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Evaluating the implementation of a personal health record for chronic primary and secondary care: a mixed methods approach.

Floor SieverinkSaskia KeldersAnnemarie Braakman-JansenJulia van Gemert-Pijnen
Published in: BMC medical informatics and decision making (2019)
In this study, actual use of the PHRs by patients was influenced by the responsiveness of caregivers. This responsiveness is likely to be strongly influenced by the perceived support when defining the differentiation and delivery of the PHR. A mixed-methods approach to understand intervention fidelity was of added value in providing explanations for the found effects that could not be revealed by solely focusing on the effectiveness of the technology in an experimental trial.
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