Personal health records in a public hospital: experience at the HIV/AIDS clinic at San Francisco General Hospital

Personal health records (PHRs) are information repositories; however, PHRs may be less available to persons in the safety net setting. We deployed a free, secure, internet-based PHR for persons receiving care at the AIDS/HIV clinic at San Francisco General Hospital. In our initial rollout, 221 perso...

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Bibliographic Details
Published in:Journal of the American Medical Informatics Association : JAMIA 2010-03, Vol.17 (2), p.224-228
Main Authors: Kahn, James S, Hilton, Joan F, Van Nunnery, T, Leasure, Skip, Bryant, Kelly M, Hare, C Bradley, Thom, David H
Format: Article
Language:English
Subjects:
Adult
Case Report
Female
Health Records, Personal
Health Services Accessibility
HIV Infections - therapy
Hospitals, Public
Humans
Male
Online Systems - statistics & numerical data
Outpatient Clinics, Hospital
San Francisco
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Summary:Personal health records (PHRs) are information repositories; however, PHRs may be less available to persons in the safety net setting. We deployed a free, secure, internet-based PHR for persons receiving care at the AIDS/HIV clinic at San Francisco General Hospital. In our initial rollout, 221 persons registered for the PHR. Compared to the entire clinic, these initial users were more likely to be Caucasian, male, non-Hispanic, on antiretroviral medications, and have better control of their HIV infection. The median number of online sessions was 7 and the median session length was 4 min. Laboratory results were the most commonly accessed feature. Patients were satisfied with the PHR and more than 80% of users agreed that the PHR helped them manage their medical problems; however, some users were concerned that their health information was not accurate or secure. Patients in a safety net setting will access and use an online PHR.
ISSN:1067-5027
1527-974X
DOI:10.1136/jamia.2009.000315