Consumers\u27 Perceptions of Patient-Accessible Electronic Medical Records

Background: Electronic health information (eHealth) tools for patients, including patient-accessible electronic medical records (patient portals), are proliferating in health care delivery systems nationally. However, there has been very limited study of the perceived utility and functionality of portals, as well as limited assessment of these systems by vulnerable (low education level, racial/ethnic minority) consumers. Objective: The objective of the study was to identify vulnerable consumers’ response to patient portals, their perceived utility and value, as well as their reactions to specific portal functions. Methods: This qualitative study used 4 focus groups with 28 low education level, English-speaking consumers in June and July 2010, in New York City. Results: Participants included 10 males and 18 females, ranging in age from 21-63 years; 19 non-Hispanic black, 7 Hispanic, 1 non-Hispanic White and 1 Other. None of the participants had higher than a high school level education, and 13 had less than a high school education. All participants had experience with computers and 26 used the Internet. Major themes were enhanced consumer engagement/patient empowerment, extending the doctor’s visit/enhancing communication with health care providers, literacy and health literacy factors, improved prevention and health maintenance, and privacy and security concerns. Consumers were also asked to comment on a number of key portal features. Consumers were most positive about features that increased convenience, such as making appointments and refilling prescriptions. Consumers raised concerns about a number of potential barriers to usage, such as complex language, complex visual layouts, and poor usability features. Conclusions: Most consumers were enthusiastic about patient portals and perceived that they had great utility and value. Study findings suggest that for patient portals to be effective for all consumers, portals must be designed to be easy to read, visually engaging, and have user-friendly navigation

The Automation of Software Development Metrics

With the push to streamline medical records and the use of electronic medical records system technology on the rise, successful implementation is important. The push is due in part for the need to reduce unnecessary paperwork, increase reimbursement, increase quality of medical records and increase overall quality of care. Factors to consider are the effects of implementation on quality of care, quality of medical records, physician and staff perceptions, working conditions, patient satisfaction, cost and barriers. Implementation may have a positive, negative or neutral effect on these factors making the need to review literature and report outcomes significant

Electronic Medical Records: A Systematic Review of Published Reports on the Effect of Implementation in Primary Care/Office-Based Settings

With the push to streamline medical records and the use of electronic medical records system technology on the rise, successful implementation is important. The push is due in part for the need to reduce unnecessary paperwork, increase reimbursement, increase quality of medical records and increase overall quality of care. Factors to consider are the effects of implementation on quality of care, quality of medical records, physician and staff perceptions, working conditions, patient satisfaction, cost and barriers. Implementation may have a positive, negative or neutral effect on these factors making the need to review literature and report outcomes significant

Patient perceptions of electronic medical records use and ratings of care quality

Purpose: Despite considerable potential for improving health care quality, adoption of new technologies, such as electronic medical records (EMRs), requires prudence, to ensure that such tools are designed, implemented, and used meaningfully to facilitate patient-centered communication and care processes, and better health outcomes. The association between patients’ perceptions of health care provider use of EMRs and health care quality ratings was assessed.\ud Method: Data from two iterations of the Health Information National Trends Survey, fielded in 2011 and 2012, were pooled for these analyses. The data were collected via mailed questionnaire, using a nationally representative listing of home addresses as the sampling frame (n=7,390). All data were weighted to provide representative estimates of quality of care ratings and physician use of EMR, in the adult US population. Descriptive statistics, t-tests, and multivariable linear regression analyses were conducted.\ud Results: EMR use was reported significantly more frequently by females, younger age groups, non-Hispanic whites, and those with higher education, higher incomes, health insurance, and a usual source of health care. Respondents who reported physician use of EMRs had significantly higher ratings of care quality (Beta=4.83, standard error [SE]=1.7, P<0.01), controlling for sociodemographic characteristics, usual source of health care, and health insurance status.\ud Conclusion: Nationally representative data suggest that patients’ perceptions of EMR use are associated with their perceptions of the quality of the health care they receive

Patient Perceptions of Electronic Medical Record Use by Doctors in GMC Health Center Clinic

Effective communication between doctor and patient is needed to obtain optimal results for patient recovery. The GMC Health Center clinic applies Electronic Medical Records (EMR) to support comprehensive health services. EMR has a positive impact on doctors but is not so felt by patients. This study aims to analyze patient perceptions of EMR use by doctors in GMC Health Center Clinic. This research is an analytic survey with a cross-sectional design. Sampling by accidental sampling with a total of 91 patients. Research variables include patient perceptions of the use of EMR by doctors and patient satisfaction. Data analysis was carried out in univariate and bivariate with the Pearson Product-Moment correlation test using SPSS Software.   The results showed that patients who were satisfied with the use of EMR by doctors mostly had a positive perception of EMR (76.6%). Pearson Product-Moment correlation test showed that there was a significant relationship between patients' perceptions of the use of EMR with patient satisfaction (p-value&lt;α=0.05; r=0.689). The perception of the EMR communication function has a greater correlation with patient satisfaction (72%) than the perception of the clinical function of EMR (48.2%). The conclusion is patients have a positive perception of the use of EMR by doctors and also proven by the high level of patient satisfaction. Doctors should continue to improve communication and focus on patients when using EMR. Keyword:   Electronic Medical Records, Patient, Perception

Patient care experiences and perceptions of the patient-provider relationship: A mixed method study

Improving interpersonal continuity of care—the personal relationship forged between a patient and their primary care provider (PCP) over time—is often considered a goal of primary care. Continuity of care is frequently assessed in terms of longitudinal continuity, or the proportion of encounters with one practitioner, overlooking aspects of the patient-provider relationship that are key to interpersonal continuity of care. Further, few studies explore patients’ perspectives regarding which care experiences enhance or detract from the patient-provider relationship. This study, using focus group interviews, a patient experience CAHPS-PCMH survey, and electronic medical records, explored how patients’ experiences at 10 primary care clinics influenced their perceptions of their relationship with their PCPs. Focus group interviews with 63 participants indicated that patients’ experiences in the clinics, such as wait-times, influenced their perceptions of the patient-provider relationship. The relationship between patient experience and interpersonal continuity was empirically assessed using survey responses and medical records (n=645). We used patients’ perceptions that their provider knows them as a person as a measure of interpersonal continuity. Logistic regression results indicated that being seen within 15 minutes, receiving visit reminders, effective provider communication, and satisfaction, positively influenced patient perceptions of the patient-provider relationship. Furthermore, patients’ care experiences shaped their perceptions of the patient-provider relationship independent of their satisfaction with care. The mixed methods design adds depth to our understanding of patients’ care experiences, and illustrates that these experiences are critical for understanding the patient-provider relationship. Future research on interpersonal continuity should take patient experiences into account

Patient Perception of Privacy and the Role of Electronic Medical Records

In order to better manage patient records, hospitals and health care settings across the nation have begun to implement electronic medical record systems (EMR). The purpose of this transition is to reduce excessive amounts of paper, to decrease administrative costs, and to increase the overall quality of care. With the implementation of the EMR, relationships between physicians and their patients have the potential to change. Research has shown that patient perceptions are changing regarding confidentiality, trust, and privacy in the doctor-patient relationship because of patient medical records being stored electronically as opposed to being locked away in a file cabinet. Building on these findings, I analyze in-depth interviews of patients (N=44) to explore patient perceptions of EMRs and Privacy. The purpose of this research is to discover how patients perceive EMR, how they perceive privacy, and how they think the EMR plays a role in that privacy perception. I found two types of trust that have arisen due to EMR implementation, interpersonal trust and institutional trust. These types of trust are involved with providing the foundation for the formation of privacy perceptions. When patients are not concerned with the inappropriate exposure of their personal health information and perceive that the privacy of their records stored in the EMR is being adequately protected, they are much more likely to perceive trust and privacy with their physician and/or within their health care setting, and will be more likely to disclose their personal health information, which will lead to better patient care

Rekam Medis Elektronik sebagai Pendukung Manajemen Pelayanan Pasien di RS Universitas Gadjah Mada

Electronic Medical Records (EMR) is a digital repository of administrative and medical data to support integrated health services. EMR can be used to support case management activities such as identification, care coordination, patient progress monitoring, and provide cost-effective interventions. One of main factor in information system implementation is users. Based on users’ perceptions, recommendations can be made. It’s used to maximize the adoption and development of EMR. The purpose of this study to explore the users’ perceived benefits of EMR implementation to support case management. This research is a qualitative research with a case study design. Informants were EMR users, namely doctors, nurse, pharmacist, medical record officer, and laboratory assistant. They were selected through purposive sampling technique. We conducted face-to-face semi-structured interviews and observation. This research used an interview guide with open-ended questions and an observation guide. Results showed benefits of EMR were support patient safety, reduce duplicate examinations, continuity of care, patient care efficiency, and collaboration among health professionals. It is suggested to develop a patient reminder feature and periodic staff training

Interpretive flexibility along the innovation decision process of the UK NHS Care Records Service (NCRS): Insights from a local implementation case study

Interpretive flexibility is a term used to describe the diverse perspectives on what a technology is and can or can not do during the process of technological development. In this article, we look at how interpretive flexibility manifests through the diverse perceptions of stakeholders involved in the diffusion and adoption of the NHS Care Records Service (NCRS). Our analysis shows that while the policy makers acting upon the application of details related to the implementation of the system, the potential users are far behind the innovation decision process, namely at the knowledge or persuasion stages. We use data from a local heath authority from a county close to London. The research explores, compares, and evaluates contrasting views on the systems implementation at the local as well as national level. We believe that our analysis is useful for NCRS implementation strategies, in particular, and technology diffusion in large organisations, in general

Annotated Bibliography: Understanding Ambulatory Care Practices in the Context of Patient Safety and Quality Improvement.

The ambulatory care setting is an increasingly important component of the patient safety conversation. Inpatient safety is the primary focus of the vast majority of safety research and interventions, but the ambulatory setting is actually where most medical care is administered. Recent attention has shifted toward examining ambulatory care in order to implement better health care quality and safety practices. This annotated bibliography was created to analyze and augment the current literature on ambulatory care practices with regard to patient safety and quality improvement. By providing a thorough examination of current practices, potential improvement strategies in ambulatory care health care settings can be suggested. A better understanding of the myriad factors that influence delivery of patient care will catalyze future health care system development and implementation in the ambulatory setting