Attitudes toward inter-hospital electronic patient record exchange: discrepancies among physicians, medical record staff, and patients

Wang, Jong-Yi; Ho, Hao-Chung; Chen, Jen De; Chai, Sin-Kuo; Tai, Chih‐Jaan; Chen, Yung Fu

doi:10.1186/s12913-015-0896-y

Cited by 36 publications

(26 citation statements)

References 53 publications

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“…Analysis revealed that physician and medical care satisfaction were positively correlated with sense of protected confidentiality, while physician dissatisfaction was negatively correlated with sense of protected confidentiality. In line with this latter finding, confidentiality concerns were positively correlated with that of patients [20]. This current study found that most patients are comfortable with computer use on the inpatient psychiatric unit as it is used in patient care.…”

Section: Discussionsupporting

confidence: 83%

Patient Attitudes toward the Use of the Electronic Medical Record in an Acute Psychiatric Unit

Wise¹,

Sethi²,

Kim³

et al. 2019

J Psychiatry Treat Res

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Background: The increasing use of the electronic medical record (EMR) has been promoted to enhance communication between health care professionals and medical settings. A common criticism, however, has been the EMR's effect upon the doctor-patient relationship and patient satisfaction. Current literature on such effects of the EMR has primarily involved the outpatient setting. This study instead surveys patient attitudes toward the use of the EMR in an acute, inpatient psychiatric setting. Methods: A 13-item survey was administered to voluntary patients admitted to an acute psychiatric unit within a general hospital. Survey items were used to assess satisfaction with one's physician and medical care, sense of computer interference with the doctor-patient relationship, confidentiality concerns, and overall comfort with computer use on the unit. Results: Data analysis revealed that 87.2% of the surveyed patients were comfortable with the use of computers on the unit, with only 11.5% of patients strongly agreeing that the computer acted as a barrier between them and their psychiatrists. However, comfort with computer use was not significantly associated with the other survey subfactors. Significant correlations among subfactors were found between physician satisfaction and sense of protected confidentiality (r = 0.753, p = 0.01); between physician dissatisfaction and sense of protected confidentiality (r =-0.353, p = 0.05), confidentiality concerns (r = 0.438, p = 0.01

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Section: Discussionsupporting

confidence: 83%

Patient Attitudes toward the Use of the Electronic Medical Record in an Acute Psychiatric Unit

Wise¹,

Sethi²,

Kim³

et al. 2019

J Psychiatry Treat Res

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“…The sooner this can happen, the more reasonable it is to move the health system towards computer-only information systems. Perceived usefulness has emerged in the broader literature as an important determinant of EHIS success [25]. …”

Section: Discussionmentioning

confidence: 99%

Sustainability of health information systems: a three-country qualitative study in southern Africa

Moucheraud

Schwitters

Boudreaux

et al. 2017

BMC Health Serv Res

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BackgroundHealth information systems are central to strong health systems. They assist with patient and program management, quality improvement, disease surveillance, and strategic use of information. Many donors have worked to improve health information systems, particularly by supporting the introduction of electronic health information systems (EHIS), which are considered more responsive and more efficient than older, paper-based systems. As many donor-driven programs are increasing their focus on country ownership, sustainability of these investments is a key concern. This analysis explores the potential sustainability of EHIS investments in Malawi, Zambia and Zimbabwe, originally supported by the United States President’s Emergency Plan for AIDS Relief (PEPFAR).MethodsUsing a framework based on sustainability theories from the health systems literature, this analysis employs a qualitative case study methodology to highlight factors that may increase the likelihood that donor-supported initiatives will continue after the original support is modified or ends.ResultsFindings highlight commonalities around possible determinants of sustainability. The study found that there is great optimism about the potential for EHIS, but the perceived risks may result in hesitancy to transition completely and parallel use of paper-based systems. Full stakeholder engagement is likely to be crucial for sustainability, as well as integration with other activities within the health system and those funded by development partners. The literature suggests that a sustainable system has clearly-defined goals around which stakeholders can rally, but this has not been achieved in the systems studied. The study also found that technical resource constraints – affecting system usage, maintenance, upgrades and repairs – may limit EHIS sustainability even if these other pillars were addressed.ConclusionsThe sustainability of EHIS faces many challenges, which could be addressed through systems’ technical design, stakeholder coordination, and the building of organizational capacity to maintain and enhance such systems. All of this requires time and attention, but is likely to enhance long-term outcomes.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1971-8) contains supplementary material, which is available to authorized users.

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“…• Security and privacy: due to security and privacy concerns [44][45][46], many physicians and healthcare providers prefer to store patient records on computers or local systems that are not connected to the Internet [47]. Despite the benefits of large-scale HIE, a comparative study of the medical record exchange practices in Australia, Canada Germany, Netherlands, New Zealand, the UK and the US [48] revealed that Germany lacks a single approach for HIE and that healthcare software companies have achieved minimal success in their development of infrastructures where physicians can exchange clinical data due to security concerns.…”

Section: Healthcare System Challengesmentioning

confidence: 99%

IOT Service Utilisation in Healthcare

Dauwed¹,

Meri²

2019

IoT and Smart Home Automation [Working Title]

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Utilising the new trend technologies in healthcare sector could offer alternative ways in managing the patients' health records and also improve the healthcare quality. As such, this chapter provides an overview of utilising the Internet of Things (IoT) technology in healthcare sector as an emerging research and practical trend nowadays. The main benefits and advantages have been discussed in this chapter. On the other hand, it has been found that most of the hospitals in different countries are still facing many issues regarding their health information exchange. Recently, various studies in the area of healthcare information system mentioned that the fragmentations of the health information are one of the most important challenges with the distribution of patient information records. Therefore, in this chapter, we gave an in detail overview regarding the current issues facing the health sector in line with the IoT technologies. Additionally, a full description of advantages and disadvantages has been highlighted for using IoT in healthcare that can be considered as solutions for the mentioned issues.

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Attitudes toward inter-hospital electronic patient record exchange: discrepancies among physicians, medical record staff, and patients

Cited by 36 publications

References 53 publications

Patient Attitudes toward the Use of the Electronic Medical Record in an Acute Psychiatric Unit

Patient Attitudes toward the Use of the Electronic Medical Record in an Acute Psychiatric Unit

Sustainability of health information systems: a three-country qualitative study in southern Africa

IOT Service Utilisation in Healthcare

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