“…Trust in the EHR portals is another commonly examined factor to understand how patient portals are used (Lyles et al, 2013;Sieck, Hefner, & McAlearney, 2018). Typically the trust of EHR portals could be summarized into two categories including trust in the systems itself or trust in the health information provided in the EHR systems (Simons, Fleischman, Zhan, Gao, & Xi, 2017). Patients' trust in EHR portals may be impacted by information accuracy, the speed at which information is updated, and the frequency of system downtime or system maintenance (Simons et al, 2017).…”