The use of online medical records has increased over time and may enhance patient involvement in medical decisions. We explored sociodemographic, medical condition, and digital health correlates of using online medical records to support medical decision making. Cross-sectional data from the 2019 Health Information National Trends Survey (HINTS 5, Cycle 3, N = 5438) were analyzed. Final analyses included participants who accessed their online medical records within 12 months and had complete data for all variables (n = 1807). The outcome was, “In the past 12 months have you used your online medical record to help you make a decision about how to treat an illness or condition (yes/no)?” Univariate and multivariate odds ratios and 95% confidence intervals were calculated. Multivariately, the odds of using online medical records to support medical decision making were significantly higher for individuals who (a) used online medical records to securely send messages to health care providers, (b) used a smartphone health app to access their online medical records, (c) had online medical records that contained clinical notes, (d) reported that online medical records were useful for monitoring health, and (e) self-identified as African American, Asian, or “Other.” Online medical records may support medical decision making depending on the context.

随着时间的推移，在线病历的使用有所增加，并可能增强患者对医疗决策的参与。我们探讨了使用在线病历支持医疗决策的社会人口统计学、医疗状况和数字健康相关性。分析了 2019 年健康信息国家趋势调查（HINTS 5，周期 3，N = 5438）的横截面数据。最终分析包括在 12 个月内访问其在线医疗记录并拥有所有变量的完整数据的参与者 (n = 1807)。结果是，“在过去的 12 个月中，您是否使用在线病历帮助您做出有关如何治疗疾病或病症的决定（是/否）？” 计算了单变量和多变量优势比和 95% 置信区间。多元，对于 (a) 使用在线病历安全地向医疗保健提供者发送消息，(b) 使用智能手机健康应用程序访问其在线病历，( c) 拥有包含临床记录的在线病历，(d) 报告称在线病历可用于监测健康状况，以及 (e) 自我认定为非裔美国人、亚洲人或“其他人”。在线病历可以根据具体情况支持医疗决策。(d) 报告称在线医疗记录可用于监测健康状况，并且 (e) 自我认定为非裔美国人、亚洲人或“其他人”。在线病历可以根据具体情况支持医疗决策。(d) 报告称在线医疗记录可用于监测健康状况，并且 (e) 自我认定为非裔美国人、亚洲人或“其他人”。在线病历可以根据具体情况支持医疗决策。