| Sumario: | Background/ Purpose: Electronic personal health records (ePHRs) are commonly viewed as potential tools to improve clinical outcomes through increasing patients' ability to self-manage healthcare. Older cancer survivors could be benefited from using ePHRs for their supportive care. This study aims to examine factors associated with ePHRs use among older cancer survivors. Methods: This study analyzed data collected from the 2018 iteration of the Health Information National Trends Survey (HINTS 5, Cycle 2). The present study includes only respondents ages 65 and older who were diagnosed with cancer and were offered the use of ePHRs (N=207). Applying Anderson's model, weighted binary logistic regression was used to examine factors predictive of ePHRs use. Results: Around half of older cancer survivors reported accessing ePHRs (51.97%). Participants with more social support experienced lower odds of moderate/high ePHR use (OR=0.88). Confidence in ePHRs safeguards (OR=6.23) and health-related Internet use (OR=4.48) were found to be positively related to moderate/high ePHR use. Conclusion and Implications: Despite various benefits of ePHRs, older adults are more likely to be left behind in terms of digital healthcare. Addressing the factors impacting the utilization of ePHRs is important to decreasing healthcare disparity in digital age for older cancer survivors who lack social support. More support regarding ePHRs use is needed due to their higher needs of ePHRs. Moreover, after offering access to ePHRs, healthcare providers should provide education programs guiding this particular population of older cancer survivors on the use of ePHRs and addressing their concerns about ePHRs' security.
|
|---|