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The provider-patient relationship has been changed as a result of increased demands on provider's time and reimbursement methods. This has put a strain on the health education portion of physician's appointments and left many patients with a low health literacy. Background: Low health literacy has implications for patient satisfaction, and clinical outcomes. The Personal Health Record (PHR) may be an effective means to increase social capital in the form of provider-patient relationships and increase health literacy. Methods: This research focuses on areas of interest around the PHR and patient health literacy. Participants were asked to complete a survey including open ended questions regarding their feelings toward PHRs. Results: A qualitative analysis was conducted on surveys collected from 562 patients at a primary care physician's office. Three themes regarding patients' feelings about PHRs emerged from this study (1) convenience, (2) connectivity, (3) literacy. Discussion: The health care provider plays a significant role in the health literacy of his patients and the PHR can assist in the development of a strong provider-patient relationship. However, the PHR must address key areas to be an effective tool in primary care. Conclusion: This research suggests that the PHR is an important tool for health care managers to consider when discussing patient education and literacy. This tool has the ability to foster the provider-patient relationship and increase social capital.

Using the Personal Health Record to Improve Health Literacy: A Social Capital Perspective