Imperial College London
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Dr Ana Luisa Neves

Faculty of Medicine, School of Public Health

Clinical Senior Lecturer in Digital Health
 
 
 
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Contact

 

ana.luisa.neves14

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@unpublished{Neves:2020:10.2196/preprints.23481,
author = {Neves, AL and Smalley, K and Freise, L and Harrison, P and Darzi, A and Mayer, E},
doi = {10.2196/preprints.23481},
publisher = {JMIR Preprints},
title = {Sharing electronic health records with patients - Who is using the Care Information Exchange portal? A cross-sectional study.},
url = {http://dx.doi.org/10.2196/preprints.23481},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - UNPB
AB  - Background:Sharing electronic health records with patients has been shown to improve patient safety and quality of care, and patient portals represent a powerful and convenient tool to enhance patient access to their own healthcare data. However, adoption rates vary widely across countries and, within countries, across regions and health systems. A better understanding of the characteristics of users and non-users is critical to understand which groups remain underserved or excluded from using such tools.Objective:To identify the determinants of usage of the Care Information Exchange (CIE), a shared patient portal program in the United Kingdom.Methods:A cross-sectional study was conducted, using an online questionnaire. Individual-level data from patients registered in the CIE portal were collected, including age, gender, ethnicity, educational level, health status, postcode, and digital literacy (using the eHEALS tool). Registered individuals were defined as having an account created in the portal, independent of their actual use of the platform, and users were defined as having ever used the portal. Multivariate logistic regression was used to model the probability of being a user. Statistical analysis was performed in R, and Tableau ® was used to create maps of the proportion of CIE users by postcode area.Results:A total of 1,083 subjects replied to the survey (+186% of the estimated minimum target sample). The proportion of users was 61.6% (n=667), and within these, the majority (57.7%, n=385) used the portal at least once a month. To characterise the users and non-users of the system, we performed a sub-analysis of the sample, including only participants that have provided at least information regarding gender and age category. The sub-analysis included 650 individuals (59.8% women, 84.8% over 40 years). The majority of the subjects were white (76.6%, n=498), resident in London (64.7%, n=651), and lived in North West London (55.9%, n=363). Individuals with
AU  - Neves,AL
AU  - Smalley,K
AU  - Freise,L
AU  - Harrison,P
AU  - Darzi,A
AU  - Mayer,E
DO  - 10.2196/preprints.23481
PB  - JMIR Preprints
PY  - 2020///
TI  - Sharing electronic health records with patients - Who is using the Care Information Exchange portal? A cross-sectional study.
UR  - http://dx.doi.org/10.2196/preprints.23481
UR  - http://hdl.handle.net/10044/1/83639
ER  -
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