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 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.
Kahn
James S
JS
San Francisco General AIDS Program, Department of Medicine, University of California San Francisco, San Francisco, California 94110, USA. jkahn@php.ucsf.edu
Hilton
Joan F
JF
Van Nunnery
T
T
Leasure
Skip
S
Bryant
Kelly M
KM
Hare
C Bradley
CB
Thom
David H
DH
D000328:Adult; D005260:Female; D015658:HIV Infections / Q000628:therapy*; D055991:Health Records, Personal; D006297:Health Services Accessibility; D006779:Hospitals, Public; D006801:Humans; D008297:Male; D009862:Online Systems / Q000706:statistics & numerical data; D010044:Outpatient Clinics, Hospital; D012495:San Francisco