{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T07:40:04Z","timestamp":1790926804453,"version":"4.1.0"},"reference-count":78,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Aging Neurosci."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>People with Parkinson's disease (PwPD) require coordinated, multidisciplinary care, which can be facilitated by Electronic Health Records (EHRs) enabling efficient information exchange and personalized decision-making. Understanding which patient-, healthcare provider- (HCP), and technology-related factors drive EHR engagement among older population with complex health needs is crucial for the successful adoption and advancement of digital transformation in medicine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Guided by the digital health empowerment framework, this cross-sectional study explored patient engagement with the national EHRs among 191 PwPD in Luxembourg, using validated instruments, including eHealth Literacy Questionnaire (eHLQ) and Health Information National Trends Survey (HINTS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Findings from the descriptive and regression analysis showed that only 29.8% respondents engaged multiple times with their personal EHR in the previous year, 70.2% have not used it, including 40.8 % who have never access it since the launch of EHR system. Key factors associated with higher engagement with personal EHR included being born in Luxembourg, milder disease severity, and higher digital health literacy, as well as receiving support from HCPs to use personal EHR. Surprisingly, higher trust in HCPs and greater health literacy were linked to lower personal EHR usage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Personal EHR engagement among the vulnerable aging population is influenced by a complex interplay of patient, HCP, and technology-related factors, which must be addressed holistically to ensure inclusive usage and adherence to digital health tools.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fnagi.2026.1817635","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T05:42:13Z","timestamp":1780551733000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Engagement with the national electronic health records by people with Parkinson's disease"],"prefix":"10.3389","volume":"18","author":[{"given":"Marijus","family":"Giraitis","sequence":"first","affiliation":[{"name":"Luxembourg Centre for Systems Biomedicine, University of Luxembourg","place":["Esch-sur-Alzette, Luxembourg"]},{"name":"Centre Hospitalier de Luxembourg","place":["Strassen, Luxembourg"]},{"name":"Luxembourg Institute of Health","place":["Strassen, Luxembourg"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Schwaninger","sequence":"additional","affiliation":[{"name":"Luxembourg Centre for Systems Biomedicine, University of Luxembourg","place":["Esch-sur-Alzette, Luxembourg"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivana","family":"Paccoud","sequence":"additional","affiliation":[{"name":"Luxembourg Centre for Systems Biomedicine, University of Luxembourg","place":["Esch-sur-Alzette, Luxembourg"]},{"name":"Observatoire National de la Sant\u00e9","place":["Strassen, Luxembourg"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Messaline","family":"Fomo","sequence":"additional","affiliation":[{"name":"Luxembourg Centre for Systems Biomedicine, University of Luxembourg","place":["Esch-sur-Alzette, Luxembourg"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Martins Conde","sequence":"additional","affiliation":[{"name":"Luxembourg Centre for Systems Biomedicine, University of Luxembourg","place":["Esch-sur-Alzette, Luxembourg"]},{"name":"Centre Hospitalier de Luxembourg","place":["Strassen, Luxembourg"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evi","family":"Wollscheid-Lengeling","sequence":"additional","affiliation":[{"name":"Luxembourg Centre for Systems Biomedicine, University of Luxembourg","place":["Esch-sur-Alzette, Luxembourg"]},{"name":"Centre Hospitalier de Luxembourg","place":["Strassen, Luxembourg"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bjoern","family":"Eskofier","sequence":"additional","affiliation":[{"name":"Chair of AI-supported Therapy Decisions, LMU M\u00fcnchen","place":["Munich, Germany"]},{"name":"Institute of AI in Medicine, LMU Hospital","place":["Munich, Germany"]},{"name":"Institute of AI for Health, Helmholtz Zentrum M\u00fcnchen","place":["Neuherberg, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Torous","sequence":"additional","affiliation":[{"name":"Division of Digital Psychiatry, Department of Psychiatry, Beth Israel Deaconess Medical Center","place":["Boston, MA, United States"]},{"name":"Harvard Medical School","place":["Boston, MA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rejko","family":"Kr\u00fcger","sequence":"additional","affiliation":[{"name":"Luxembourg Centre for Systems Biomedicine, University of Luxembourg","place":["Esch-sur-Alzette, Luxembourg"]},{"name":"Centre Hospitalier de Luxembourg","place":["Strassen, Luxembourg"]},{"name":"Luxembourg Institute of Health","place":["Strassen, Luxembourg"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jochen","family":"Klucken","sequence":"additional","affiliation":[{"name":"Luxembourg Centre for Systems Biomedicine, University of Luxembourg","place":["Esch-sur-Alzette, Luxembourg"]},{"name":"Centre Hospitalier de Luxembourg","place":["Strassen, Luxembourg"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,4]]},"reference":[{"key":"B1","doi-asserted-by":"crossref","unstructured":"\u201cImpact of big data in healthcare system\u2014a quick look into electronic health record systems,\u201d\n          \n          251\n          262\n          Cambridge, MA\n          Academic Press\n          Machine Learning and the Internet of Medical Things in Healthcare\n          \n          2021","DOI":"10.1016\/B978-0-12-821229-5.00009-4"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e11254","DOI":"10.2196\/11254","article-title":"Elements of trust in digital health systems: scoping review","volume":"20","author":"Adjekum","year":"2018","journal-title":"J. Med. Internet Res."},{"key":"B3","doi-asserted-by":"publisher","first-page":"e71460","DOI":"10.2196\/71460","article-title":"Frequency of electronic personal health record use in US older adults: cross-sectional study of a national survey","volume":"8","author":"Agrawal","year":"2025","journal-title":"JMIR Aging"},{"key":"B4","doi-asserted-by":"publisher","first-page":"e3","DOI":"10.2196\/ijmr.2113","article-title":"Perceived impact of electronic medical records in physician office practices: a review of survey-based research","volume":"1","author":"Bassi","year":"2012","journal-title":"Interact. J. Med. Res."},{"key":"B5","doi-asserted-by":"publisher","first-page":"107249","DOI":"10.1016\/j.chb.2022.107249","article-title":"Evaluating active and assisted living technologies: critical methodological reflections based on a longitudinal randomized controlled trial","volume":"133","author":"Bieg","year":"2022","journal-title":"Comput. Human Behav."},{"key":"B6","doi-asserted-by":"publisher","first-page":"e0170988","DOI":"10.1371\/journal.pone.0170988","article-title":"Trust in the health care professional and health outcome: a meta-analysis","volume":"12","author":"Birkh\u00e4uer","year":"2017","journal-title":"PLoS ONE"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1570","DOI":"10.1056\/NEJMp1407373","article-title":"Public trust in physicians \u2014 U.S. medicine in international perspective","volume":"371","author":"Blendon","year":"2014","journal-title":"N. Engl. J. Med."},{"key":"B8","unstructured":"Die ePA f\u00fcr alle\n          \n          2025"},{"key":"B9","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1038\/s41746-025-01697-w","article-title":"Classification grid and evidence matrix for evaluating digital medical devices under the European union landscape","volume":"8","author":"Boers","year":"2025","journal-title":"npj Digit. Med"},{"key":"B10","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1001\/virtualmentor.2011.13.3.hlaw1-1103","article-title":"The HITECH act: an overview","volume":"13","author":"Burde","year":"2011","journal-title":"AMA J. Ethics"},{"key":"B11","doi-asserted-by":"publisher","first-page":"e32777","DOI":"10.2196\/32777","article-title":"Validity evidence of the eHealth Literacy Questionnaire (eHLQ) Part 2: mixed methods approach to evaluate test content, response process, and internal structure in the Australian community health setting","volume":"24","author":"Cheng","year":"","journal-title":"J. Med. Internet Res."},{"key":"B12","doi-asserted-by":"publisher","first-page":"e35772","DOI":"10.2196\/35772","article-title":"Digital health literacy as a predictor of awareness, engagement, and use of a national web-based personal health record: population-based survey study","volume":"24","author":"Cheng","year":"","journal-title":"J. Med. Internet Res."},{"key":"B13","doi-asserted-by":"publisher","first-page":"888","DOI":"10.1016\/j.healthpol.2019.07.018","article-title":"Health records for migrants and refugees: a systematic review","volume":"123","author":"Chiesa","year":"2019","journal-title":"Health Policy"},{"key":"B14","volume-title":"The SPEED of Trust: The One Thing That Changes Everything.","author":"Covey","year":"2006"},{"key":"B15","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1145\/2909824.3020236","article-title":"\u201cWhy do they refuse to use my robot? Reasons for non-use derived from a long-term home study,\u201d","volume-title":"Proceedings of the 2017 ACM\/IEEE International Conference on Human-Robot Interaction","author":"de Graaf","year":"2017"},{"key":"B16","doi-asserted-by":"publisher","first-page":"461","DOI":"10.7326\/0003-4819-157-7-201210020-00002","article-title":"Inviting patients to read their doctors' notes: a quasi-experimental study and a look ahead","volume":"157","author":"Delbanco","year":"2012","journal-title":"Ann. Intern. Med."},{"key":"B17","doi-asserted-by":"publisher","first-page":"e12861","DOI":"10.2196\/12861","article-title":"Wearable health technology and electronic health record integration: scoping review and future directions","volume":"7","author":"Dinh-Le","year":"2019","journal-title":"JMIR Mhealth Uhealth"},{"key":"B18","doi-asserted-by":"publisher","first-page":"S3","DOI":"10.3233\/JPD-181474","article-title":"The emerging evidence of the Parkinson pandemic","volume":"8","author":"Dorsey","year":"2018","journal-title":"J. Parkinsons Dis."},{"key":"B19","unstructured":"\u201cObtaining Data From Electronic Health Records,\u201d\n          \n          \n            \n              Ehrenstein\n              V.\n            \n            \n              Kharrazi\n              H.\n            \n            \n              Lehmann\n              H.\n            \n            \n              Taylor\n              C. O.\n            \n          \n          Tools and Technologies for Registry Interoperability, Registries for Evaluating Patient Outcomes: A User's Guide, 3rd Edn, Addendum 2\n          \n          2019"},{"key":"B20","unstructured":"EPF examines the EHDS Regulation and its implications for patients\n          \n          2025"},{"key":"B21","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1146\/annurev-bioeng-110220-030247","article-title":"Predictive models for health deterioration: understanding disease pathways for personalized medicine","volume":"25","author":"Eskofier","year":"2023","journal-title":"Annu. Rev. Biomed. Eng."},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.3233\/JPD-230229","article-title":"The importance of digital health literacy in an evolving Parkinson's disease care system","author":"Esper","year":"2024","journal-title":"J. Parkinsons Dis."},{"key":"B23","unstructured":"Certification of EHR systems - European Commission"},{"key":"B24","unstructured":"European Health Data Space Regulation (EHDS) - European Commission"},{"key":"B25","unstructured":"Synthesis report - Public Health - European Commission"},{"key":"B26","unstructured":"International Standard Classification of Education (ISCED)\n          \n          2011"},{"key":"B27","unstructured":"SDG 4: quality education\n          \n          2025"},{"key":"B28","unstructured":"Mean and median income by age and sex\n          \n          2026"},{"key":"B29","unstructured":"21st Century Cures Act\n          \n          2025"},{"key":"B30","doi-asserted-by":"publisher","first-page":"e68458","DOI":"10.2196\/68458","article-title":"Empowering capabilities of people with chronic conditions supported by digital health technologies: scoping review","volume":"27","author":"Fomo","year":"2025","journal-title":"J. Med. Internet Res"},{"key":"B31","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1007\/s11910-014-0493-1","article-title":"Interdisciplinary teamwork for the treatment of people with Parkinson's disease and their families","volume":"14","author":"Giladi","year":"2014","journal-title":"Curr. Neurol. Neurosci. Rep."},{"key":"B32","doi-asserted-by":"publisher","first-page":"e57827","DOI":"10.2196\/57827","article-title":"Value of engagement in digital health technology research: evidence across 6 unique cohort studies","volume":"26","author":"Goodday","year":"2024","journal-title":"J. Med. Internet Res."},{"key":"B33","doi-asserted-by":"publisher","first-page":"e25","DOI":"10.2105\/AJPH.2014.302041","article-title":"Self-management: a comprehensive approach to management of chronic conditions","volume":"104","author":"Grady","year":"2014","journal-title":"Am. J. Public Health"},{"key":"B34","doi-asserted-by":"publisher","first-page":"20552076221081696","DOI":"10.1177\/20552076221081695","article-title":"Co-designing a digital companion with people living with Parkinson's to support self-care in a personalized way: the eCARE-PD study","volume":"8","author":"Grosjean","year":"2022","journal-title":"Digit. Health"},{"key":"B35","unstructured":"Individuals' access and use of patient portals and smartphone health apps, 2020\n          \n          2021"},{"key":"B36","doi-asserted-by":"publisher","first-page":"1116","DOI":"10.1186\/s12913-022-08501-5","article-title":"All together now \u2013 patient engagement, patient empowerment, and associated terms in personal healthcare","volume":"22","author":"Hickmann","year":"2022","journal-title":"BMC Health Serv. Res."},{"key":"B37","doi-asserted-by":"publisher","first-page":"105764","DOI":"10.1016\/j.parkreldis.2023.105764","article-title":"Parkinson's disease diagnosis codes are insufficiently accurate for electronic health record research and differ by race","volume":"114","author":"Hill","year":"2023","journal-title":"Parkinsonism Relat. Disord."},{"key":"B38","doi-asserted-by":"publisher","first-page":"356","DOI":"10.1089\/tmj.2020.0054","article-title":"A literature review comparing clinicians' approaches and skills to in-person, synchronous, and asynchronous care: moving toward competencies to ensure quality care","volume":"27","author":"Hilty","year":"2021","journal-title":"Telemed. J. E Health"},{"key":"B39","doi-asserted-by":"publisher","first-page":"101577","DOI":"10.1016\/j.ssmph.2023.101577","article-title":"Examining the existing usage gap of electronic health records in the United States: a study of national health survey","volume":"25","author":"Hu","year":"2024","journal-title":"SSM Popul. Health"},{"key":"B40","unstructured":"Electronic health records explained\n          \n          2019"},{"key":"B41","doi-asserted-by":"publisher","first-page":"101153","DOI":"10.1016\/j.imu.2022.101153","article-title":"Patient generated health data and electronic health record integration, governance and socio-technical issues: a narrative review","volume":"37","author":"Kawu","year":"2023","journal-title":"Inform. Med. Unlocked"},{"key":"B42","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.8371","article-title":"A multidimensional tool based on the eHealth literacy framework: development and initial validity testing of the eHealth Literacy Questionnaire (eHLQ)","author":"Kayser","year":"2018","journal-title":"J. Med. Internet Res."},{"key":"B43","doi-asserted-by":"publisher","first-page":"S85","DOI":"10.3233\/JPD-181519","article-title":"Management of Parkinson's disease 20 years from now: towards digital health pathways","volume":"8","author":"Klucken","year":"2018","journal-title":"J. Parkinsons Dis."},{"key":"B44","doi-asserted-by":"publisher","first-page":"1123","DOI":"10.23889\/ijpds.v5i1.1123","article-title":"Unlocking the potential of electronic health records for health research","volume":"5","author":"Lee","year":"2020","journal-title":"Int. J. Popul. Data Sci."},{"key":"B45","doi-asserted-by":"crossref","first-page":"1474956","DOI":"10.3389\/fdgth.2025.1474956","article-title":"The gaps and challenges in digital health technology use as perceived by patients: a scoping review and narrative meta-synthesis","volume":"7","author":"Livieri","year":"2025","journal-title":"Front. Digit. Health"},{"key":"B46","doi-asserted-by":"publisher","first-page":"2689","DOI":"10.1177\/1460458220928184","article-title":"How patient-generated health data and patient-reported outcomes affect patient\u2013clinician relationships: a systematic review","volume":"26","author":"Lordon","year":"2020","journal-title":"Health Informatics J."},{"key":"B47","doi-asserted-by":"publisher","first-page":"4957","DOI":"10.3390\/s23104957","article-title":"Co-designing digital technologies for improving clinical care in people with Parkinson's disease: what did we learn?","volume":"23","author":"Monje","year":"2023","journal-title":"Sensors"},{"key":"B48","doi-asserted-by":"publisher","first-page":"714","DOI":"10.1007\/s00115-024-01686-6","article-title":"Chat-messenger-nutzung in der Parkinson-versorgung","volume":"95","author":"Naegele","year":"2024","journal-title":"Nervenarzt"},{"key":"B49","unstructured":"ECDEU assessment manual for psychopharmacology\n          \n          1976"},{"key":"B50","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1080\/10810730490504233","article-title":"The Health Information National Trends Survey (HINTS): development; design, and dissemination","volume":"9","author":"Nelson","year":"2004","journal-title":"J. Health Commun."},{"key":"B51","doi-asserted-by":"publisher","first-page":"538","DOI":"10.1176\/appi.ps.201800519","article-title":"User engagement in mental health apps: a review of measurement, reporting, and validity","volume":"70","author":"Ng","year":"2019","journal-title":"Psychiatr. Serv."},{"key":"B52","doi-asserted-by":"publisher","first-page":"869","DOI":"10.1080\/10447318.2015.1067498","article-title":"Self-care technologies and collaboration","volume":"31","author":"Nunes","year":"2015","journal-title":"Int. J. Hum. Comput. Interact."},{"key":"B53","doi-asserted-by":"publisher","first-page":"2554","DOI":"10.1177\/1460458220912559","article-title":"\u2018I do not share it with others. No, it's for me, it's my care': on sharing of patient accessible electronic health records","volume":"26","author":"Nurgalieva","year":"2020","journal-title":"Health Informatics J."},{"key":"B54","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1080\/09638237.2019.1644490","article-title":"Embracing the new age of transparency: mental health patients reading their psychotherapy notes online","volume":"28","author":"O'Neill","year":"2019","journal-title":"J. Ment. Health"},{"key":"B55","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1093\/eurjcn\/zvab104","article-title":"Research Electronic Data Capture (REDCap): tackling data collection, management, storage, and privacy challenges","volume":"21","year":"2021","journal-title":"Eur. J. Cardiovasc. Nurs."},{"key":"B56","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1186\/s12911-020-01383-9","article-title":"Socioeconomic and behavioural factors associated with access to and use of personal health records","volume":"21","author":"Paccoud","year":"2021","journal-title":"BMC Med. Inform. Decis. Mak."},{"key":"B57","doi-asserted-by":"publisher","first-page":"20552076241277704","DOI":"10.1177\/20552076241277705","article-title":"Socio-ethical challenges and opportunities for advancing diversity, equity, and inclusion in digital medicine","volume":"10","author":"Paccoud","year":"","journal-title":"Digit. Health"},{"key":"B58","doi-asserted-by":"publisher","first-page":"1453243","DOI":"10.3389\/fneur.2024.1453243","article-title":"Patient perspectives on the use of digital medical devices and health data for AI-driven personalised medicine in Parkinson's Disease","volume":"15","author":"Paccoud","year":"","journal-title":"Front. Neurol."},{"key":"B59","doi-asserted-by":"publisher","first-page":"1330321","DOI":"10.3389\/fneur.2023.1330321","article-title":"Luxembourg Parkinson's study -comprehensive baseline analysis of Parkinson's disease and atypical parkinsonism","volume":"14","author":"Pavelka","year":"2023","journal-title":"Front. Neurol."},{"key":"B60","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1080\/09638237.2018.1521924","article-title":"Providing mental health care in the context of online mental health notes: advice from patients and mental health clinicians","volume":"28","author":"Pisciotta","year":"2019","journal-title":"J. Ment. Health"},{"key":"B61","doi-asserted-by":"publisher","first-page":"e840","DOI":"10.1016\/S2589-7500(23)00156-5","article-title":"Federated electronic health records for the European Health Data Space","volume":"5","author":"Raab","year":"2023","journal-title":"Lancet Digit. Health"},{"key":"B62","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1186\/s12875-023-02176-5","article-title":"The impact of eHealth on relationships and trust in primary care: a review of reviews","volume":"24","author":"Ramachandran","year":"2023","journal-title":"BMC Prim. Care"},{"key":"B63","unstructured":"Patient Input into the Electronic Health Record: Co-Designing Solutions with Patients and Healthcare Professionals\n          \n          2024"},{"key":"B64","unstructured":"Richwine\n              C.\n            \n          \n          Washington, DC\n          Office of the Assistant Secretary for Technology Policy\n          Access and Use of Electronic Health Information by Individuals With Cancer: 2020\u20132022\n          \n          2024"},{"key":"B65","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1038\/s41531-024-00755-6","article-title":"Assessing the clinical utility of inertial sensors for home monitoring in Parkinson's disease: a comprehensive review","volume":"10","author":"Sapienza","year":"2024","journal-title":"NPJ Parkinsons Dis."},{"key":"B66","doi-asserted-by":"publisher","first-page":"1879","DOI":"10.1007\/s12369-020-00742-w","article-title":"What do you mean by trust? Establishing shared meaning in interdisciplinary design for assistive technology","volume":"13","author":"Schwaninger","year":"2021","journal-title":"Int. J. Soc. Rob."},{"key":"B67","first-page":"1100","article-title":"Adoption of a nationwide shared medical record in France: lessons learnt after 5 years of deployment","volume":"2016","author":"S\u00e9roussi","year":"2017","journal-title":"AMIA Annu. Symp. Proc."},{"key":"B68","doi-asserted-by":"publisher","first-page":"2233","DOI":"10.1007\/s11606-025-09359-z","article-title":"Disparities in access and utilization of electronic health record patient portals","volume":"40","author":"Shah","year":"2025","journal-title":"J. Gen. Intern. Med."},{"key":"B69","doi-asserted-by":"publisher","first-page":"105688","DOI":"10.1016\/j.ijmedinf.2024.105688","article-title":"Healthcare professionals' cross-organizational access to electronic health records: a scoping review","volume":"193","author":"Skeidsvoll Solvang","year":"2025","journal-title":"Int. J. Med. Inform."},{"key":"B70","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1038\/s41746-025-01778-w","article-title":"Engagement and attrition in digital mental health: current challenges and potential solutions","volume":"8","author":"Smith","year":"2025","journal-title":"NPJ Digit. Med."},{"key":"B71","doi-asserted-by":"publisher","first-page":"1081087","DOI":"10.3389\/fmed.2023.1081087","article-title":"Early detection of Parkinson's disease through enriching the electronic health record using a biomedical knowledge graph","volume":"10","author":"Soman","year":"2023","journal-title":"Front. Med."},{"key":"B72","unstructured":"\u201cPatient Opportunities in the Estonian Electronic Health Record System,\u201d\n          \n          171\n          177\n          \n            \n              Tiik\n              M.\n            \n            \n              Ross\n              P.\n            \n          \n          Amsterdam\n          IOS Press\n          Medical and Care Compunetics 6\n          \n          2010"},{"key":"B73","unstructured":"Hybrid and virtual care: interest outstrips infrastructure\n          \n          \n            \n              Torous\n              J.\n            \n          \n          NEJM Catal.\n          \n          2025"},{"key":"B74","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1136\/eb-2018-102891","article-title":"Clinical review of user engagement with mental health smartphone apps: evidence, theory and improvements","volume":"21","author":"Torous","year":"2018","journal-title":"Evid. Based Ment. Health"},{"key":"B75","first-page":"1f","article-title":"The e-health literacy demands of Australia's My Health Record: a heuristic evaluation of usability","volume":"14","author":"Walsh","year":"2017","journal-title":"Perspect. Health Inf. Manag."},{"key":"B76","doi-asserted-by":"publisher","first-page":"905","DOI":"10.1186\/s12889-024-18423-y","article-title":"The individuals' awareness and adoption of electronic health records in China: a questionnaire survey of 1,337 individuals","volume":"24","author":"Xu","year":"2024","journal-title":"BMC Public Health"},{"key":"B77","doi-asserted-by":"publisher","first-page":"1202","DOI":"10.1186\/s12889-024-18431-y","article-title":"Medication adherence and costs of medical care among patients with Parkinson's disease: an observational study using electronic medical records","volume":"24","author":"Yi","year":"2024","journal-title":"BMC Public Health"},{"key":"B78","unstructured":"\u201cMeasuring user engagement in digital health interventions: a narrative review,\u201d\n          \n          \n            \n              Zhang\n              L.\n            \n            \n              Jewer\n              J.\n            \n            \n              Tulu\n              B.\n            \n          \n          AMCIS 2025 Proceedings\n          \n          2025"}],"container-title":["Frontiers in Aging Neuroscience"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnagi.2026.1817635\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T14:29:31Z","timestamp":1781533771000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnagi.2026.1817635\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,4]]},"references-count":78,"alternative-id":["10.3389\/fnagi.2026.1817635"],"URL":"https:\/\/doi.org\/10.3389\/fnagi.2026.1817635","relation":{},"ISSN":["1663-4365"],"issn-type":[{"value":"1663-4365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,4]]},"article-number":"1817635"}}