Abstract
ARTICLE HISTORY Electronic Personal Health Records (EPHRs) are potentially effective tools for improving the continuity and quality of care for migrants and refugees, and specifically for undocumented migrants (UDMs). However, little is known about the intention and preconditions of healthcare providers KEYWORDS Electronic personal health (HCPs) to use an EPHR for UDM in the Netherlands. Between April 2023 record; undocumented and June 2023, thirteen interviews, using a semi-structured topic guide, migrants; health inequalities; were conducted with Dutch HCPs. Open coding and axial coding were healthcare providers; used for data coding, organised using the Technology Acceptance migration Model (TAM). HCPs reported a positive user intention towards using an EPHR for UDMs, coupled with a cautious optimism regarding UDMs’ SUSTAINABLE willingness to use an EPHR. Actual usage was dependent on several DEVELOPMENT GOALS SDG3: Good health and wellpreconditions: establishing trust among HCPs and UDMs in the EPHR, being; SDG 10: Reduced implementing a highly secure system to protect UDM’s sensitive data, inequalities giving UDMs control over their EPHR, and using approaches to minimise dual record keeping and developing a user-friendly system. An EPHR shows promise to enhance continuity of care and quality for UDMs in the Netherlands. However, an EPHR should not be a prerequisite for receiving medical care but rather a supportive element in the provision of care. Abbreviations: Ahti: Amsterdam health & technology institute; EPHR: Electronic Personal Health Record; GZA: Gezondheidszorg Asielzoekers; HCP: Healthcare provider; PHR: Personal health record; NGO: Non- Governmental Organisation; TAM: Technology Acceptance Model; UDM: Undocumented Migrant