title: Willingness to Exchange Health Information via Mobile Devices: Findings From a Population-Based Survey.
abstract: OBJECTIVE
  The rapid proliferation of mobile devices offers unprecedented opportunities for patients and health care professionals to exchange health information electronically, but little is known about patients' willingness to exchange various types of health information using these devices. We examined willingness to exchange different types of health information via mobile devices, and assessed whether sociodemographic characteristics and trust in clinicians were associated with willingness in a nationally representative sample.
  
  
  METHODS
  We analyzed data for 3,165 patients captured in the 2013 Health Information National Trends Survey. Multinomial logistic regression analysis was conducted to test differences in willingness. Ordinal logistic regression analysis assessed correlates of willingness to exchange 9 types of information separately.
  
  
  RESULTS
  Participants were very willing to exchange appointment reminders (odds ratio [OR] = 6.66; 95% CI, 5.68-7.81), general health tips (OR = 2.03; 95% CI, 1.74-2.38), medication reminders (OR = 2.73; 95% CI, 2.35-3.19), laboratory/test results (OR = 1.76; 95% CI, 1.62-1.92), vital signs (OR = 1.63; 95% CI, 1.48-1.80), lifestyle behaviors (OR = 1.40; 95% CI, 1.24-1.58), and symptoms (OR = 1.62; 95% CI, 1.46-1.79) as compared with diagnostic information. Older adults had lower odds of being more willing to exchange any type of information. Education, income, and trust in health care professional information correlated with willingness to exchange certain types of information.
  
  
  CONCLUSIONS
  Respondents were less willing to exchange via mobile devices information that may be considered sensitive or complex. Age, socioeconomic factors, and trust in professional information were associated with willingness to engage in mobile health information exchange. Both information type and demographic group should be considered when developing and tailoring mobile technologies for patient-clinician communication.
authors.affiliation: National Cancer Institute, National Institutes of Health, Rockville, MD katrina.serrano@nih.gov.
authors.forename: Katrina J
authors.initials: KJ
authors.lastname: Serrano
authors.affiliation: National Cancer Institute, National Institutes of Health, Rockville, MD.
authors.forename: Mandi
authors.initials: M
authors.lastname: Yu
authors.affiliation: National Cancer Institute, National Institutes of Health, Rockville, MD.
authors.forename: William T
authors.initials: WT
authors.lastname: Riley
authors.affiliation: Office of the National Coordinator for Health Information Technology, Department of Health and Human Services, Washington, DC.
authors.forename: Vaishali
authors.initials: V
authors.lastname: Patel
authors.affiliation: Office of the National Coordinator for Health Information Technology, Department of Health and Human Services, Washington, DC.
authors.forename: Penelope
authors.initials: P
authors.lastname: Hughes
authors.affiliation: Office of the National Coordinator for Health Information Technology, Department of Health and Human Services, Washington, DC.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Marchesini
authors.affiliation: National Cancer Institute, National Institutes of Health, Rockville, MD.
authors.forename: Audie A
authors.initials: AA
authors.lastname: Atienza
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D003430:Cross-Sectional Studies; D030881:Disclosure; D004522:Educational Status; D055991:Health Records, Personal / Q000523:psychology*; D006801:Humans; D033181:Information Dissemination / Q000379:methods*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D010817:Physician-Patient Relations; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D017216:Telemedicine; D035502:Trust; D014481:United States; D055815:Young Adult
keywords: cell phones; electronic mail; health information exchange; mobile health; patient/consumer attitudes