Electronic health records and patient activation – their interactive role in medication adherence

Yunfeng Shi*, Veronica Fuentes-Caceres, Megan McHugh, Jessica Greene, Nina Verevkina, Lawrence Casalino, Stephen Shortell

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference contribution

2 Scopus citations


We investigate the association between the use of Electronic Health Records (EHR) core functions in physician practices and medication adherence among chronically ill adults, as well as how patient activation moderates this relationship. Cross-sectional logistic regressions are conducted using data from the Aligning Forces for Quality Consumer Survey and the National Study of Small and Medium Physician Practices (2007–2009). Only 43% of the practices have a basic EHR. The use of electronic communication and connectivity is positively associated with medication adherence for patients who are highly activated, but the association is negative for less activated patients. EHR based interventions may need to be customized based on patient activation and other factors.

Original languageEnglish (US)
Title of host publicationSmart Health - International Conference, ICSH 2015, Revised Selected Papers
EditorsHsinchun Chen, Daniel Dajun Zeng, Xiaolong Zheng, Scott J. Leischow
PublisherSpringer Verlag
Number of pages12
ISBN (Print)9783319291741
StatePublished - 2016
EventInternational Conference for Smart Health, ICSH 2015 - Phoenix, United States
Duration: Nov 17 2015Nov 18 2015

Publication series

NameLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
ISSN (Print)0302-9743
ISSN (Electronic)1611-3349


OtherInternational Conference for Smart Health, ICSH 2015
Country/TerritoryUnited States


  • Chronic illness
  • Consumer engagement
  • Electronic health records
  • Medication adherence
  • Patient activation
  • Patient behavior
  • Physician practice

ASJC Scopus subject areas

  • Theoretical Computer Science
  • General Computer Science


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