The NHS Information Technology (IT) and Social Care Review 2009: a
synopsis

Hayes, Glyn

doi:10.14236/jhi.v18i2.757

Cited by 11 publications

(10 citation statements)

References 2 publications

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“…There was a perception that there needed to be a reorganisation of working practices 71 76 90 139. Clinicians felt they needed to change the way that they wrote their medical records as they were now shared with their patients rather than using them as largely private professional aide memoire 72.…”

Section: Resultsmentioning

confidence: 99%

Patients’ online access to their electronic health records and linked online services: a systematic interpretative review

et al. 2014

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ObjectivesTo investigate the effect of providing patients online access to their electronic health record (EHR) and linked transactional services on the provision, quality and safety of healthcare. The objectives are also to identify and understand: barriers and facilitators for providing online access to their records and services for primary care workers; and their association with organisational/IT system issues.SettingPrimary care.ParticipantsA total of 143 studies were included. 17 were experimental in design and subject to risk of bias assessment, which is reported in a separate paper. Detailed inclusion and exclusion criteria have also been published elsewhere in the protocol.Primary and secondary outcome measuresOur primary outcome measure was change in quality or safety as a result of implementation or utilisation of online records/transactional services.ResultsNo studies reported changes in health outcomes; though eight detected medication errors and seven reported improved uptake of preventative care. Professional concerns over privacy were reported in 14 studies. 18 studies reported concern over potential increased workload; with some showing an increase workload in email or online messaging; telephone contact remaining unchanged, and face-to face contact staying the same or falling. Owing to heterogeneity in reporting overall workload change was hard to predict. 10 studies reported how online access offered convenience, primarily for more advantaged patients, who were largely highly satisfied with the process when clinician responses were prompt.ConclusionsPatient online access and services offer increased convenience and satisfaction. However, professionals were concerned about impact on workload and risk to privacy. Studies correcting medication errors may improve patient safety. There may need to be a redesign of the business process to engage health professionals in online access and of the EHR to make it friendlier and provide equity of access to a wider group of patients.A1. Systematic review registration numberPROSPERO CRD42012003091.

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Section: Resultsmentioning

confidence: 99%

Patients’ online access to their electronic health records and linked online services: a systematic interpretative review

et al. 2014

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“…For example, electronic infrastructures and applications, such as electronic health records (EHRs) and e-prescribing systems, and decision support tools are seen as altering the way healthcare professionals coordinate care and collaborate. Data warehouses and data analytics tools are described as facilitating medical research, planning and management of healthcare (Hayes, 2010). Health related sites and social networking applications, Personal Electronic Patient Records and disease management systems are promoted as enabling the transformation of passive patients into informed and empowered consumers of healthcare services, giving patients control over the management of and responsibility for their health (Murray et al, 2008;Hogarth et al, 2010).…”

Section: It Discoursementioning

confidence: 99%

Transforming healthcare: policy discourses of IT and patient-centred care

Klecuń

2016

European Journal of Information Systems

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Information Technology (IT) is increasingly seen in policy and academic literature as key to the modernization of healthcare provision and to making healthcare patient-centred. However, the concept of Patient-Centred Care (PCC) and the role of IT in the transformation of healthcare are not straightforward. Their meanings need unpacking in order to reveal assumptions behind different visions and their implications for IT-enabled healthcare transformation. To this end, this paper reviews literature on PCC and IT and analyses England's health policy between 1989 and 2013. English policy has set out to transform healthcare from organization-centric to patient-centred and has placed IT as central to this process. This policy vision is based on contested conceptualizations of PCC. IT implementation is problematic and this is at least partly because of the underpinning goals and visions of healthcare policy. If this misalignment is not addressed then producing technologically superior systems, or better IT implementation strategies, is unlikely to result in widespread and substantial changes to the way healthcare is delivered and experienced. For IT to support a healthcare service that is truly patient-centred, patients' needs and wants need to be identified and designed into IT-enabled services rather than simply added on afterwards.

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“…The need for systems in healthcare to support interoperability as well as data sharing makes it difficult to implement or develop systems without an architecture [50]. In the context of healthcare, Hayes argues that money can be saved if an architecture could be used to guide processes including the selection and deployment of IS/IT solutions [54].…”

Section: Enterprise Technical Architecturementioning

confidence: 99%

Towards Enterprise Technical Architecture for the Implementation of the South African NHI

Chitsa¹,

Iyamu²

2020

Adv. sci. technol. eng. syst. j.

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This paper provides an insight about the significance of the enterprise technical architecture (ETA) in enabling and supporting the implementation of the South African National Health Insurance (NHI). Design: Existing documentations from both academic and government domains were gathered, and analyzed using the hermeneutics technique, from the perspective of interpretivist approach. Based on the analysis, the paper reveals the cruciality of the ETA in the implementation of the Universal health coverage (NHC) in the South African environment. The paper is intended to be of use for the core stakeholders of the NHI, which include governments' administrations, IT specialists, health practitioners, as well as academics.

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The NHS Information Technology (IT) and Social Care Review 2009: a synopsis

Cited by 11 publications

References 2 publications

Patients’ online access to their electronic health records and linked online services: a systematic interpretative review

Patients’ online access to their electronic health records and linked online services: a systematic interpretative review

Transforming healthcare: policy discourses of IT and patient-centred care

Towards Enterprise Technical Architecture for the Implementation of the South African NHI

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