Perspectives of New Zealand patients and GPs at the beginning of patient portal implementation

ABSTRACT INTRODUCTIONNew Zealand health policy encourages patient access to their electronic medical records via portals. AIMTo discover patient and general practitioner (GP) perspectives of access to electronic medical records and e-messaging in the early portal implementation phase. METHODSIn 2014, Auckland primary health organisations and an Accident & Medical organisation were asked to invite their GPs to complete an online survey and consent for a researcher to attend their waiting room and invite patients to complete a survey. RESULTSIn total, 421 patients (13% Māori, 18% Pacific, 7% Asian, 53% NZ European/Other) participated from 13 general practices. Most (77%) knew they were entitled to see their medical records and 90% were interested in viewing them. Over two-thirds thought that viewing their records online and e-messaging their practice was a good idea. Over 80% disagreed that they would be worried, confused or embarrassed by seeing their records, with 59% expecting portals to facilitate understanding of their medical conditions. Internet security and privacy concerned 40% of patients. Among 83 GPs who completed the survey, six (7%) had already implemented portals. Few were comfortable to open up the whole health record, especially visit notes. While GPs thought that portal access may help patients better understand their plan of care, their main concerns related to causing confusion and worry. Portal implementation was expected to change GP documentation and increase practice workload and costs without demonstrable benefit to practices. DISCUSSIONAt the beginning of portal adoption, patients were interested. GPs were more reticent, unsure whether the benefits would outweigh the downsides for their patients and practice workload.

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A Secure E-Health System

International Journal of Scientific Research in Computer Science Engineering and Information Technology ◽

10.32628/cseit2063209 ◽

2020 ◽

pp. 1008-1010

Author(s):

Harshali Kulwal ◽

Pallavi Badhe ◽

Sneha Ingole ◽

Monika Madhure ◽

Archana. K

Keyword(s):

Electronic Medical Records ◽

Medical Records ◽

Medical Information ◽

Health Management ◽

Cost Effective ◽

Internet Security ◽

Security And Privacy ◽

Main Function ◽

Security Issues ◽

System Input

Existing Health Management Systems are faced with various security and privacy issues such as unauthorized Access to Patient Records, internet security issues, etc. The proposed system mainly focuses on the security of Electronic Medical Records . The purpose of the project entitled “A SECURE eHealth SYSTEM” is to develop software which is user-friendly, fast, and cost-effective. It deals with the collection of patient’s information, Doctor details, Medical information. Traditionally, it was done manually. The main function of the system is to register and store patient details, add symptom and doctor details and retrieve these details as and when required, and also to manipulate these details meaningfully. System input contains patient details, doctor details while system output is to appoint a doctor for the patient, display these details on the screen, securely generated electronic medical records, forward prescriptions to the medical store. The eHealth system can be entered using a unique ID generated during registration and password. It is accessible either by a doctor, patient, pharmacist. Only registered members add data into a database. The data can be retrieved easily. The data is well protected and the data processing becomes very fast.

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Maternity Patients' Access to Their Electronic Medical Records: Use and Perspectives of a Patient Portal

Health Information Management Journal ◽

10.1177/183335831504400101 ◽

2015 ◽

Vol 44 (1) ◽

pp. 4-11 ◽

Cited By ~ 11

Author(s):

Megan Forster ◽

Kerrie Dennison ◽

Joanne Callen ◽

Andrew Georgiou ◽

Johanna I. Westbrook

Keyword(s):

Electronic Medical Records ◽

Medical Records ◽

Patient Portal

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Electronic Medical Records and Public Perceptions

International Journal of Healthcare Information Systems and Informatics ◽

10.4018/jhisi.2013070103 ◽

2013 ◽

Vol 8 (3) ◽

pp. 38-57

Author(s):

Tarik Abdel-Monem ◽

Mitchel N. Herian ◽

Nancy Shank

Keyword(s):

Electronic Medical Records ◽

Medical Records ◽

Online Survey ◽

Public Attitudes ◽

Public Perceptions ◽

Deliberative Discussion ◽

The Impact ◽

Opinion Polls

Public attitudes about electronic medical records (EMRs) have been primarily gauged by one-time opinion polls. The authors investigated the impact of an interactive deliberative polling process on general attitudes towards EMRs and perceptions of governmental roles in the area. An initial online survey was conducted about EMRs among a sample of respondents (n = 138), and then surveyed a sub-sample after they had engaged in a deliberative discussion about EMR issues with peers and policymakers (n = 24). Significant changes in opinions about EMRs and governmental roles were found following the deliberative discussion. Overall support for EMRs increased significantly, although concerns about security and confidentiality remained. This indicates that one way to address concerns about EMRs is to provide opportunities for deliberation with policymakers. The policy and theoretical implications of these findings are briefly discussed within.

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Big data or big risk: general practitioner, practice nurse and practice manager attitudes to providing de-identified patient health data from electronic medical records to researchers

Australian Journal of Primary Health ◽

10.1071/py20153 ◽

2020 ◽

Vol 26 (6) ◽

pp. 466

Author(s):

Timothy Monaghan ◽

Jo-Anne Manski-Nankervis ◽

Rachel Canaway

Keyword(s):

Primary Care ◽

Health Information ◽

Electronic Medical Records ◽

Medical Records ◽

Health Data ◽

Positive Effects ◽

Patient Consent ◽

Patient Health ◽

General Practices ◽

Patient Health Information

Research utilising de-identified patient health information extracted from electronic medical records (EMRs) from general practices has steadily grown in recent years in response to calls to increase use of health data for research and other secondary purposes in Australia. Little is known about the views of key primary care personnel on this issue, which are important, as they may influence whether practices agree to provide EMR data for research. This exploratory qualitative study investigated the attitudes and beliefs of general practitioners (GPs), practice managers (PMs) and practice nurses (PNs) around sharing de-identified EMR patient health information with researchers. Semi-structured interviews were conducted with 11 participants (6 GPs, 3 PMs and 2 PNs) recruited via purposive sampling from general practices in Victoria, Australia. Transcripts were coded and thematically analysed. Participants were generally enthusiastic about research utilising de-identified health information extracted from EMRs for altruistic reasons, including: positive effects on primary care research, clinical practice and population health outcomes. Concerns raised included patient privacy and data breaches, third-party use of extracted data and patient consent. These findings can provide guidance to researchers and policymakers in designing and implementing projects involving de-identified health information extracted from EMRs.

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India Antimicrobial Stewardship and Resistance (INTEREST): A Needs Assessment Survey

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2020.878 ◽

2020 ◽

Vol 41 (S1) ◽

pp. s297-s298

Author(s):

Aditya Shah ◽

John OHoro ◽

Varun Shah ◽

Taru Dutt ◽

Sanjiv Shah ◽

...

Keyword(s):

Electronic Medical Records ◽

Antimicrobial Stewardship ◽

Medical Records ◽

Online Survey ◽

Data Access ◽

Diagnostic Techniques ◽

Easy Access ◽

Hospital Inpatient ◽

Stewardship Program ◽

Microbiological Data

Background: The emergence and spread of antimicrobial resistance is a major problem in India with significant knowledge on whether this is a systems–based, prescriber and patient characteristic based or diagnostic technologies–based issue. Methods: An electronic survey was sent to select distribution list of intensive care units (ICU) and hospital inpatient (medicine ward) providers from India. Survey questions included antimicrobial clinical practice data, access to electronic medical records, microbiological diagnostic techniques, and access to microbiology data. The survey focused on antimicrobial prescription trends and their association with diagnostic techniques. Results: There were 90 responses from 18 states in 65 ZIP codes. They had median of 187.5 beds (IQR, 40–470). Representative responders had a median age of 40 years (IQR, 31–53). Among the responders, 73 (81%) were men. Of the 90 responses, 48 providers (52%) practiced solely in ICUs (medical and surgical) and 40 providers (45%) practiced solely on the medical ward or floor, with the rest practicing in other units. In total, 31 centers (34%) reported full access to electronic medical records, and 53 centers (59%) had access to wi-fi or Internet. Interestingly, 27 centers (30%) needed to use personal provider phone data for Internet access. Only 26 centers (29%) had electronic microbiological data. Also, 63 respondents (70%) agreed to de-escalation behavior after receiving microbiological data. In addition, 55 respondents (61%) agreed that patients have easy access to outpatient antibiotics without an appropriate prescription, over the counter. Furthermore, 58 responders (64%) said that antibiotic resistance was a major problem at their center, and 61 responders (68%) were familiar with antimicrobial stewardship programs. Among the centers, 69 (77%) had no access to formal infectious disease programs at their center. Only 27 centers (30%) had a formal Clostridium difficile–associated infection reporting and control program. Only 28 centers (31%) had a formal occupational health program. Conclusions: In a large-scale, semistructured, online survey, most issues related to easy availability of antibiotics and lack of “electronization” of medical and microbiological records. It was reassuring that most providers expressed knowledge of the existing antimicrobial stewardship program.Funding: NoneDisclosures: None

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629Influenza-like illness surveillance in Australia: comparison of general practice data with laboratory-confirmed influenza notifications

International Journal of Epidemiology ◽

10.1093/ije/dyab168.072 ◽

2021 ◽

Vol 50 (Supplement_1) ◽

Author(s):

Carla Bernardo ◽

David Gonzalez ◽

Nigel Stocks

Keyword(s):

General Practice ◽

Electronic Medical Records ◽

Medical Records ◽

Research Network ◽

Practice Research ◽

Influenza Surveillance ◽

Surveillance Systems ◽

Australian General Practice ◽

General Practices ◽

Highly Correlated

Abstract Background Influenza is a respiratory infection responsible for 645,000 annual deaths worldwide. Surveillance systems provide valuable data for monitoring influenza in order to detect outbreaks and guide public health responses. This study aimed to investigate the epidemiology of influenza-like illness (ILI) using two Australian general practice databases (MedicineInsight and the Australian Sentinel Practice Research Network (ASPREN)) and compare them with laboratory-confirmed influenza from the National Notifiable Diseases Surveillance System (NNDSS). Methods All patients who had a consultation in MedicineInsight general practices or ASPREN and all laboratory-confirmed influenza reported by the NNDSS between 2015-2017 were included. Weekly ILI rates per 1,000 consultations (MedicineInsight/ASPREN) were compared with influenza notifications (NNDSS). Results Data was consistent among sources, with higher cases in 2017, among women and patients aged 20-49 years. The peak rate in MedicineInsight almost doubled in 2017 compared to 2015, while in ASPREN it was less pronounced. MedicineInsight ILI curves more closely resembled NNDSS patterns (shape, the start of the season, peaks) than ASPREN, although both were highly correlated with NNDSS (r = 0.90 to 0.97 and r = 0.88 to 0.98, respectively). Conclusions MedicineInsight and ASPREN provided consistent ILI results, both resembling confirmed influenza epidemic curves, suggesting the potential use of routinely collected electronic medical records (MedicineInsight) in influenza surveillance. MedicineInsight provides comprehensive medical data, such as underlying conditions, medications prescribed and vaccination status, which could be used to improve accuracy on influenza detection. Key messages Electronic medical records could be used to monitor ILI in combination with ASPREN for effective early detection of outbreaks.

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Electronic Medical Records and Public Perceptions

Public Affairs and Administration ◽

10.4018/978-1-4666-8358-7.ch102 ◽

2015 ◽

pp. 1987-2008

Author(s):

Tarik Abdel-Monem ◽

Mitchel N. Herian ◽

Nancy Shank

Keyword(s):

Electronic Medical Records ◽

Medical Records ◽

Online Survey ◽

Public Attitudes ◽

Public Perceptions ◽

Deliberative Discussion ◽

The Impact ◽

Opinion Polls

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HealthyBlock: Blockchain-Based IT Architecture for Electronic Medical Records Resilient to Connectivity Failures

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17197132 ◽

2020 ◽

Vol 17 (19) ◽

pp. 7132

Author(s):

Omar Gutiérrez ◽

Giordy Romero ◽

Luis Pérez ◽

Augusto Salazar ◽

Marina Charris ◽

...

Keyword(s):

Medical Record ◽

Electronic Medical Record ◽

Electronic Medical Records ◽

Medical Records ◽

Medical Information ◽

High Efficiency ◽

Electronic Medical Record System ◽

Security And Privacy ◽

Record System ◽

Treatment And Prevention

The current information systems for the registration and control of electronic medical records (EMR) present a series of problems in terms of the fragmentation, security, and privacy of medical information, since each health institution, laboratory, doctor, etc. has its own database and manages its own information, without the intervention of patients. This situation does not favor effective treatment and prevention of diseases for the population, due to potential information loss, misinformation, or data leaks related to a patient, which in turn may imply a direct risk for the individual and high public health costs for governments. One of the proposed solutions to this problem has been the creation of electronic medical record (EMR) systems using blockchain networks; however, most of them do not take into account the occurrence of connectivity failures, such as those found in various developing countries, which can lead to failures in the integrity of the system data. To address these problems, HealthyBlock is presented in this paper as an architecture based on blockchain networks, which proposes a unified electronic medical record system that considers different clinical providers, with resilience in data integrity during connectivity failure and with usability, security, and privacy characteristics. On the basis of the HealthyBlock architecture, a prototype was implemented for the care of patients in a network of hospitals. The results of the evaluation showed high efficiency in keeping the EMRs of patients unified, updated, and secure, regardless of the network clinical provider they consult.

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Development and preliminary evaluation of a patient portal messaging for research recruitment service

Journal of Clinical and Translational Science ◽

10.1017/cts.2018.10 ◽

2018 ◽

Vol 2 (1) ◽

pp. 53-56 ◽

Cited By ~ 7

Author(s):

Kelly T. Gleason ◽

Daniel E. Ford ◽

Diana Gumas ◽

Bonnie Woods ◽

Lawrence Appel ◽

...

Keyword(s):

Electronic Medical Records ◽

Medical Records ◽

Recruitment Strategy ◽

Preliminary Evaluation ◽

Patient Portal ◽

Patient Portals ◽

Enrollment Rate ◽

Research Recruitment ◽

Recruitment Methods ◽

Study Participants

IntroductionWe developed a service to identify potential study participants through electronic medical records and deliver study invitations through patient portals.MethodsThe service was piloted in a cohort study that used multiple recruitment methods.ResultsPatient portal messages were sent to 1303 individuals and the enrollment rate was 10% (n=127). The patient portal enrollment rate was significantly higher than email and post mail (4%) strategies.ConclusionPatient portal messaging was an effective recruitment strategy.

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