scholarly journals Real-Time Access to Electronic Health Record via a Patient Portal in a Tertiary Hospital: Is it Harmful? A Retrospective Mixed Methods Observational Study (Preprint)

2019 ◽  
Author(s):  
Savannah IR van Kuppenveld ◽  
Harmieke van Os-Medendorp ◽  
Nicole AM Tiemessen ◽  
Johannes JM van Delden
Keyword(s):  
Health Care ◽  
Electronic Health Record ◽  
Real Time ◽  
Health Care Professionals ◽  
Medical Information ◽  
Health Record ◽  
Patient Portal ◽  
Test Results ◽  
Negative Consequences ◽  
Negative Experiences

BACKGROUND The rapid implementation of patient portals, through which patients can view their electronic health record, creates possibilities for information exchange and communication between patients and health care professionals. However, real-time disclosure of test results and clinical reports poses a source of concern. OBJECTIVE This study aimed to examine negative experiences resulting from real-time disclosure of medical information through a patient portal. METHODS Data were collected over a 2-year period in 4 datasets consisting of incidents reported by health care professionals, complaints of patients, patient issues at a portal helpdesk, and a survey among health care professionals. Incidents, complaints, issues, and answers on the survey were counted and analyzed through an iterative process of coding. RESULTS Within the chosen time frame of 2 years, on average, 7978 patients per month logged into the portal at least once. The amount of negative incidents and complaints was limited. A total of 6 incidents, 4 complaints, and 2506 issues at the helpdesk concerning the patient portal were reported, of which only 2, 1, and 3 cases of these respective databases concerned real-time disclosure of medical information through the patient portal. Moreover, 32 out of 216 health care professionals reported patients that had negative experiences with real-time disclosure. Most negative consequences concerned confused and anxious patients when confronted with unexpected or incomprehensible results. CONCLUSIONS Real-time access through a patient portal did not substantially result in negative consequences. The negative consequences that did occur can be mitigated by adequate preparation and instruction of patients concerning the various functionalities of the patient portal, real-time disclosure of test results in particular, and can also be managed through educating health care professionals about the patient portal and making adjustments in the daily practice of health care professionals.

scholarly journals Real-Time Access to Electronic Health Record via a Patient Portal: Is it Harmful? A Retrospective Observational Study

10.2196/13622 ◽  
2020 ◽  
Vol 22 (2) ◽  
pp. e13622 ◽  
Author(s):  
Savannah IR van Kuppenveld ◽  
Harmieke van Os-Medendorp ◽  
Nicole AM Tiemessen ◽  
Johannes JM van Delden
Keyword(s):  
Health Care ◽  
Electronic Health Record ◽  
Real Time ◽  
Health Care Professionals ◽  
Medical Information ◽  
Health Record ◽  
Patient Portal ◽  
Test Results ◽  
Negative Consequences ◽  
Negative Experiences

Background The rapid implementation of patient portals, through which patients can view their electronic health record, creates possibilities for information exchange and communication between patients and health care professionals. However, real-time disclosure of test results and clinical reports poses a source of concern. Objective This study aimed to examine negative experiences resulting from real-time disclosure of medical information through a patient portal. Methods Data were collected over a 2-year period in 4 datasets consisting of incidents reported by health care professionals, complaints of patients, patient issues at a portal helpdesk, and a survey among health care professionals. Incidents, complaints, issues, and answers on the survey were counted and analyzed through an iterative process of coding. Results Within the chosen time frame of 2 years, on average, 7978 patients per month logged into the portal at least once. The amount of negative incidents and complaints was limited. A total of 6 incidents, 4 complaints, and 2506 issues at the helpdesk concerning the patient portal were reported, of which only 2, 1, and 3 cases of these respective databases concerned real-time disclosure of medical information through the patient portal. Moreover, 32 out of 216 health care professionals reported patients that had negative experiences with real-time disclosure. Most negative consequences concerned confused and anxious patients when confronted with unexpected or incomprehensible results. Conclusions Real-time access through a patient portal did not substantially result in negative consequences. The negative consequences that did occur can be mitigated by adequate preparation and instruction of patients concerning the various functionalities of the patient portal, real-time disclosure of test results in particular, and can also be managed through educating health care professionals about the patient portal and making adjustments in the daily practice of health care professionals.

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 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.

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).

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