The My Health Record (MyHR) Adoption in General Practices: Literature Review and Future Research Direction

Abstract

Digital health has significant potential in health and healthcare system improvement. My Health Record (MyHR), one of digital health solutions, has been one of the focus in Australia for past few years. Aiming to initiate a study of MyHR adoption in general practices, this paper brings up results of systematically reviewed literature. Four phased tool supported approach was employed and thematic analysis was conducted to describe the findings of the review. Three main themes were identified, focusing on MyHR system design/developments, its change management and evaluation. Evaluation was detailed further into eight sub themes related to MyHR intentions and outcomes, workflow conundrum, usability and effectiveness, awareness and knowledge, personal control, ethical considerations, impact of policy and economics and MyHR comparison worldwide. The literature drew a holistic picture about MyHR system and its adoption. There is some knowledge about the impacts of MyHR in the moral orders of the medical practices but the details and extent of this impact on general practices with this integration is noted as a gap, hence, setting direction for future research.

Advancing E-Health in Saudi Arabia: Calling for Smart Village Initiatives

“…Khan et al [17] studied Australia's My Health Record (MyHR), a fully digitized healthcare program, by examining the design of the overall system, its performance, and successes and failure points; and found that healthcare providers were slow to adopt the system, as they failed to recognize the personal benefits of the MyHR system to providers. The usability of the system for multiple users, including doctors, pharmacists, insurance providers etc., had not been highlighted enough during program implementation.…”

Enabling Patient Portals to Access Primary Care Medical Records: Maximizing Collaboration in Care Between Patients and Providers

“…Citizens are empowered to log in to a personal web space to book appointments, renew prescriptions, review medication records and health data and communicate with healthcare authorities. Clinicians are able to obtain records from hospitals, laboratory results and data from electronic patient records (Khan et al 2018).…”

“…Patient portals ideally should be designed with the goal of optimizing patients' ability to help themselves. The combined experience of countries that have implemented patient portals demonstrates the critical need for clinical engagement about health record content and standards (Khan et al 2018). Much of the value that patients derived from the use of portals will be directly affected by the attitudes and actions of physicians, nurse practitioners, nurses and pharmacists (Shah and Liebovitz 2017).…”