The association between electronic health information usage and patient-centered communication: a cross sectional analysis from the Health Information National Trends Survey (HINTS)

Abstract Background Patient-provider communication can be assessed by the patient-centered communication (PCC) score. With rapid development of electronic health (eHealth) information usage, we are uncertain of their role in PCC. Our study aims to determine the association between PCC and eHealth us...

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Main Authors: Heidi Knowles, Thomas K. Swoboda, Devin Sandlin, Charles Huggins, Trevor Takami, Garrett Johnson, Hao Wang
Format: Article
Language:English
Published: BMC 2023-12-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-023-10426-6
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author Heidi Knowles
Thomas K. Swoboda
Devin Sandlin
Charles Huggins
Trevor Takami
Garrett Johnson
Hao Wang
author_facet Heidi Knowles
Thomas K. Swoboda
Devin Sandlin
Charles Huggins
Trevor Takami
Garrett Johnson
Hao Wang
author_sort Heidi Knowles
collection DOAJ
description Abstract Background Patient-provider communication can be assessed by the patient-centered communication (PCC) score. With rapid development of electronic health (eHealth) information usage, we are uncertain of their role in PCC. Our study aims to determine the association between PCC and eHealth usage with the analysis of national representative survey data. Methods This is a cross sectional analysis using the Health Information National Trends Survey 5 (HINTS 5) cycle 1 to cycle 4 data (2017–2020). Seven specific questions were used for PCC assessment, and eHealth usage was divided into two types (private-eHealth and public-eHealth usage). A multivariate logistic regression was performed to determine the association between PCC and eHealth usage after the adjustment of other social, demographic, and clinical variables. Results Our study analyzed a total of 13,055 unweighted participants representing a weighted population of 791,877,728. Approximately 43% of individuals used private eHealth and 19% used public eHealth. The adjusted odds ratio (AOR) of private-eHealth usage associated with positive PCC was 1.17 (95% CI 1.02–1.35, p = 0.027). The AOR of public-eHealth usage associated with positive PCC was 0.84 (95% CI 0.71–0.99, p = 0.043). Conclusion Our study found that eHealth usage association with PCC varies. Private-eHealth usage was positively associated with PCC, whereas public-eHealth usage was negatively associated with PCC.
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spelling doaj.art-c3502ef5b4844ecd8bae9068e49cb49f2023-12-17T12:11:33ZengBMCBMC Health Services Research1472-69632023-12-0123111010.1186/s12913-023-10426-6The association between electronic health information usage and patient-centered communication: a cross sectional analysis from the Health Information National Trends Survey (HINTS)Heidi Knowles0Thomas K. Swoboda1Devin Sandlin2Charles Huggins3Trevor Takami4Garrett Johnson5Hao Wang6Department of Emergency Medicine, JPS Health NetworkDepartment of Emergency Medicine, The Valley Health System, Touro University Nevada School of Osteopathic MedicineDepartment of Emergency Medicine, JPS Health NetworkDepartment of Emergency Medicine, JPS Health NetworkDepartment of Emergency Medicine, JPS Health NetworkDepartment of Emergency Medicine, JPS Health NetworkDepartment of Emergency Medicine, JPS Health NetworkAbstract Background Patient-provider communication can be assessed by the patient-centered communication (PCC) score. With rapid development of electronic health (eHealth) information usage, we are uncertain of their role in PCC. Our study aims to determine the association between PCC and eHealth usage with the analysis of national representative survey data. Methods This is a cross sectional analysis using the Health Information National Trends Survey 5 (HINTS 5) cycle 1 to cycle 4 data (2017–2020). Seven specific questions were used for PCC assessment, and eHealth usage was divided into two types (private-eHealth and public-eHealth usage). A multivariate logistic regression was performed to determine the association between PCC and eHealth usage after the adjustment of other social, demographic, and clinical variables. Results Our study analyzed a total of 13,055 unweighted participants representing a weighted population of 791,877,728. Approximately 43% of individuals used private eHealth and 19% used public eHealth. The adjusted odds ratio (AOR) of private-eHealth usage associated with positive PCC was 1.17 (95% CI 1.02–1.35, p = 0.027). The AOR of public-eHealth usage associated with positive PCC was 0.84 (95% CI 0.71–0.99, p = 0.043). Conclusion Our study found that eHealth usage association with PCC varies. Private-eHealth usage was positively associated with PCC, whereas public-eHealth usage was negatively associated with PCC.https://doi.org/10.1186/s12913-023-10426-6Health communicationPatient-centeredPersonal health recordInternet
spellingShingle Heidi Knowles
Thomas K. Swoboda
Devin Sandlin
Charles Huggins
Trevor Takami
Garrett Johnson
Hao Wang
The association between electronic health information usage and patient-centered communication: a cross sectional analysis from the Health Information National Trends Survey (HINTS)
BMC Health Services Research
Health communication
Patient-centered
Personal health record
Internet
title The association between electronic health information usage and patient-centered communication: a cross sectional analysis from the Health Information National Trends Survey (HINTS)
title_full The association between electronic health information usage and patient-centered communication: a cross sectional analysis from the Health Information National Trends Survey (HINTS)
title_fullStr The association between electronic health information usage and patient-centered communication: a cross sectional analysis from the Health Information National Trends Survey (HINTS)
title_full_unstemmed The association between electronic health information usage and patient-centered communication: a cross sectional analysis from the Health Information National Trends Survey (HINTS)
title_short The association between electronic health information usage and patient-centered communication: a cross sectional analysis from the Health Information National Trends Survey (HINTS)
title_sort association between electronic health information usage and patient centered communication a cross sectional analysis from the health information national trends survey hints
topic Health communication
Patient-centered
Personal health record
Internet
url https://doi.org/10.1186/s12913-023-10426-6
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