Abstract
The widespread adoption of Electronic Health Records (EHR) in the United States offers a transformative opportunity to enhance patient-provider interactions, yet the impact on the quality of care for older adults remains unclear. This study delves into how EHR use influences quality of care and whether Patient-Centered Communication (PCC) mediates this relationship, considering age and gender differences among adults 65 and older. Using data from the 2018–2020 HINTS survey, path analysis showed a significant indirect effect through PCC in the full sample (a*b = 0.12, p < .05). In addition, there were significant effects of PCC on quality of care in the full sample and all age and gender strata (p < .05). Remarkably, PCC mediates this relationship more strongly among individuals over 70 (a*b = 0.14, p < .05). These results highlight the demographic differences in how EHRs and PCC contribute to healthcare experiences in older adults, underscoring the need for tailored EHR design and communication strategies.
| Original language | English |
|---|---|
| Pages (from-to) | 767-777 |
| Number of pages | 11 |
| Journal | Journal of Applied Gerontology |
| Volume | 45 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Apr 2026 |
Keywords
- electronic health records
- health information technology
- older adults
- online medical record
- patient portal
- patient-centered communication
- quality of care
ASJC Scopus subject areas
- Gerontology
- Geriatrics and Gerontology
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