Delbanco T et al, Annals of internal medicine, 157(7)
BACKGROUND
Little information exists about what primary care physicians (PCPs) and patients experience if patients are invited to read their doctors’ office notes.
OBJECTIVE
To evaluate the effect on doctors and patients of facilitating patient access to visit notes over secure Internet
[ More ]
Pagliari C et al, JRSM short reports, 3(5)
OBJECTIVES
To explore the integration of online patient Record Access within UK Primary Care, its perceived impacts on workload and service quality, and barriers to implementation.
DESIGN
Mixed format survey of clinicians, administrators and patients. Telephone interviews with non-users.
SETTING
Primary care centres within NHS England that had offered online record access for the preceding year.
[ More ]
Rebecca Todd, e-Health Insider
“Four TPP practices are piloting a scheme to provide patients with access to their health records online; but the company’s clinical director has said many GPs still have concerns.
[ More ]
Beth Walsh, CMIO
“The migration from paper charts to EMRs offers the opportunity to provide access to patients, consultants and other caregivers. Electronic records also offer potential for greater transparency, improved efficiency and decreased costs.
[ More ]
Walker J et al, Annals of Internal Medicine, 155(12)
Background:
Little is known about what primary care physicians (PCPs) and patients would expect if patients were invited to read their doctors’ office notes.
Objective:
To explore attitudes toward potential benefits or harms if PCPs offered patients ready access to visit notes.
Design:
he PCPs and patients completed surveys before joining a voluntary program that provided electronic links to doctors’ notes.
[ More ]
Rosalía Sierra, Diario Médico
“El Servicio Canario de la Salud (SCS) ha decidido integrar sus aplicaciones de gestión de la historia clínica y administrativa Drago-AP, así como el sistema de información de receta electrónica de los centros de salud de atención primaria.
[ More ]
El Médico Interactivo
“La Historia Clínica Electrónica estará implantada en todos los centros de Atención Primaria de Logroño este lunes, día 19 de julio, si bien habrá que esperar hasta finales de año para que este sistema informático denominado ‘SELENE AP’ se extienda al resto de los centros de atención primaria de La Rioja.
[ More ]
Protti, Denis et al, International Journal of Medical Informatics, 78(4)
Background
It is generally acknowledged that Denmark is one, if not the, leading country in terms of the use of information technology by its primary care physicians. Other countries, notably excluding the United States and Canada, are also advanced in terms of electronic medical records in general practitioner offices and clinics.
[ More ]
Zhou, Yi Yvonne et al, The American Journal of Managed Care, 13(7)
Objective:
To determine whether patient access to secure patient-physician messaging affects annual adult primary care office visit and documented telephone contact rates.
Study Design:
Retrospective cohort and matched-control studies with pre-post analysis.
[ More ]
Powell J et al, Informatics in Primary Care, 14(1)
The introduction of a national electronic health record system to the National Health Service (NHS) has raised concerns about issues of data accuracy, security and confidentiality. The primary aim of this project was to identify the extent to which primary care patients will allow their local electronic record data to be shared on a national database. The secondary aim was to identify the extent of inaccuracies in the existing primary care records, which will be used to populate the new national Spine. Fifty consecutive attenders to one general practitioner were given a paper printout of their full primary care electronic health record. Participants were asked to highlight information which they would not want to be shared on the national electronic database of records, and information which they considered to be incorrect. There was a 62% response rate (31/50). Five of the 31 patients (16%) identified information that they would not want to be shared on the national record system. The items they identified related almost entirely to matters of pregnancy, contraception, sexual health and mental health. Ten respondents (32%) identified incorrect information in their records (some of these turned out to be correct on further investigation).
[ More ]
Pyper C et al, Medical Science Monitor, 10(11)
BACKGROUND
The NHS is moving towards electronic access to health records for patients from 2004 and needs to involve patients in the development process. The aim of the study was to explore the views of a large sample of patients about online access to EPRs and health information in primary care. Areas covered included: accuracy rights of access; security; confidentiality and smart cards.
MATERIAL/METHODS
The questionnaire was sent to 1050 patients selected at random from the practice list after stratification for age and sex.
[ More ]
Pyper C et al, The British Journal of General Practice, 54(498)
BACKGROUND
Patient access to on-line primary care electronic patient records is being developed nationally. Knowledge of what happens when patients access their electronic records is poor.
AIM
To enable 100 patients to access their electronic records for the first time to elicit patients’ views and to understand their requirements.
DESIGN OF STUDY
In-depth interviews using semi-structured questionnaires as patients accessed their electronic records, plus a series of focus groups.
[ More ]
Ross SE et al, J Med Internet Res, 7(2)
Background:
Middle class populations have supported shared medical records, including Internet-accessible medical records. The attitudes of lower income populations, and of physicians, are less clear.
[ More ]
Hippisley-Cox, Julia et al, BMJ, 2003;326
Objectives
To determine whether paperless medical records contained less information than paper based medical records and whether that information was harder to retrieve.
[ More ]
Smith, Peter C. et al, JAMA, Vol. 293 No. 5
Context
The coordinating function of primary care is information-intensive and may be impeded by missing clinical information. However, missing clinical information has not been explicitly investigated in the primary care setting.
[ More ]
General
Definitions
Benefits
Research
Systems
Ethical/Social
Legal
Country overview
Educational Videos
WHO submission
