Patients’ Understanding of Health Information in Online Medical Records and Patient Portals: Analysis of the 2022 Health Information National Trends Survey

The 21st Century Cures Act mandated instant digital access for patients to see their test results and clinical notes (eg, via patient portals). Entirely using and understanding such health information requires some degree of personal health literacy. This study aims to assess the associations betwee...

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Vydáno v:Journal of medical Internet research Ročník 27; číslo 3; s. e62696
Hlavní autoři: Andreadis, Katerina, Buderer, Nancy, Langford, Aisha Tene
Médium: Journal Article
Jazyk:angličtina
Vydáno: Canada Journal of Medical Internet Research 30.05.2025
Gunther Eysenbach MD MPH, Associate Professor
JMIR Publications
Témata:
21st century
Access
Access control
Adolescent
Adult
Adults
Age groups
Aged
Archives & records
Cancer
Cancer patients
Communication
Comprehension
Cross-Sectional Studies
Data
Electronic Health Records
Electronic records
Female
Health
Health aspects
Health information
Health Literacy
Health status
Humans
Information literacy
Information technology
Internet
Literacy
Male
Medical records
Middle Aged
Multivariate analysis
Numeracy
Online health care information services
Original Paper
Patient communication
Patient Portals
Patient-centered care
Patients
Personal health
Polls & surveys
Respondents
Sampling
Sociodemographics
Statistics
Surveys
Surveys and Questionnaires
Telecommunications
Understanding
United States
Variables
Websites
Young Adult
United States
United States > US
online health information
online medical records
mobile apps
patient-focused care
digital health
health literacy
patient portals
health technology
ISSN:1438-8871, 1439-4456, 1438-8871
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Popis
Shrnutí:The 21st Century Cures Act mandated instant digital access for patients to see their test results and clinical notes (eg, via patient portals). Entirely using and understanding such health information requires some degree of personal health literacy. This study aims to assess the associations between ease of understanding online health information and various factors, including sociodemographics, health-related variables, numeracy, and technology-related factors. This cross-sectional study used data from the National Cancer Institute's 2022 Health Information National Trends Survey (HINTS), a nationally representative survey of US adults that tracks individuals' access and use of their health information. Data was collected from March to December 2022. The survey was conducted across various US settings using a stratified multistage sampling technique to ensure national representation. Our analysis included 3016 respondents with data for all variables of interest. We conducted bivariate and multivariate analyses to assess the odds of finding health information in online medical records or patient portals as "very easy" to understand compared with "not very easy." In the multivariate analysis, age group (with the 35-49 years group being 1.9 times more likely compared to the ≥75 years group; P=.03), female birth sex (1.4 times more likely; P=.04), ease of understanding medical statistics (8.5 times more likely for those finding it "very easy"; P<.001), patient-provider communication score (increase of 1.1 odds per 1 unit increase; P<.001), and mode of accessing online records (1.8 times more likely via an app and 1.4 times more likely via both an app and website, P=.01 and P=.003, respectively, versus using a website alone) were significant predictors for finding health information "very easy" to understand. Sociodemographic factors, numeracy, patient-provider communication, and method of accessing online records were associated with ease of understanding health information in online medical records or patient portals. Findings from this study may inform interventions to make patient portals and online medical records more patient-centered and easier to navigate.
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ISSN:1438-8871
1439-4456
1438-8871
DOI:10.2196/62696