Purpose

Data from a national patient survey (N = 1,155) of the Swedish PAEHR “Journalen” users were analysed, and an extended version of the theory of technological frames was developed to explain the variation in the technological and informational framing of information technologies found in the data.

Design/methodology/approach

Patient Accessible Electronic Health Records (PAEHRs) are implemented globally to address challenges with an ageing population. However, firstly, little is known about age-related variation in PAEHR use, and secondly, user perceptions of the PAEHR technology and the health record information and how the technology and information–related perceptions are linked to each other. The purpose of this study is to investigate these two under-studied aspects of PAEHRs and propose a framework based on the theory of technological frames to support studying the second aspect, i.e. the interplay of information and technology–related perceptions.

Findings

The results suggest that younger respondents were more likely to be interested in PAEHR contents for general interest. However, they did not value online access to the information as high as older ones. Older respondents were instead inclined to use medical records information to understand their health condition, prepare for visits, become involved in their own healthcare and think that technology has a much potential. Moreover, the oldest respondents were more likely to consider the information in PAEHRs useful and aimed for them but to experience the technology as inherently difficult to use.

Research limitations/implications

The sample excludes non-users and is not a representative sample of the population of Sweden. However, although the data contain an unknown bias, there are no specific reasons to believe that it would differently affect the survey's age groups.

Practical implications

Age should be taken into account as a key factor that influences perceptions of the usefulness of PAEHRs. It is also crucial to consider separately patients' views of PAEHRs as a technology and of the information contained in the EHR when developing and evaluating existing and future systems and information provision for patients.

Social implications

This study contributes to bridging the gap between information behaviour and systems design research by showing how the theory of technological frames complemented with parallel informational frames to provide a potentially powerful framework for elucidating distinct conceptualisations of (information) technologies and the information they mediate. The empirical findings show how information and information technology needs relating to PAEHRs vary according to age. In contrast to the assumptions in much of the earlier work, they need to be addressed separately.

Originality/value

Few earlier studies focus on (1) age-related variation in PAEHR use and (2) user perceptions of the PAEHR technology and the health record information and how the technology and information–related perceptions are linked to each other.

中文翻译：

---

技术和信息框架：解释使用患者可访问电子健康记录作为技术和信息的年龄相关变化

目的

分析了来自瑞典 PAEHR “Journalen”用户的全国患者调查 ( N  = 1,155) 的数据，并开发了技术框架理论的扩展版本，以解释在数据。

设计/方法/方法

患者可访问电子健康记录 (PAEHR) 在全球范围内实施，以应对人口老龄化带来的挑战。然而，首先，人们对 PAEHR 使用中与年龄相关的变化知之甚少，其次，用户对 PAEHR 技术和健康记录信息的看法以及技术和信息相关的看法如何相互关联。本研究的目的是调查PAEHR 的这两个未被充分研究的方面，并提出一个基于技术框架理论的框架来支持研究第二个方面，即信息和技术相关感知的相互作用。

发现

结果表明，年轻的受访者更有可能对 PAEHR 的内容感兴趣，因为他们普遍感兴趣。然而，他们并不像老年人那样重视在线访问信息。相反，年长的受访者倾向于使用医疗记录信息来了解他们的健康状况、准备就诊、参与自己的医疗保健并认为技术具有很大的潜力。此外，年龄最大的受访者更有可能认为 PAEHR 中的信息对他们有用且针对他们，但认为该技术本身就难以使用。

研究限制/影响

该样本不包括非用户，不是瑞典人口的代表性样本。然而，尽管数据包含未知的偏差，但没有具体理由相信它会对调查的年龄组产生不同的影响。

实际影响

应将年龄作为影响对 PAEHR 有用性感知的关键因素加以考虑。在开发和评估现有和未来的系统以及为患者提供信息时，分别考虑患者对 PAEHRs 作为一种技术和 EHR 中包含的信息的看法也很重要。

社会影响

这项研究通过展示技术框架理论如何与平行信息框架相辅相成，从而为阐明（信息）技术及其所介导的信息的不同概念化提供潜在的强大框架，从而有助于弥合信息行为和系统设计研究之间的差距。实证结果显示了与 PAEHR 相关的信息和信息技术需求如何随年龄而变化。与许多早期工作中的假设相反，它们需要单独解决。

原创性/价值

很少有早期研究关注 (1) PAEHR 使用中与年龄相关的变化和 (2) 用户对 PAEHR 技术和健康记录信息的看法，以及技术和信息相关的看法如何相互关联。