University of Oulu

Kristina Eriksson-Backa, Noora Hirvonen, Heidi Enwald & Isto Huvila (2021) Enablers for and barriers to using My Kanta – A focus group study of older adults’ perceptions of the National Electronic Health Record in Finland, Informatics for Health and Social Care, 46:4, 399-411, DOI: 10.1080/17538157.2021.1902331

Enablers for and barriers to using My Kanta : A focus group study of older adults’ perceptions of the National Electronic Health Record in Finland

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Author: Eriksson-Backa, Kristina1; Hirvonen, Noora1,2; Enwald, Heidi1,2;
Organizations: 1Information Studies, Åbo Akademi University, Turku, Finland
2Information Studies, University of Oulu, Oulu, Finland
3Department of ALM, Uppsala University, Uppsala, Sweden
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 1.2 MB)
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Language: English
Published: Informa, 2021
Publish Date: 2022-02-01


To explicate how experiences with patient-accessible electronic health records correspond to the expectations of the users, we present qualitative results of older adults’ experiences with the Finnish national patient-accessible health record My Kanta and similar services. 24 persons, 17 women and 7 men aged 55–73, took part in the study. We interviewed six focus groups of 3–5 participants with previous experience of My Kanta, in two cities in Finland. We used a convenience sample and video- and audio-recording as well as note taking. The interviews were transcribed verbatim. The inductive analysis was based on content analysis. We identified major uses, enablers, barriers, and outcomes of My Kanta. In addition to earlier reported barriers and enablers, the findings show that launch-time lack of useful content and features in systems still under development can cause frustration and hinder their effective use at the time and in the long run. Concerns and barriers relating to use were socio-techno-informational and tightly associated with the contents of the system. Improved security, usability and additional information and functions might increase use. Furthermore, coherent and timely information from health-care providers should be available in the e-health services.

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Series: Informatics for health and social care
ISSN: 1753-8157
ISSN-E: 1753-8165
ISSN-L: 1753-8157
Volume: 46
Issue: 4
Pages: 399 - 411
DOI: 10.1080/17538157.2021.1902331
Type of Publication: A1 Journal article – refereed
Field of Science: 518 Media and communications
Funding: This work was supported by the [Academy of Finland] under Grant [number 287084].
Academy of Finland Grant Number: 287084
Detailed Information: 287084 (Academy of Finland Funding decision)
Copyright information: © 2021 The Author(s). Published with license by Taylor & Francis Group, LLC. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.