Huvila, I., Cajander, Å., Moll, J., Enwald, H., Eriksson-Backa, K. and Rexhepi, H. (2022), "Technological and informational frames: explaining age-related variation in the use of patient accessible electronic health records as technology and information", Information Technology & People, Vol. 35 No. 8, pp. 1-22. https://doi.org/10.1108/ITP-08-2020-0566
Technological and informational frames : explaining age-related variation in the use of patient accessible electronic health records as technology and information
|Author:||Huvila, Isto1,2; Cajander, Åsa3; Moll, Jonas4;|
1Department of ALM, Uppsala University, Uppsala, Sweden
2Information Studies, Åbo Akademi University, Turku, Finland
3Department of Information Technology, Uppsala University, Uppsala, Sweden
4Örebro University School of Business, Örebro, Sweden
5Information Studies, University of Oulu, Oulu, Finland
6School of Informatics, University of Skövde, Skövde, Sweden
|Online Access:||PDF Full Text (PDF, 0.2 MB)|
|Persistent link:|| http://urn.fi/urn:nbn:fi-fe2022111866126
|Publish Date:|| 2022-11-18
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.
Information technology & people
|Pages:||1 - 22|
|Type of Publication:||
A1 Journal article – refereed
|Field of Science:||
113 Computer and information sciences
518 Media and communications
The work of Huvila, Enwald and Eriksson-Backa has been funded by the Academy of Finland Grant No. 287084 for the research project Taking Health Information Behaviour into Account: implications of a neglected element for successful implementation of consumer health technologies on older adults (HIBA).
© Isto Huvila, Åsa Cajander, Jonas Moll, Heidi Enwald, Kristina Eriksson-Backa and Hanife Rexhepi. Published by Emerald Publishing Limited. This article is published under the Creative Commons Attribution (CC BY 4.0) licence. Anyone may reproduce, distribute, translate and create derivative works of this article (for both commercial and non-commercial purposes), subject to full attribution to the original publication and authors. The full terms of this licence may be seen at http://creativecommons. org/licences/by/4.0/legalcode.