01749nas a2200157   4500000000100000000000100001008004100002100002800043700001900071700001700090700001600107245015100123300001200274490000700286520129800293       2021                            d1 aKristina Eriksson-Backa1 aNoora Hirvonen1 aHeidi Enwald1 aIsto Huvila00aEnablers for and Barriers to Using My Kanta - A Focus Group Study of Older Adults  Perceptions of the National Electronic Health Record in Finland  a399-4110 v463 aTo explicate how experiences with patient-accessible electronic health records correspond to the expectations of the users, we present qualitative results of older adults  experiences with the Finnish national patient- accessible health record My Kanta and similar services. 24 persons, 17 women and 7 men aged 55-73, took part in the study. We interviewed six focus groups of 3-5 participants with previous experience of My Kanta, in two cities in Finland. We used a convenience sample and video- and audio- recording as well as note taking. The interviews were transcribed verbatim. The inductive analysis was based on content analysis. We identified major uses, enablers, barriers, and outcomes of My Kanta. In addition to earlier reported barriers and enablers, the findings show that launch-time lack of useful content and features in systems still under development can cause frustration and hinder their effective use at the time and in the long run. Concerns and barriers relating to use were socio-techno-informational and tightly associated with the contents of the system. Improved security, usabil- ity and additional information and functions might increase use. Furthermore, coherent and timely information from health-care providers should be available in the e-health services.