scholarly journals Mental health care professionals’ appraisal of patients’ use of online access to their electronic health record: a qualitative study. (Preprint)

10.2196/28045 ◽  
2021 ◽  
Author(s):  
Antonius Mattheus van Rijt ◽  
Pauline Hulter ◽  
Anne Marie Weggelaar-Jansen ◽  
Kees Ahaus ◽  
Bettine Pluut
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Qualitative Study ◽  
Mental Health Care ◽  
Electronic Health Record ◽  
Health Care Professionals ◽  
Health Record ◽  
Online Access ◽  
Electronic Health

scholarly journals Mental health care professionals’ appraisal of patients’ use of online access to their electronic health record: a qualitative study. (Preprint)

2021 ◽  
Author(s):  
Antonius Mattheus van Rijt ◽  
Pauline Hulter ◽  
Anne Marie Weggelaar-Jansen ◽  
Kees Ahaus ◽  
Bettine Pluut
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Qualitative Study ◽  
Mental Health Care ◽  
Health Care Professionals ◽  
Health Record ◽  
Patient Portal ◽  
Patient Access ◽  
Patient Portals ◽  
Electronic Health

BACKGROUND Patients, in a range of health care sectors, can access their medical health record using a patient portal. In mental health care, the use of patient portals among mental health care professionals (MHCPs) remains low. MHCPs worry that patient access to electronic health records will negatively affect the patient’s wellbeing and their own workload. This study explores the appraisal work carried out by MHCPs shortly after the introduction of online patient access and sheds light on the challenges MHCPs face when trying to make a patient portal work for them, the patient, and their relationship. OBJECTIVE This study aims to provide insights into the appraisal work of MHCPs to assess and understand patient access to their electronic health record (EHR) through a patient portal. METHODS We conducted a qualitative study including ten semi-structured interviews (N=11) and a focus group (N=10). Participants were MHCPs from different professional backgrounds and staff employees (e.g., team leaders, communication advisor). We collected data on their opinions and experiences with the recently implemented patient portal and their attempts to modify work practices. RESULTS Our study provides insights into MHCPs’ appraisal work to assess and understand patient access to the EHR through a patient portal. Four topics emerge from our data analysis: 1) appraising the effect on the patient-professional relationship, 2) appraising the challenge of sharing and registering delicate information, 3) appraising patient vulnerability, and 4) redefining consultation routines and registration practices. CONCLUSIONS MHCPs struggle with the effects of online patient access and are searching for the best ways to modify their registration and consultation practices. Our study suggests various solutions to the challenges faced by MHCPs. To optimize the effects of online patient access to EHRs, MHCPs need to be involved in the process of developing, implementing, and embedding patient portals.

Cross-sectoral cancer care: views from patients and health care professionals regarding a personal electronic health record

2016 ◽  
Vol 26 (2) ◽  
pp. e12429 ◽  
Author(s):  
I. Baudendistel ◽  
E.C. Winkler ◽  
M. Kamradt ◽  
S. Brophy ◽  
G. Längst ◽  
...  
Keyword(s):  
Health Care ◽  
Electronic Health Record ◽  
Health Care Professionals ◽  
Cancer Care ◽  
Health Record ◽  
Electronic Health

scholarly journals Digitalizing Health Services by Implementing a Personal Electronic Health Record in Germany: Qualitative Analysis of Fundamental Prerequisites From the Perspective of Selected Experts (Preprint)

2019 ◽  
Author(s):  
Sabrina Pohlmann ◽  
Aline Kunz ◽  
Dominik Ose ◽  
Eva C Winkler ◽  
Antje Brandner ◽  
...  
Keyword(s):  
Health Care ◽  
Electronic Health Record ◽  
Health Care System ◽  
Health Care Professionals ◽  
Health Sector ◽  
Health Record ◽  
German Health Care System ◽  
German Health ◽  
Electronic Health ◽  
Care System

BACKGROUND The implementation of a personal electronic health record (PHR) is a central objective of digitalization policies in the German health care system. Corresponding legislation was passed with the 2015 Act for Secure Digital Communication and Applications in the Health Sector (eHealth Act). However, compared with other European countries, Germany still lags behind concerning the implementation of a PHR. OBJECTIVE In order to explore potential barriers and facilitators for the adoption of a PHR in routine health care in Germany, this paper aims to identify policies, structures, and practices of the German health care system that influence the uptake and use of a PHR. METHODS A total of 33 semistructured interviews were conducted with a purposive sample of experts: 23 interviews with different health care professionals and 10 interviews with key actors of the German health care system who were telematics, eHealth, and information technology experts (eHealth experts). The interviews were transcribed verbatim and subjected to a content analysis. RESULTS From the expert perspective, a PHR was basically considered desirable and unavoidable. At the same time, a number of challenges for implementation in Germany have been outlined. Three crucial themes emerged: (1) documentation standards: prevailing processes of the analog bureaucratic paper world, (2) interoperability: the plurality of actors and electronic systems, and (3) political structure: the lack of clear political regulations and political incentive structures. CONCLUSIONS With regard to the implementation of a PHR, an important precondition of a successful digitalization will be the precedent reform of the system to be digitized. Whether the recently passed Act for Faster Appointments and Better Care will be a step in the right direction remains to be seen.

scholarly journals Multi-level analysis of electronic health record adoption by health care professionals: A study protocol

2010 ◽  
Vol 5 (1) ◽  
Author(s):  
Marie-Pierre Gagnon ◽  
Mathieu Ouimet ◽  
Gaston Godin ◽  
Michel Rousseau ◽  
Michel Labrecque ◽  
...  
Keyword(s):  
Health Care ◽  
Electronic Health Record ◽  
Study Protocol ◽  
Health Care Professionals ◽  
Health Record ◽  
Multi Level ◽  
Electronic Health ◽  
Level Analysis

Web-based personal health records: the personal electronic health record (pEHR) multicentred trial

2007 ◽  
Vol 13 (1_suppl) ◽  
pp. 32-34 ◽  
Author(s):  
George E Karagiannis ◽  
Vasileios G Stamatopoulos ◽  
Michael Rigby ◽  
Takis Kotis ◽  
Elisa Negroni ◽  
...  
Keyword(s):  
Health Care ◽  
Electronic Health Record ◽  
Health Care Professionals ◽  
Large Scale ◽  
Study Groups ◽  
Third Party ◽  
Health Record ◽  
User Friendliness ◽  
Web Based ◽  
Electronic Health

A multicentre trial of a Web-based personal electronic health record (pEHR) service was conducted in three different European hospitals. A total of 150 patients and 22 health-care professionals were involved. The service was customised according to the needs of three groups of patients who had congenital heart disease, Parkinson's disease and type 2 diabetes. Two structured questionnaires, one for patients and one for health-care professionals, were used to collect their views on the pEHR service. The questions were about usability and user friendliness, safety and trustworthiness, reliability, functionality, satisfaction and the potential revenue model of the service in the case of future deployment. Patients perceived the service as very motivating and felt that it could help them in managing their clinical information. Health-care professionals showed a very positive attitude towards the use of the service and its potential for future large-scale deployment. They were also keen to recommend the service to their patients. Both study groups were unwilling to pay for the service and preferred it to be sponsored by a third party (e.g. the National Health Service).

scholarly journals User Perspectives on Barriers and Facilitators to the Implementation of Electronic Health Records in Behavioral Hospitals: Qualitative Study

10.2196/18764 ◽  
2021 ◽  
Vol 5 (4) ◽  
pp. e18764
Author(s):  
Se Young Jung ◽  
Hee Hwang ◽  
Keehyuck Lee ◽  
Donghyun Lee ◽  
Sooyoung Yoo ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Qualitative Study ◽  
Electronic Health Records ◽  
Mental Health Care ◽  
Mental Health Professionals ◽  
The United States ◽  
Barriers And Facilitators ◽  
Health Records ◽  
Electronic Health

Background Despite the rapid adoption of electronic health records (EHRs) resulting from the reimbursement program of the US government, EHR adoption in behavioral hospitals is still slow, and there remains a lack of evidence regarding barriers and facilitators to the implementation of mental health care EHRs. Objective The aim of this study is to analyze the experience of mental health professionals to explore the perceived barriers, facilitators, and critical ideas influencing the implementation and usability of a mental health care EHR. Methods In this phenomenological qualitative study, we interviewed physicians, nurses, pharmacists, mental health clinicians, and administrative professionals separately at 4 behavioral hospitals in the United States. We conducted semistructured interviews (N=43) from behavioral hospitals involved in the adoption of the mental health care EHR. Purposeful sampling was used to maximize the diversity. Transcripts were coded and analyzed for emergent domains. An exploratory data analysis was conducted. Results Content analyses revealed 7 barriers and 4 facilitators. The most important barriers to implementing the mental health care EHR were the low levels of computer proficiency among nurses, complexity of the system, alert fatigue, and resistance because of legacy systems. This led to poor usability, low acceptability, and distrust toward the system. The major facilitators to implementing the mental health care EHR were well-executed training programs, improved productivity, better quality of care, and the good usability of the mental health care EHR. Conclusions Health care professionals expected to enhance their work productivity and interprofessional collaboration by introducing the mental health care EHR. Routine education for end users is an essential starting point for the successful implementation of mental health care EHR electronic decision support. When adopting the mental health care EHR, managers need to focus on common practices in behavioral hospitals, such as documenting structured data in their organizations and adopting a seamless workflow of mental health care into the system.

Empowerment of patients and communication with health care professionals through an electronic health record

2003 ◽  
Vol 70 (2-3) ◽  
pp. 99-108 ◽  
Author(s):  
Frank Ueckert ◽  
Michael Goerz ◽  
Maximilian Ataian ◽  
Sven Tessmann ◽  
Hans-Ulrich Prokosch
Keyword(s):  
Health Care ◽  
Electronic Health Record ◽  
Health Care Professionals ◽  
Health Record ◽  
Electronic Health

scholarly journals Digitalizing Health Services by Implementing a Personal Electronic Health Record in Germany: Qualitative Analysis of Fundamental Prerequisites From the Perspective of Selected Experts

10.2196/15102 ◽  
2020 ◽  
Vol 22 (1) ◽  
pp. e15102 ◽  
Author(s):  
Sabrina Pohlmann ◽  
Aline Kunz ◽  
Dominik Ose ◽  
Eva C Winkler ◽  
Antje Brandner ◽  
...  
Keyword(s):  
Health Care ◽  
Electronic Health Record ◽  
Health Care System ◽  
Health Care Professionals ◽  
Health Sector ◽  
Health Record ◽  
German Health Care System ◽  
German Health ◽  
Electronic Health ◽  
Care System

Background The implementation of a personal electronic health record (PHR) is a central objective of digitalization policies in the German health care system. Corresponding legislation was passed with the 2015 Act for Secure Digital Communication and Applications in the Health Sector (eHealth Act). However, compared with other European countries, Germany still lags behind concerning the implementation of a PHR. Objective In order to explore potential barriers and facilitators for the adoption of a PHR in routine health care in Germany, this paper aims to identify policies, structures, and practices of the German health care system that influence the uptake and use of a PHR. Methods A total of 33 semistructured interviews were conducted with a purposive sample of experts: 23 interviews with different health care professionals and 10 interviews with key actors of the German health care system who were telematics, eHealth, and information technology experts (eHealth experts). The interviews were transcribed verbatim and subjected to a content analysis. Results From the expert perspective, a PHR was basically considered desirable and unavoidable. At the same time, a number of challenges for implementation in Germany have been outlined. Three crucial themes emerged: (1) documentation standards: prevailing processes of the analog bureaucratic paper world, (2) interoperability: the plurality of actors and electronic systems, and (3) political structure: the lack of clear political regulations and political incentive structures. Conclusions With regard to the implementation of a PHR, an important precondition of a successful digitalization will be the precedent reform of the system to be digitized. Whether the recently passed Act for Faster Appointments and Better Care will be a step in the right direction remains to be seen.

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