Table 3:
Odds Ratios (ORs) and 95% Confidence Intervals (CIs) for associations between history of cancer with online medical record utilization among respondents ever offered online medical record access (n=1857)
| Cancer Survivors (N = 347) |
No Cancer History (N = 1510) |
Model 1a | Model 2b | |
|---|---|---|---|---|
| Outcome | N (%) c | N (%) c | OR (95% CI) | OR (95% CI) |
| Online Medical Records Access and Use Frequency | ||||
| Frequency of Use in Last 12 Months | ||||
| ≥ 1 | 192 (58.60) | 905 (58.53) | 1.16 (0.71 – 1.89) | 1.13 (0.69 – 1.86) |
| None | 145 (41.40) | 587 (41.47) | - | - |
| Reasons for Not Using Online Medical Record | ||||
| Prefer to Speak Directly to Provider | ||||
| Yes | 115 (85.82) | 431 (71.04) | 1.98 (0.89 – 4.44) | 2.24 (0.99 – 5.05) |
| No | 19 (14.18) | 132 (28.96) | - | - |
| No online Access | ||||
| Yes | 23 (12.74) | 71 (9.34) | 0.90 (0.41 – 1.98) | 0.99 (0.42 – 2.30) |
| No | 110 (87.26) | 491 (90.66) | - | - |
| No need | ||||
| Yes | 77 (67.15) | 345 (64.76) | 1.04 (0.51 – 2.11) | 1.02 (0.48 – 2.18) |
| No | 56 (32.85) | 218 (35.24) | - | - |
| Concerned about Privacy | ||||
| Yes | 19 (14.49) | 91 (12.22) | 1.01 (0.40 – 2.54) | 1.13 (0.43 – 2.97) |
| No | 114 (85.51) | 469 (77.12) | - | - |
| Reason Online Medical Record Was Utilized | ||||
| Medication Refill | ||||
| Selected | 83 (41.69) | 357 (38.49) | 0.99 (0.61 – 1.62) | 1.02 (0.63 – 1.65) |
| Not Selected | 112 (58.31) | 534 (61.51) | - | - |
| Paperwork | ||||
| Selected | 82 (45.79) | 356 (43.63) | 1.25 (0.74 – 2.09) | 1.30 (0.78 – 2.15) |
| Not Selected | 115 (54.21) | 531 (56.37) | - | - |
| To Request Correction | ||||
| Yes | 20 (9.98) | 60 (6.24) | 1.55 (0.56 – 4.30) | 1.62 (0.62 – 4.23) |
| No | 176 (90.02) | 826 (93.76) | - | - |
| Messaging HCP | ||||
| Yes | 98 (46.61) | 438 (52.97) | 0.73 (0.46 – 1.15) | 0.77 (0.49 – 1.23) |
| No | 100 (53.39) | 451 (47.03) | - | - |
| Downloading Records | ||||
| Yes | 53 (24.01) | 240 (25.50) | 0.95 (0.56 – 1.62) | 1.04 (0.62 – 1.75) |
| No | 144 (75.99) | 652 (74.50) | - | - |
| Adding Info | ||||
| Yes | 55 (27.92) | 210 (23.01) | 1.45 (0.89 – 2.37) | 1.42 (0.87 – 2.33) |
| No | 142 (72.08) | 678 (76.99) | - | - |
| Making Decision | ||||
| Yes | 53 (27.15) | 219 (23.52) | 1.33 (0.81 – 2.18) | 1.39 (0.86 – 2.26) |
| No | 145 (72.85) | 670 (76.48) | - | - |
| Usefulness | ||||
| How Useful is Medical Record? | ||||
| Very & Somewhat | 159 (81.65) | 735 (82.76) | 0.97 (0.43 – 2.22) | 0.95 (0.42 – 2.17) |
| Not Very/Not At All/Don’t Use | 35 (18.35) | 149 (17.24) | - | - |
a
Model adjusted for age
b
Model adjusted for age, race, and gender
c
Presented as column total and weighted percentage
( - ) Represents referent outcome. No cancer history group is referent for odds ratio exposure.
Sub-groups may not sum to total respondents due to missing or invalid responses.