Prevalence and Factors Associated with Patient-Requested Corrections to the Medical Record through Use of a Patient Portal: Findings from a National Survey

被引:4
|
作者
Nguyen, Oliver T. [1 ,2 ]
Hong, Young-Rock [3 ]
Tabriz, Am Ir Alishahi [2 ,4 ]
Hanna, Karim [5 ]
Turner, Kea [2 ,4 ,6 ]
机构
[1] Univ Florida, Dept Community Hlth & Family Med, Gainesville, FL USA
[2] H Lee Moffitt Canc Ctr & Res Inst, Dept Hlth Outcomes & Behav, 12902 Magnolia Dr, Tampa, IL 32612 USA
[3] Univ Florida, Dept Hlth Serv Res Management & Policy, Gainesville, FL USA
[4] Univ S Florida, Dept Oncol Sci, Tampa, FL 33620 USA
[5] Univ S Florida, Dept Family Med, Morsani Coll Med, Tampa, FL 33620 USA
[6] H Lee Moffitt Canc Ctr & Res Inst, Dept Gastrointestinal Oncol, Tampa, FL 32612 USA
来源
APPLIED CLINICAL INFORMATICS | 2022年 / 13卷 / 01期
关键词
documentation; patient portal; patient engagement; HEALTH RECORD; ACCESS; CARE; PERCEPTIONS; EXPERIENCES; ATTITUDES; SAFETY;
D O I
10.1055/s-0042-1743236
中图分类号
R-058 [];
学科分类号
摘要
Background Providing patients with medical records access is one strategy that health systems can utilize to reduce medical errors. However, how often patients request corrections to their records on a national scale is unknown. Objectives We aimed to develop population-level estimates of patients who request corrections to their medical records using national-level data. We also identified patient-level correlates of requesting corrections. Methods We used the 2017 and 2019 Health Information National Trends Survey and examined all patient portal adopters. We applied jackknife replicate weights to develop population-representative estimates of the prevalence of requesting medical record corrections. We conducted a multivariable logistic regression analysis to identify correlates of requesting corrections while controlling for demographic factors, health care utilization patterns, health status, technology/internet use patterns, and year. Results Across 1,657 respondents, 125 (weighted estimate: 6.5%) reported requesting corrections to their medical records. In unadjusted models, greater odds of requesting corrections were observed among patients who reported their race/ethnicity as non-Hispanic black (odds ratio [OR]: 2.20, 95% confidence interval [CI]: 1.10-4.43), had frequent portal visits (OR: 3.92, 95% CI: 1.51-10.23), and had entered data into the portal (OR: 7.51, 95% CI: 4.08-13.81). In adjusted models, we found greater odds of requesting corrections among those who reported frequent portal visits (OR: 3.39, 95% CI: 1.24-9.33) and those who reported entering data into the portal (OR: 6.43, 95% CI: 3.20-12.94). No other significant differences were observed. Conclusion Prior to the Information Blocking Final Rule in April 2021, approximately 6.5% of patients requested corrections of errors in their medical records at the national level. Those who reported higher engagement with their health, as proxied by portal visit frequency and entering data into the portal, were more likely to request corrections.
引用
收藏
页码:242 / 251
页数:10
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