更新日期:2014-04-18 00:00:00
abstract::The ongoing coronavirus disease outbreak demonstrates the need for novel applications of real-time data to produce timely information about incident cases. Using health information technology (HIT) and real-world data, we sought to produce an interface that could, in near real time, identify patients presenting with s...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18707
更新日期:2020-05-28 00:00:00
abstract:BACKGROUND:There is a growing body of evidence regarding eHealth interventions that target substance use disorders. Development and funding decisions in this area have been challenging, due to a lack of understanding of what parts of an intervention work in which context. OBJECTIVE:We conducted a realist review of the...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/20557
更新日期:2021-01-21 00:00:00