Barriers to the adoption and use of personal health record systems

Personal health records (PHR) have enormous potential to improve both documentation of health information and patient care. The adoption of these systems, however, has been relatively slow. In this work, we used a multi-method approach to evaluate PHR systems. We interviewed potential end users—clinicians and patients—and conducted evaluations with patients and caregivers as well as a heuristic evaluation with HCI experts. In these studies, we focused on three PHR systems: Google Health, Microsoft HealthVault, and WorldMedCard. Our results demonstrate that both usability concerns and socio-cultural influences are barriers to PHR adoption and use. In this paper, we present those results as well as reflect on how both PHR designers and developers might address these issues now and throughout the design cycle.