General perceptions towards personal health record in Japan: A exploratory survey

[Speaker] Kazuki Ide:1,2
[Co-author] Satomi Yoshida:1, Takeshi Kimura:1, Koji Kawakami:1,2
1:Department of Pharmacoepidemiology, Graduate School of Medicine and Public Health, Kyoto University, Japan, 2:Center for the Promotion of Interdisciplinary Education and Research, Kyoto University, Japan

Background: Personal health record (PHR) is an electronic tool to manage individual life-course health information. The adoption of the PHR among potential users and associated factors are still unclear, especially in Japan.
Methods: Individuals who agreed to participate in this study answered the questionnaire survey through the internet in February 2017. The survey was constructed from the following items: sociodemographic backgrounds (sex, age, residential area, marital status, household income, occupational status, and frequency of health check-ups), expectation to receive summary reports on their own health, and interest to use the PHR. Answers were descriptively summarized, and factors associated with the interest to use the PHR was identified using the stepwise logistic regression analysis. Statistical analysis was performed using SAS version 9.4 (SAS Institute Inc., Cary, NC).
Results: During the survey period, 30,000 individuals (15,000 women and 15,000 men; age-range 30 to 59) answered, and were included in the analysis. Among them, 63% of the individuals expected to receive summary reports on their own health routinely. Although 52% of individuals interested to use the PHR, 36% had 'no opinion'. In the logistic regression analysis, following factors were significantly associated with the interest to use the PHR (odds ratio [95% confidence interval]): sex (men, 0.961 [0.957, 0.964]), occupational status (without occupation, 0.937 [0.885, 0.991]); household income (over 10 million JPY/year (approx. 90,000 USD/year), 1.475 [1.343, 1.621]), and frequency of health check-ups (annually, 1.669 [1.525, 1.827]).
Conclusions: Over the half of the individuals expected to receive summary reports on their own health routinely, and it should be reflected in the health awareness of respondents. However, the rate of 'no opinion' on the use of the PHR was high. This may be caused by a difficulty to imagine the usefulness of the PHR. Therefore, it is important to disseminate information with detailed examples of the practical use of the PHR in the real-world setting to establish mutual understanding with publics. When disseminating information on the PHR, we also should consider sociodemographic backgrounds of specific information recipients.
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