title: Personal health records in a public hospital: experience at the HIV/AIDS clinic at San Francisco General Hospital.
abstract: 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.
authors.affiliation: San Francisco General AIDS Program, Department of Medicine, University of California San Francisco, San Francisco, California 94110, USA. jkahn@php.ucsf.edu
authors.forename: James S
authors.initials: JS
authors.lastname: Kahn
authors.forename: Joan F
authors.initials: JF
authors.lastname: Hilton
authors.forename: T
authors.initials: T
authors.lastname: Van Nunnery
authors.forename: Skip
authors.initials: S
authors.lastname: Leasure
authors.forename: Kelly M
authors.initials: KM
authors.lastname: Bryant
authors.forename: C Bradley
authors.initials: CB
authors.lastname: Hare
authors.forename: David H
authors.initials: DH
authors.lastname: Thom
mesh_terms: 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