Evidence map›Paper›PMID 41007507›Full record

ArticleInternational journal of environmental research and public health2025

Exploring Stakeholders' Perceptions of Electronic Personal Health Records for Mobile Populations Living in Disadvantaged Circumstances: A Multi-Country Feasibility Study in Denmark, Ghana, Kenya, and The Netherlands.

Paulien Tensen, Maria Bach Nikolajsen, Simeon Kintu Paul, Princess Ruhama Acheampong, Francisca Gaifém, Frederick Murunga Wekesah, Ulrik Bak Kirk, Ellis Owusu-Dabo, Per Kallestrup, Erik Beune and 2 more

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Paulien TensenDepartment of Public and Occupational Health, Amsterdam Public Health, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.ORCID 0009-0008-6090-9685
Maria Bach NikolajsenResearch Unit for General Practice, 8000 Aarhus, Denmark.
Simeon Kintu PaulAfrican Population and Health Research Center, Nairobi P.O. Box 10787-00100, Kenya.ORCID 0009-0009-7164-5846
Princess Ruhama AcheampongDepartment of Health Promotion and Disability Studies, School of Public Health, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi 00233, Ghana.
Francisca GaifémResearch Unit for Global Health, Aarhus University, 8000 Aarhus, Denmark.ORCID 0009-0009-4649-5559
Frederick Murunga WekesahAfrican Population and Health Research Center, Nairobi P.O. Box 10787-00100, Kenya.ORCID 0000-0003-2333-3054
Ulrik Bak KirkResearch Unit for General Practice, 8000 Aarhus, Denmark.ORCID 0000-0003-1683-2189
Ellis Owusu-DaboDepartment of Global Health, School of Public Health, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi 00233, Ghana.
Per KallestrupResearch Unit for General Practice, 8000 Aarhus, Denmark.ORCID 0000-0001-6041-4510
Erik BeuneDepartment of Public and Occupational Health, Amsterdam Public Health, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Charles AgyemangDepartment of Public and Occupational Health, Amsterdam Public Health, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.ORCID 0000-0002-3882-7295
Steven van de VijverAmsterdam Health & Technology Institute, 1105 BP Amsterdam, The Netherlands.ORCID 0000-0002-9174-7737

Funding

The Novo Nordisk Foundation NNF24SA0092801
6 · The paper itself

Abstract

(1) Background: Mobile populations living in disadvantaged circumstances often face disrupted continuity of care due to incomplete or inaccessible health records. This feasibility study explored the perceived usefulness of Electronic Personal Health Records (EPHRs) in enhancing access to and continuity of care for mobile populations across Denmark, Ghana, Kenya, and The Netherlands. (2) Methods: A qualitative study using ninety semi-structured interviews, with multi-level stakeholders ranging from policymakers to mobile individuals, recruited through purposive and convenience sampling. Interview guides and analysis were informed by the Technology Acceptance Model (TAM), and analysis by the Unified Theory of Acceptance and Use of Technology (UTAUT). (3) Results: Stakeholders highlighted the value of improved medical data sharing and ownership and considered EPHRs promising for enhancing care continuity and efficiency. Key concerns included limited digital and health literacy, and data security and privacy, underscoring the need for education and safeguards against inappropriate data sharing. Due to differences in digital readiness and privacy guidelines, a one-size-fits-all EPHR is unlikely to succeed. (4) Conclusions: EPHRs are considered valuable tools to enhance care continuity and increase patient ownership, but they face technical, structural, and social challenges, including data security and varying levels of digital (health) literacy. Successful implementation requires context-sensitive, co-created solutions supported by strong policy frameworks.

Indexed as

Electronic Health RecordsHealth Records, PersonalVulnerable PopulationsDenmarkFeasibility StudiesFemaleGhanaHumansKenyaMaleNetherlandsQualitative Researchcontinuity of caredigital healthelectronic personal health recordhealth accesshealth equityindividual interviewsmedical data exchangemigrationmobile populations

Identifiers

PMID41007507
PMCPMC12469287

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.