scholarly journals Factors Facilitating or Hindering ‎ the Implementation of Electronic Health Records at Primary Health Care Units as Perceived by the Health Care Providers

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Elsyed Heba Mohamed Farrag ◽  
Bassiuoni Nora Ahmed ◽  
Hashish Ebtsam Abou
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Electronic Health Records ◽  
Health Care Providers ◽  
Care Providers ◽  
Health Records ◽  
Primary Health ◽  
Electronic Health

Impact of simulation training on self-efficacy of outpatient health care providers to use electronic health records

2015 ◽  
Vol 84 (6) ◽  
pp. 423-429 ◽  
Author(s):  
Jasna Vuk ◽  
Michael E. Anders ◽  
Cynthia C. Mercado ◽  
Robert L. Kennedy ◽  
Jessie Casella ◽  
...  
Keyword(s):  
Health Care ◽  
Electronic Health Records ◽  
Health Care Providers ◽  
Self Efficacy ◽  
Simulation Training ◽  
Care Providers ◽  
Health Records ◽  
Electronic Health

scholarly journals Health Complaints in Individual Visiting Primary Health Care: Population-Based National Electronic Health Records of Iran

2021 ◽  
Author(s):  
Farnaz Khatami ◽  
Mohammad Shariati ◽  
Zahra Abbasi ◽  
Taulant Muka ◽  
Leila Khedmat ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Electronic Health Records ◽  
Medical Schools ◽  
Population Based ◽  
Educational Planning ◽  
National Study ◽  
Health Records ◽  
Primary Health ◽  
Electronic Health

Abstract Background The mission of medical schools is a sustainable commitment to orient education, research, and services based on the priorities and expectations of society. The most common complaints of patients from comprehensive health service centers (CHSCs) based on the data from electronic health records were identified to determine primary health care (PHC) priorities for the educational planning of medical students in Iran. Methods A population-based national study was designed to assess clinical complaints of patients in all age groups who were referred at least once to CHSCs to be visited by physicians. All the data in the census were extracted from electronic health records in PHC system during 2015–2020, classified by the International Classification of Primary Care (ICPC-2), and statistically analyzed. The total number of complaints that recorded in system was 17,430,139. Results 59% of the referring patients were women. The highest number of referrals was related to the age group of 18–59 years (56.9%), while the lowest belonged to the elderly (13.3%). In all age and sex groups, the first ten complaints of patients with three top priorities in each category included process (follow-up, consultation, and results exam), digestive (toothache and gum complaint, abdominal pain, and diarrhea), respiratory (cough, sore throat, and runny nose), general (fever, pain, and weakness and fatigue), musculoskeletal (back pain, leg complaint, and knee injuries), endocrine and nutritional (weight gain, Feeding problem, and weight loss), cardiovascular (hypertension, palpitations, and Postural hypotension), neurological (headache, dizziness, and paralysis), sexual dysfunction (vaginal complaint, discharge, and irregular menstruation), and dermatological (pruritus, rash, and inflammation). Conclusion High priorities in referring to PHC had a key role in assessing the country's health needs. Since this study was in line with the national pattern of complaints and patients' profile, the present findings can be helpful to amend policy-making, educational planning and curricula development in medical schools.

scholarly journals Exploring Perceptions of Health Care Providers' Use of Electronic Advance Directive Forms in Electronic Health Records

2019 ◽  
Vol 45 (1) ◽  
pp. 17-21
Author(s):  
Bunmi Folarinde ◽  
Gregory Lynn Alexander ◽  
Colleen Galambos ◽  
Bonnie J. Wakefield ◽  
Amy Vogelsmeier ◽  
...  
Keyword(s):  
Health Care ◽  
Electronic Health Records ◽  
Health Care Providers ◽  
Advance Directive ◽  
Care Providers ◽  
Health Records ◽  
Electronic Health

scholarly journals Patient Use and Experience With Online Access to Electronic Health Records in Norway: Results From an Online Survey (Preprint)

2019 ◽  
Author(s):  
Paolo Zanaboni ◽  
Per Egil Kummervold ◽  
Tove Sørensen ◽  
Monika Alise Johansen
Keyword(s):  
Health Care ◽  
Electronic Health Records ◽  
Health Care Providers ◽  
National Health ◽  
Chronic Conditions ◽  
Online Survey ◽  
Health Condition ◽  
Care Providers ◽  
Health Records ◽  
Electronic Health

BACKGROUND The electronic health record (EHR) has been fully established in all Norwegian hospitals. Patient-accessible electronic health records (PAEHRs) are available to citizens aged 16 years and older through the national health portal Helsenorge. OBJECTIVE This study aimed at understanding how patients use PAEHRs. Three research questions were addressed in order to explore (1) characteristics of users, (2) patients’ use of the service, and (3) patient experience with the service. METHODS We conducted an online survey of users who had accessed their EHR online at least once through the national health portal. Patients from two of the four health regions in Norway were invited to participate. Quantitative data were supplemented by qualitative information. RESULTS A total of 1037 respondents participated in the survey, most of whom used the PAEHR regularly (305/1037, 29.4%) or when necessary (303/1037, 29.2%). Service utilization was associated with self-reported health, age, gender, education, and health care professional background. Patients found the service useful to look up health information (687/778, 88.3%), keep track of their treatment (684/778, 87.9%), prepare for a hospital appointment (498/778, 64.0%), and share documents with their general practitioner (292/778, 37.5%) or family (194/778, 24.9%). Most users found it easy to access their EHR online (965/1037, 93.1%) and did not encounter technical challenges. The vast majority of respondents (643/755, 85.2%) understood the content, despite over half of them acknowledging some difficulties with medical terms or phrases. The overall satisfaction with the service was very high (700/755, 92.7%). Clinical advantages to the patients included enhanced knowledge of their health condition (565/691, 81.8%), easier control over their health status (685/740, 92.6%), better self-care (571/653, 87.4%), greater empowerment (493/674, 73.1%), easier communication with health care providers (493/618, 79.8%), and increased security (655/730, 89.7%). Patients with complex, long-term or chronic conditions seemed to benefit the most. PAEHRs were described as useful, informative, effective, helpful, easy, practical, and safe. CONCLUSIONS PAEHRs in Norway are becoming a mature service and are perceived as useful by patients. Future studies should include experimental designs focused on specific populations or chronic conditions that are more likely to achieve clinically meaningful benefits. Continuous evaluation programs should be conducted to assess implementation and changes of wide-scale routine services over time.

HealthChain: A Blockchain for Electronic Health Records (Preprint)

2019 ◽  
Author(s):  
Yonggang Xiao ◽  
Yanbing Liu ◽  
Yunjun Wu ◽  
Tun Li ◽  
Xingping Xian ◽  
...  
Keyword(s):  
Health Care ◽  
Electronic Health Records ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Functional Requirements ◽  
Care Providers ◽  
Health Records ◽  
Blockchain Technology ◽  
Distributed Ledger ◽  
Electronic Health

BACKGROUND The maintenance of accurate health records of patients is a requirement of health care professionals. Furthermore, these records should be shared across different health care organizations in order for professionals to have a complete review of medical history and avoid missing important information. Nowadays, health care providers use electronic health records (EHRs) as a key to accomplishment of these jobs and delivery of quality care. However, there are technical and legal hurdles that prevent the adoption of these systems, such as the concern about performance and privacy issues. OBJECTIVE The aim of this paper is to build and evaluate an experimental blockchain for EHRs, named HealthChain, which addresses the disadvantages of traditional EHR systems. METHODS HealthChain is built based on consortium blockchain technology. Specifically, three stakeholders, namely hospitals, insurance providers, and governmental agencies, form a consortium that operates under a governance model, which enforces the business logic agreed by all participants. Peer nodes host instance of the distributed ledger consisting of EHRs, and instance of chaincode regulating the permissions of participants; designated orderers establish consensus on the order of EHRs and then disseminate blocks to peers. RESULTS HealthChain achieves the functional and non-functional requirements. While it can store EHRs in distributed ledger and share them among different participants, it demonstrates superior features, such as privacy preserving, security, and high throughout. These are the main reasons why HealthChain is proposed. CONCLUSIONS Consortium blockchain technology can help build EHR system and solve the problems that prevent the adoption of traditional ones.

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