Healthcare providers intentions to use an electronic personal health record for undocumented migrants: A qualitative exploration study in The Netherlands

Electronic Personal Health Records (EPHRs) are potentially effective tools for improving the continuity and quality of care for migrants and refugees, and specifically for undocumented migrants (UDMs). However, little is known about the intention and preconditions of healthcare providers (HCPs) to u...

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Main Authors: Paulien Tensen, Simone van Dormolen, Steven J. M. van de Vijver, Myrthe L. van de Pavert, Charles O. Agyemang
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Global Public Health
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/17441692.2024.2445840
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author Paulien Tensen
Simone van Dormolen
Steven J. M. van de Vijver
Myrthe L. van de Pavert
Charles O. Agyemang
author_facet Paulien Tensen
Simone van Dormolen
Steven J. M. van de Vijver
Myrthe L. van de Pavert
Charles O. Agyemang
author_sort Paulien Tensen
collection DOAJ
description Electronic Personal Health Records (EPHRs) are potentially effective tools for improving the continuity and quality of care for migrants and refugees, and specifically for undocumented migrants (UDMs). However, little is known about the intention and preconditions of healthcare providers (HCPs) to use an EPHR for UDM in the Netherlands. Between April 2023 and June 2023, thirteen interviews, using a semi-structured topic guide, were conducted with Dutch HCPs. Open coding and axial coding were used for data coding, organised using the Technology Acceptance Model (TAM). HCPs reported a positive user intention towards using an EPHR for UDMs, coupled with a cautious optimism regarding UDMs’ willingness to use an EPHR. Actual usage was dependent on several preconditions: establishing trust among HCPs and UDMs in the EPHR, implementing a highly secure system to protect UDM’s sensitive data, giving UDMs control over their EPHR, and using approaches to minimise dual record keeping and developing a user-friendly system. An EPHR shows promise to enhance continuity of care and quality for UDMs in the Netherlands. However, an EPHR should not be a prerequisite for receiving medical care but rather a supportive element in the provision of care.
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spelling doaj-art-265fffbd6d234e8ebf18a1ed9aa97ce92024-12-31T19:17:16ZengTaylor & Francis GroupGlobal Public Health1744-16921744-17062025-12-0120110.1080/17441692.2024.2445840Healthcare providers intentions to use an electronic personal health record for undocumented migrants: A qualitative exploration study in The NetherlandsPaulien Tensen0Simone van Dormolen1Steven J. M. van de Vijver2Myrthe L. van de Pavert3Charles O. Agyemang4Department of Public and Occupational Health, Amsterdam Public Health, Amsterdam UMC location University of Amsterdam, Amsterdam, The NetherlandsAmsterdam Health & Technology Institute, Amsterdam, The NetherlandsDepartment of Public and Occupational Health, Amsterdam Public Health, Amsterdam UMC location University of Amsterdam, Amsterdam, The NetherlandsCentre of Expertise Palliative Care, Leiden University medical Centre, Leiden, The NetherlandsDepartment of Public and Occupational Health, Amsterdam Public Health, Amsterdam UMC location University of Amsterdam, Amsterdam, The NetherlandsElectronic Personal Health Records (EPHRs) are potentially effective tools for improving the continuity and quality of care for migrants and refugees, and specifically for undocumented migrants (UDMs). However, little is known about the intention and preconditions of healthcare providers (HCPs) to use an EPHR for UDM in the Netherlands. Between April 2023 and June 2023, thirteen interviews, using a semi-structured topic guide, were conducted with Dutch HCPs. Open coding and axial coding were used for data coding, organised using the Technology Acceptance Model (TAM). HCPs reported a positive user intention towards using an EPHR for UDMs, coupled with a cautious optimism regarding UDMs’ willingness to use an EPHR. Actual usage was dependent on several preconditions: establishing trust among HCPs and UDMs in the EPHR, implementing a highly secure system to protect UDM’s sensitive data, giving UDMs control over their EPHR, and using approaches to minimise dual record keeping and developing a user-friendly system. An EPHR shows promise to enhance continuity of care and quality for UDMs in the Netherlands. However, an EPHR should not be a prerequisite for receiving medical care but rather a supportive element in the provision of care.https://www.tandfonline.com/doi/10.1080/17441692.2024.2445840Electronic personal health recordundocumented migrantshealth inequalitieshealthcare providersmigrationSDG3: Good health and well-being
spellingShingle Paulien Tensen
Simone van Dormolen
Steven J. M. van de Vijver
Myrthe L. van de Pavert
Charles O. Agyemang
Healthcare providers intentions to use an electronic personal health record for undocumented migrants: A qualitative exploration study in The Netherlands
Global Public Health
Electronic personal health record
undocumented migrants
health inequalities
healthcare providers
migration
SDG3: Good health and well-being
title Healthcare providers intentions to use an electronic personal health record for undocumented migrants: A qualitative exploration study in The Netherlands
title_full Healthcare providers intentions to use an electronic personal health record for undocumented migrants: A qualitative exploration study in The Netherlands
title_fullStr Healthcare providers intentions to use an electronic personal health record for undocumented migrants: A qualitative exploration study in The Netherlands
title_full_unstemmed Healthcare providers intentions to use an electronic personal health record for undocumented migrants: A qualitative exploration study in The Netherlands
title_short Healthcare providers intentions to use an electronic personal health record for undocumented migrants: A qualitative exploration study in The Netherlands
title_sort healthcare providers intentions to use an electronic personal health record for undocumented migrants a qualitative exploration study in the netherlands
topic Electronic personal health record
undocumented migrants
health inequalities
healthcare providers
migration
SDG3: Good health and well-being
url https://www.tandfonline.com/doi/10.1080/17441692.2024.2445840
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