In May 2020, the Office of the National Coordinator for Health IT (ONC) finalized federal rulemaking that aimed to increase the access, exchange, and use of electronic health information by patients and their caregivers (1). This rule implements key provisions of the 21st Century Cures Act that require certain certified health IT developers to adopt secure, standards-based application programming interfaces (APIs) that enable individuals to access and manage their health records using a smartphone health app of their choice (2). This brief analyzes data from the Health Information National Trends Survey (HINTS), a nationally representative survey of U.S. adults which was fielded from January 2020 through April 2020. These findings largely reflect pre-pandemic rates of individuals being offered and subsequently using their online medical record, also known as a patient portal. The brief also examines individuals' use of smartphone health apps to manage health information, and the role of provider encouragement in prompting individuals to use these tools.
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