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Personal health record use and association with immunizations and well-child care visits recommendations

Jeffrey O Tom1, Chuhe Chen2, Yi Yvonne Zhou3

  • 1Kaiser Permanente Center for Health Research Hawaii, Honolulu, HI.

The Journal of Pediatrics
|October 15, 2013
PubMed

Insights

Parental use of personal health records (PHRs) improved adherence to well-child care visits for young children. Immunization adherence improved with PHR use in one region, but not the other.

Area of Science:

  • Pediatric Healthcare
  • Health Informatics
  • Public Health

Background:

  • Adherence to recommended childhood immunizations and well-child care (WCC) visits is crucial for child health.
  • Personal Health Records (PHRs) offer a platform for parents to manage their children's health information.
  • The impact of parental PHR use on pediatric preventive care adherence requires further investigation.

Purpose of the Study:

  • To examine the association between parental use of integrated personal health records (PHRs) and adherence to childhood immunization schedules.
  • To assess the relationship between parental PHR engagement and compliance with well-child care (WCC) visit recommendations for children.

Main Methods:

  • Retrospective analysis of 766-2795 matched pediatric pairs enrolled in Kaiser Permanente Hawaii and Northwest between 2007-2011.
  • Propensity score matching was used to balance parental and child characteristics between PHR users and non-users.
  • Multivariate logistic regression, adjusting for education and continuity of care, analyzed adherence to immunizations and WCC visits.

Main Results:

  • Parental PHR use was associated with significantly higher adherence to WCC visit recommendations in both regions (ORs 1.9-2.5).
  • Children whose parents used PHRs showed improved odds of adherence to recommended immunizations only in the Kaiser Permanente Northwest region (OR 1.2).
  • No significant association was found for immunization adherence in Kaiser Permanente Hawaii (OR 1.1).

Conclusions:

  • Parental engagement with PHRs is linked to better adherence to well-child care visits for young children.
  • The positive impact of PHR use on immunization adherence may vary geographically or by specific PHR features.
  • PHRs show potential as a tool to improve preventive healthcare utilization in pediatric populations.
Abstract

Keywords:
HEDISHealthcare Effectiveness Data and Information SetICD-9International Classification of Disease, 9th revisionKPKaiser PermanentePHRPersonal health recordWCCWell-child care

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