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The Electronic Personal Health Record (EPHR) provides an innovative service for citizens and professionals to manage health data, promoting patient-centred care. It enhances communication between patients and physicians and improves accessibility to documents for remote medical information management. The study aims to assess the prevalence of awareness and acceptance of the EPHR in northern Italy and define determinants and barriers to its implementation. In 2022, a region-wide cross-sectional study was carried out through a paper-based and online survey shared among adult citizens. Univariable and multivariable regression models analysed the association between the outcome variables (knowledge and attitudes toward the EPHR) and selected independent variables. Overall, 1634 people were surveyed, and two-thirds were aware of the EPHR. Among those unaware of the EPHR, a high prevalence of specific socio-demographic groups, such as foreign-born individuals and those with lower educational levels, was highlighted. Multivariable regression models showed a positive association between being aware of the EPHR and educational level, health literacy, and perceived poor health status, whereas age was negatively associated. A higher knowledge of the EPHR was associated with a higher attitude towards the EPHR. The current analysis confirms a lack of awareness regarding the existence of the EPHR, especially among certain disadvantaged demographic groups. This should serve as a driving force for a powerful campaign tailored to specific categories of citizens for enhancing knowledge and usage of the EPHR. Involving professionals in promoting this tool is crucial for helping patients and managing health data.
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http://dx.doi.org/10.1007/s10916-024-02065-z | DOI Listing |
JMIR Aging
July 2025
Department of Business Information Systems and Analytics, Willie A. Deese College of Business and Economics, North Carolina Agricultural and Technical State University, 1601 E. Market Street, Greensboro, NC, 27411, United States, 1 336-285-3394.
Background: Electronic personal health records (ePHRs) hold significant potential to improve health management for older adults by enhancing access to medical information and facilitating communication with health care providers. However, usage remains low among individuals aged 65 and older. While existing research has identified barriers such as low self-efficacy, limited digital literacy, and usability challenges, the specific factors influencing the use of ePHRs among older adults are not yet fully understood.
View Article and Find Full Text PDFBMC Public Health
March 2025
Department of Geriatrics and Medical Gerontology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität Zu Berlin, Berlin, 13347, Germany.
Background: Electronic personal health records (ePHRs) play a key role in the digitalization of healthcare, but older adults, often less familiar with digital tools, face access challenges. This study assesses the effects of an interactive, microlearning-based e-learning platform on improving older adults' ePHR competencies.
Methods: To examine the effects of e-learning platform use on competencies, a pilot trial was conducted with two study groups.
Glob Public Health
December 2025
Department of Public and Occupational Health, Amsterdam Public Health, Amsterdam UMC location University of Amsterdam, Amsterdam, The Netherlands.
Electronic Personal Health Records (EPHRs) are potentially effective tools for improving the continuity and quality of care for migrants and refugees, and specifically for undocumented migrants (UDMs). However, little is known about the intention and preconditions of healthcare providers (HCPs) to use an EPHR for UDM in the Netherlands. Between April 2023 and June 2023, thirteen interviews, using a semi-structured topic guide, were conducted with Dutch HCPs.
View Article and Find Full Text PDFTransl Psychiatry
November 2024
Department of Cellular and Molecular Medicine, University of Ottawa, 451 Smyth Road, Ottawa, ON, K1H 8M5, Canada.
The ephrin receptors (EphRs) are the largest family of receptor tyrosine kinases (RTKs) that are abundantly expressed in the developing brain and play important roles at different stages of neurogenesis ranging from neural stem cell (NSC) fate specification to neural migration, morphogenesis, and circuit assembly. Defects in EphR signalling have been associated with several pathologies including neurodevelopmental disorders (NDDs), intellectual disability (ID), and neurodegenerative diseases (NDs). Here, we review our current understanding of the complex and dynamic role of EphRs in the brain and discuss how deregulation of these receptors contributes to disease, highlighting their potential as valuable druggable targets.
View Article and Find Full Text PDFJ Med Syst
April 2024
Department of Public Health Sciences and Paediatrics, University of Turin, Via Santena 5bis, Turin, 10126, Italy.