Empowerment of patients and communication with health care professionals through an electronic health record

BACKGROUND The implementation of a personal electronic health record (PHR) is a central objective of digitalization policies in the German health care system. Corresponding legislation was passed with the 2015 Act for Secure Digital Communication and Applications in the Health Sector (eHealth Act). However, compared with other European countries, Germany still lags behind concerning the implementation of a PHR. OBJECTIVE In order to explore potential barriers and facilitators for the adoption of a PHR in routine health care in Germany, this paper aims to identify policies, structures, and practices of the German health care system that influence the uptake and use of a PHR. METHODS A total of 33 semistructured interviews were conducted with a purposive sample of experts: 23 interviews with different health care professionals and 10 interviews with key actors of the German health care system who were telematics, eHealth, and information technology experts (eHealth experts). The interviews were transcribed verbatim and subjected to a content analysis. RESULTS From the expert perspective, a PHR was basically considered desirable and unavoidable. At the same time, a number of challenges for implementation in Germany have been outlined. Three crucial themes emerged: (1) documentation standards: prevailing processes of the analog bureaucratic paper world, (2) interoperability: the plurality of actors and electronic systems, and (3) political structure: the lack of clear political regulations and political incentive structures. CONCLUSIONS With regard to the implementation of a PHR, an important precondition of a successful digitalization will be the precedent reform of the system to be digitized. Whether the recently passed Act for Faster Appointments and Better Care will be a step in the right direction remains to be seen.

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Multi-level analysis of electronic health record adoption by health care professionals: A study protocol

Implementation Science ◽

10.1186/1748-5908-5-30 ◽

2010 ◽

Vol 5 (1) ◽

Cited By ~ 14

Author(s):

Marie-Pierre Gagnon ◽

Mathieu Ouimet ◽

Gaston Godin ◽

Michel Rousseau ◽

Michel Labrecque ◽

...

Keyword(s):

Health Care ◽

Electronic Health Record ◽

Study Protocol ◽

Health Care Professionals ◽

Health Record ◽

Multi Level ◽

Electronic Health ◽

Level Analysis

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Web-based personal health records: the personal electronic health record (pEHR) multicentred trial

Journal of Telemedicine and Telecare ◽

10.1258/135763307781645086 ◽

2007 ◽

Vol 13 (1_suppl) ◽

pp. 32-34 ◽

Cited By ~ 7

Author(s):

George E Karagiannis ◽

Vasileios G Stamatopoulos ◽

Michael Rigby ◽

Takis Kotis ◽

Elisa Negroni ◽

...

Keyword(s):

Health Care ◽

Electronic Health Record ◽

Health Care Professionals ◽

Large Scale ◽

Study Groups ◽

Third Party ◽

Health Record ◽

User Friendliness ◽

Web Based ◽

Electronic Health

A multicentre trial of a Web-based personal electronic health record (pEHR) service was conducted in three different European hospitals. A total of 150 patients and 22 health-care professionals were involved. The service was customised according to the needs of three groups of patients who had congenital heart disease, Parkinson's disease and type 2 diabetes. Two structured questionnaires, one for patients and one for health-care professionals, were used to collect their views on the pEHR service. The questions were about usability and user friendliness, safety and trustworthiness, reliability, functionality, satisfaction and the potential revenue model of the service in the case of future deployment. Patients perceived the service as very motivating and felt that it could help them in managing their clinical information. Health-care professionals showed a very positive attitude towards the use of the service and its potential for future large-scale deployment. They were also keen to recommend the service to their patients. Both study groups were unwilling to pay for the service and preferred it to be sponsored by a third party (e.g. the National Health Service).

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Mental health care professionals’ appraisal of patients’ use of online access to their electronic health record: a qualitative study. (Preprint)

Journal of Medical Internet Research ◽

10.2196/28045 ◽

2021 ◽

Author(s):

Antonius Mattheus van Rijt ◽

Pauline Hulter ◽

Anne Marie Weggelaar-Jansen ◽

Kees Ahaus ◽

Bettine Pluut

Keyword(s):

Mental Health ◽

Health Care ◽

Qualitative Study ◽

Mental Health Care ◽

Electronic Health Record ◽

Health Care Professionals ◽

Health Record ◽

Online Access ◽

Electronic Health

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Digitalizing Health Services by Implementing a Personal Electronic Health Record in Germany: Qualitative Analysis of Fundamental Prerequisites From the Perspective of Selected Experts

Journal of Medical Internet Research ◽

10.2196/15102 ◽

2020 ◽

Vol 22 (1) ◽

pp. e15102 ◽

Cited By ~ 1

Author(s):

Sabrina Pohlmann ◽

Aline Kunz ◽

Dominik Ose ◽

Eva C Winkler ◽

Antje Brandner ◽

...

Keyword(s):

Health Care ◽

Electronic Health Record ◽

Health Care System ◽

Health Care Professionals ◽

Health Sector ◽

Health Record ◽

German Health Care System ◽

German Health ◽

Electronic Health ◽

Care System

Background The implementation of a personal electronic health record (PHR) is a central objective of digitalization policies in the German health care system. Corresponding legislation was passed with the 2015 Act for Secure Digital Communication and Applications in the Health Sector (eHealth Act). However, compared with other European countries, Germany still lags behind concerning the implementation of a PHR. Objective In order to explore potential barriers and facilitators for the adoption of a PHR in routine health care in Germany, this paper aims to identify policies, structures, and practices of the German health care system that influence the uptake and use of a PHR. Methods A total of 33 semistructured interviews were conducted with a purposive sample of experts: 23 interviews with different health care professionals and 10 interviews with key actors of the German health care system who were telematics, eHealth, and information technology experts (eHealth experts). The interviews were transcribed verbatim and subjected to a content analysis. Results From the expert perspective, a PHR was basically considered desirable and unavoidable. At the same time, a number of challenges for implementation in Germany have been outlined. Three crucial themes emerged: (1) documentation standards: prevailing processes of the analog bureaucratic paper world, (2) interoperability: the plurality of actors and electronic systems, and (3) political structure: the lack of clear political regulations and political incentive structures. Conclusions With regard to the implementation of a PHR, an important precondition of a successful digitalization will be the precedent reform of the system to be digitized. Whether the recently passed Act for Faster Appointments and Better Care will be a step in the right direction remains to be seen.

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Business: The Electronic Health Record: Front Line Experience

Perspectives on Administration and Supervision ◽

10.1044/aas21.1.18 ◽

2011 ◽

Vol 21 (1) ◽

pp. 18-22

Author(s):

Rosemary Griffin

Keyword(s):

Health Care ◽

Information Technology ◽

Electronic Health Record ◽

Financial Incentives ◽

Best Practice ◽

Health Care Systems ◽

The United States ◽

Health Record ◽

Health Trends ◽

Electronic Health

National legislation is in place to facilitate reform of the United States health care industry. The Health Care Information Technology and Clinical Health Act (HITECH) offers financial incentives to hospitals, physicians, and individual providers to establish an electronic health record that ultimately will link with the health information technology of other health care systems and providers. The information collected will facilitate patient safety, promote best practice, and track health trends such as smoking and childhood obesity.

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Electronic Health Record Acceptance by Physicians: A Single Hospital Experience in Daily Practice

BioMedInformatics ◽

10.3390/biomedinformatics1010002 ◽

2021 ◽

Vol 1 (1) ◽

pp. 6-17

Author(s):

Andrija Pavlovic ◽

Nina Rajovic ◽

Jasmina Pavlovic Stojanovic ◽

Debora Akinyombo ◽

Milica Ugljesic ◽

...

Keyword(s):

Health Care ◽

Logistic Regression ◽

Electronic Health Record ◽

Technology Acceptance ◽

Daily Practice ◽

Ease Of Use ◽

Future Research ◽

Health Record ◽

Cross Sectional ◽

Electronic Health

Introduction: Potential benefits of implementing an electronic health record (EHR) to increase the efficiency of health services and improve the quality of health care are often obstructed by the unwillingness of the users themselves to accept and use the available systems. Aim: The aim of this study was to identify factors that influence the acceptance of the use of an EHR by physicians in the daily practice of hospital health care. Material and Methods: The cross-sectional study was conducted among physicians in the General Hospital Pancevo, Serbia. An anonymous questionnaire, developed according to the technology acceptance model (TAM), was used for the assessment of EHR acceptance. The response rate was 91%. Internal consistency was assessed by Cronbach’s alpha coefficient. A logistic regression analysis was used to identify the factors influencing the acceptance of the use of EHR. Results: The study population included 156 physicians. The mean age was 46.4 ± 10.4 years, 58.8% participants were female. Half of the respondents (50.1%) supported the use of EHR in comparison to paper patient records. In multivariate logistic regression modeling of social and technical factors, ease of use, usefulness, and attitudes towards use of EHR as determinants of the EHR acceptance, the following predictors were identified: use of a computer outside of the office for reading daily newspapers (p = 0.005), EHR providing a greater amount of valuable information (p = 0.007), improvement in the productivity by EHR use (p < 0.001), and a statement that using EHR is a good idea (p = 0.014). Overall the percentage of correct classifications in the model was 83.9%. Conclusion: In this research, determinants of the EHR acceptance were assessed in accordance with the TAM, providing an overall good model fit. Future research should attempt to add other constructs to the TAM in order to fully identify all determinants of physician acceptance of EHR in the complex environment of different health systems.

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Transitioning from one Electronic Health Record (EHR) to Another: A Narrative Literature Review

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/1541931218621112 ◽

2018 ◽

Vol 62 (1) ◽

pp. 489-493 ◽

Cited By ~ 2

Author(s):

Jason J. Saleem ◽

Jennifer Herout

Keyword(s):

Health Care ◽

Literature Review ◽

Electronic Health Record ◽

Health Care Systems ◽

Health Care Organization ◽

Data Migration ◽

Health Record ◽

Care Organization ◽

Healthcare Organizations ◽

Electronic Health

This paper reports the results of a literature review of health care organizations that have transitioned from one electronic health record (EHR) to another. Ten different EHR to EHR transitions are documented in the academic literature. In eight of the 10 transitions, the health care organization transitioned to Epic, a commercial EHR which is dominating the market for large and medium hospitals and health care systems. The focus of the articles reviewed falls into two main categories: (1) data migration from the old to new EHR and (2) implementation of the new EHR as it relates to patient safety, provider satisfaction, and other measures pre-and post-transition. Several conclusions and recommendations are derived from this review of the literature, which may be informative for healthcare organizations preparing to replace an existing EHR. These recommendations are likely broadly relevant to EHR to EHR transitions, regardless of the new EHR vendor.

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