Usage Pattern Differences and Similarities of Mobile Electronic Medical Records Among Health Care Providers

Health care organizations around the world are recognizing the benefits of maintaining electronic medical records for patients with improved quality of service, free flow of information (across multiple locations), reduced cost of operations resulting in cost efficiencies, better health and efficient utilization of resources. Recognizing these benefits as opportunities, health care providers have or are in the process of migrating from paper-based health care records to electronic medical systems. This transition is not always free from challenges. This study presents recommendations for managing challenges with data conversion from paper form to electronic database based on a case study done by students from Colorado Technical University, Colorado Springs, CO, USA, for a prominent eye hospital in Jalna, India, using appreciative inquiry. The Culture, Administrative, Geographic and Economic (CAGE) framework at the industrial level is applied to evaluate the options considered for data conversion and transition.

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Psychological, Social and Technical Factors Influencing Electronic Medical Records Systems Adoption by U.S. Physicians: A Systematic Model

10.21203/rs.3.rs-36849/v1 ◽

2020 ◽

Author(s):

Raghid El-Yafouri ◽

Leslie Klieb ◽

Valérie Sabatier

Keyword(s):

United States ◽

Health Care ◽

Medical Care ◽

Electronic Medical Records ◽

Medical Records ◽

Service Providers ◽

Financial Burden ◽

The United States ◽

Care Providers ◽

Intention To Adopt

Abstract Background: Wide adoption of electronic medical records (EMR) systems in the United States can lead to better quality medical care at a lower cost. Despite the laws and financial subsidies by the U.S. government for service providers and suppliers, the adoption has been slow. Understanding the EMR adoption drivers for physicians and the role of policymaking can translate into increased adoption rate and enhanced information sharing between medical care providers. Methods: Physicians across the United States were surveyed to gather primary data on their psychological, social, and technical perceptions toward EMR systems. This quantitative study builds on the Theory of Planned Behavior, the Technology Acceptance Model, and the Diffusion of Innovation theory to propose, test, and validate an innovation adoption model for the health care industry. 382 responses were collected and data were analyzed via linear regression to uncover the effects of 12 variables on the intention to adopt EMR systems.Results: Regression model testing uncovers that government policymaking or mandates and other social factors have little or negligible effect on physicians’ intention to adopt an innovation. Rather, physicians are directly driven by their attitudes and ability to control, and indirectly motivated by their knowledge of the innovation, the financial ability to acquire the system, the holistic benefits to their industry, and the relative advancement of the system compared to others.Conclusions: A unidirectional mandate from the government is not sufficient for physicians to adopt an innovation. Government, health care associations, and EMR system vendors can benefit from our findings by working toward increasing the physicians’ knowledge of the proposed innovation, socializing how medical care providers and the overall industry can benefit from EMR system adoption, and solving for the financial burden of system implementation and sustainment.

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The Use of Medical Records in Research: What Do Patients Want?

The Journal of Law Medicine & Ethics ◽

10.1111/j.1748-720x.2003.tb00105.x ◽

2003 ◽

Vol 31 (3) ◽

pp. 429-433 ◽

Cited By ~ 53

Author(s):

Nancy E. Kass ◽

Marvin R. Natowicz ◽

Sara Chandros Hull ◽

Ruth R. Faden ◽

Laura Plantinga ◽

...

Keyword(s):

Health Care ◽

Health Care Providers ◽

Medical Records ◽

Medical Information ◽

Personal Information ◽

National Institutes Of Health ◽

Care Providers ◽

Electronic Information ◽

The Past ◽

Growing Body

In the past ten years, there has been growing interest in and concern about protecting the privacy of personal medical information. Insofar as medical records increasingly are stored electronically, and electronic information can be shared easily and widely, there have been legislative efforts as well as scholarly analyses calling for greater privacy protections to ensure that patients can feel safe disclosing personal information to their health-care providers. At the same time, the volume of biomedical research conducted in this country continues to grow. The budget of the National Institutes of Health, for example, was $20,298 million in 2001, having more than doubled from a budget of $9,218 million 10 years before. This growing body of research includes increased efforts to use stored medical records as a source of data for health services, epidemiologic, and clinical studies.

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Legal Protection of Patient Data Confidentiality Electronic Medical Records

SOEPRA ◽

10.24167/shk.v5i2.2427 ◽

2020 ◽

Vol 5 (2) ◽

pp. 198

Author(s):

Nabbilah Amir

Keyword(s):

Electronic Medical Records ◽

Health Care Providers ◽

Medical Records ◽

Positive Impact ◽

Electronic Devices ◽

Legal Protection ◽

Patient Data ◽

Care Providers ◽

Legal Certainty ◽

The Government

The use of electronic devices is inseparable from life today, entering the Industrial Revolution era where technological sophistication can replace human tasks, so the use of electronic devices can not only be found in domestic life, offices, and education but also in medical services. The various facilities offered by health care providers both hospitals and clinics in the form of technology utilization are increasingly rapidly becoming one of the electronic medical records that are expected to have a positive impact on reducing paper use. Medical records that used paper (conventional) were changed to electronic medical records. The purpose of this study is to find out and analyze the extent to which electronic medical records can protect the confidentiality of patient data and function as evidence in court in malpractice cases. This study uses normative legal research methods and uses the statute approach method. The results of this study indicate that there needs to be a concern from the government in providing legal certainty regarding the existence of electronic medical records, given that the application has been carried out by several hospitals and clinics in Indonesia. The government should provide standard legal certainty to the changes in conventional medical records to electronic medical records in the form of the issuance of specific laws and regulations regulating electronic medical records.

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Patient use of online medical records: an application of technology acceptance framework

Information and Computer Security ◽

10.1108/ics-07-2019-0076 ◽

2019 ◽

Vol 28 (1) ◽

pp. 97-115

Author(s):

Surma Mukhopadhyay ◽

Ramsankar Basak ◽

Darrell Carpenter ◽

Brian J. Reithel

Keyword(s):

Health Care ◽

Health Care Providers ◽

Medical Records ◽

Perceived Usefulness ◽

Security And Privacy ◽

Care Providers ◽

Content Type ◽

The Us ◽

Continued Use ◽

Patient Use

Purpose Little is known about factors that affect patient use of online medical records (OMR). Specifically, with rising vulnerability concerns associated with security and privacy breaches, patient use of OMR requires further attention. This paper aims to investigate patient use of OMR. Using the Unified Theory of Acceptance and Use of Technology (UTAUT), factors affecting continued use of OMR were examined. Design/methodology/approach The Health Information National Trends Survey 5 (HINTS 5), Cycle 1 data were used. This is an ongoing nation-wide survey sponsored by the National Cancer Institute (NCI) of the USA. The subjects were 31-74 years old with access to the Internet. Descriptive information was projected to the US population. Findings In total, 765 respondents representing 48.7 million members of the US population were analyzed. Weighted regression results showed significant effects of perceived usefulness, visit frequency and provider encouragement on continued use of OMR while vulnerability perception was not significant. Moderating effects of these variables were also noted. Perceived usefulness and provider encouragement emerged as important predictors. Practical implications Insights may help design interventions by health-care providers and policymakers. Social implications Insights should help patient empowerment and developers with designing systems. Originality/value This is the first study to examine health-care consumers’ continued use of OMR using nationally representative data and real-world patients, many of who have one or more chronic diseases (e.g. diabetes, hypertension, asthma) or are cancer survivors. Results highlight factors helping or hindering continuing OMR use. As such, insights should help identify opportunities to increase the extent of use, project future OMR usage patterns and spread the benefits of OMR, including bringing forth positive health outcomes.

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Attitudes of Military Health Care Providers Toward Proposed Automation of Outpatient Medical Records

Military Medicine ◽

10.1093/milmed/148.12.911 ◽

1983 ◽

Vol 148 (12) ◽

pp. 911-913

Author(s):

D. Stephen Nice ◽

Reynaldo I. Monzon

Keyword(s):

Health Care ◽

Health Care Providers ◽

Medical Records ◽

Care Providers ◽

Military Health ◽

Military Health Care

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Hospital Consent for Disclosure of Medical Records

The Journal of Law Medicine & Ethics ◽

10.1111/j.1748-720x.1998.tb01425.x ◽

1998 ◽

Vol 26 (3) ◽

pp. 241-248 ◽

Cited By ~ 4

Author(s):

Jon F. Merz ◽

Pamela Sankar ◽

Simon S. Yoo

Keyword(s):

Health Care ◽

Child Abuse ◽

Law Enforcement ◽

Patient Care ◽

Health Care Providers ◽

Medical Records ◽

General Rule ◽

Care Providers ◽

Bodily Harm ◽

Prior Consent

Physicians and other health care providers owe ethical and legal duties to patients to maintain the secrecy of the information learned during the course of patient care. This obligation is fulfilled by limiting access to such information to only those involved in the patient's care-that is, to those within the “circle of confidentiality.” As a general rule, providers may only disclose to others with the written prior consent of the patient. Exceptions may be “ethically and legally justified because of overriding social considerations,” when permitted or compelled by law. For example, eleven states permit providers to disclose identified records to approved researchers.’ Many states compel disclosure in cases where a patient threatens serious bodily harm to another; require reporting to health or law enforcement authorities of communicable diseases, gunshot or knife wounds, or child abuse; and mandate reporting of cancer or other health care cases to state registries (such as immunization, birth, and abortion).

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Longitudinal Health Care for Girls and Women With Turner Syndrome

Journal of the Endocrine Society ◽

10.1210/jendso/bvab048.1492 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. A733-A734

Author(s):

Priyanka Ghosh ◽

Zorkot Zeinab ◽

Selma Feldman Witchel ◽

Meredith Snook ◽

Svetlana Yatsenko

Keyword(s):

Health Care ◽

Pilot Study ◽

Health Outcomes ◽

Turner Syndrome ◽

Health Care Providers ◽

Medical Records ◽

Delayed Puberty ◽

Care Providers ◽

Monosomy X

Abstract Background Turner Syndrome (TS) is the most common chromosomal abnormality seen in females and is often diagnosed in childhood. The transition of patients with TS from pediatric to adult providers is characterized by inconsistency. As such, limited data are available to assess long term health outcomes of women with TS. Objectives: 1) To evaluate the long term health outcomes in women with TS followed at a single academic institution and 2) to establish clinical recommendations for evaluation, counseling, and planned transition of this population. Methods: A retrospective pilot study was performed by examining medical records of women with TS who presented with short stature or delayed puberty and were diagnosed with TS on the basis of cytogenetic analysis. Patients with monosomy X, mosaic monosomy X, or X chromosome structural abnormalities consistent with TS or mosaic TS diagnosis were included. Medical records from an academic children’s hospital and an affiliated women’s hospital were reviewed. Results: To date, 15 females aged 26-32 years were identified. Electronic records were available for 12/15 with age at diagnosis ranging from in utero to 15 years of age. Those with pediatric information available had documentation addressing use of growth hormone and pubertal hormone replacement therapies. Of the 12 patients, 11 had cardiac imaging performed; only one had an MRI. Consistent planned transition to adult health care providers was not evident. Of the 12 patients, 3 had consultation with a Reproductive Endocrinology and Infertility specialist; 3 had a diagnosis of anxiety or depression; 3 had a DEXA scan done (1 had osteopenia); 5 had dyslipidemia; and 2 developed insulin resistance. Conclusions: This pilot study confirms heterogeneity in practice patterns and variable interactions of women with TS with the healthcare system, especially as patients enter adulthood. Although some women were referred to subspecialists, our initial data uncover patient uncertainty about healthcare and transition recommendations. Our preliminary data indicate the need for early patient education in a collaborative, multi-disciplinary fashion. We plan to validate and extend our initial findings by reviewing additional medical records. Ultimately, we plan for expanded education, consistent surveillance recommendations, and planned transition of patients with TS from pediatrics to adult caregivers.

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Supporting Heart Transplantation Aftercare through Mobile Access to Medical Records: Feasibility and Usability of the App “Phellow”

10.21203/rs.3.rs-786689/v1 ◽

2021 ◽

Author(s):

Julia Müller ◽

Lina Weinert ◽

Laura Svensson ◽

Rasmus Rivinius ◽

Michael M. Kreusser ◽

...

Keyword(s):

Health Care ◽

Heart Transplantation ◽

Health Care Providers ◽

Outpatient Clinic ◽

Medical Records ◽

Routine Care ◽

Care Providers ◽

Mobile Access ◽

Usability Problems ◽

System Usability Scale

Abstract Background: Giving patients access to their medical records can improve health literacy, adherence to therapy, patients’ health-related self-care, doctor-patient communication, and quality of care. The application (app) phellow was developed to provide patients with mobile access to selected content of their medical records (i.e. physician letters, drug trough levels). It was tested at the heart transplantation (HTx) outpatient clinic at Heidelberg University Hospital among volunteer patients after heart transplantation as well as healthcare providers.Objective: The aims of this study were (1) to assess whether the phellow app can be effectively used by all users (usability) and (2) to determine if the app is feasible to be further implemented in routine care (feasibility). Methods: Usability was quantitatively measured through the System Usability Scale (SUS) among patients who actively used phellow. In addition, usability and feasibility were qualitatively measured through semi-structured guide-based interviews with patients (users, non-users) and health care providers from the HTx outpatient clinic. Quantitative data were analyzed descriptively and through correlation analyses. Qualitative data were pseudonymized, audiotaped, and transcribed verbatim. Themes were identified through thematic analysis.Results: The usability rating measured with the SUS questionnaire (N=31) was 79.9 (SD 14.1) which indicates a high usability. No statistically significant correlation was found between SUS scores and patients’ sociodemographic or phellow use characteristics. A more in-depth view on usability and feasibility was obtained from interviews with 16 patients and 7 health care providers (N=23). App appreciation, interest, and willingness-to-use were high. Tasks fit with clinic workflow and were perceived as clear. An improved technical support infrastructure, clearly defined responsibilities, and app-specific trainings were suggested for further implementation. Usability problems such as incompleteness of record, incomprehensible presentation of content, technical issues, and complex registration procedures were reported. Participants recommended usability improvements and suggested new functionalities.Conclusion: Despite some issues, usability of the phellow app was considered high. To be feasible for an implementation in routine care, usability problems should be solved. Accompanying research is crucial to monitor usability improvements and to assess effects of app use on patients and clinic workflow.

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Supporting Heart Transplantation Aftercare through Mobile Access to Medical Records: Feasibility and Usability of the App “phellow” (Preprint)

10.2196/preprints.28871 ◽

2021 ◽

Author(s):

Julia Müller ◽

Lina Weinert ◽

Laura Svensson ◽

Rasmus Rivinius ◽

Michael M Kreusser ◽

...

Keyword(s):

Health Care ◽

Heart Transplantation ◽

Health Care Providers ◽

Outpatient Clinic ◽

Medical Records ◽

Medical Staff ◽

Routine Care ◽

Care Providers ◽

Mobile Access ◽

Usability Problems

BACKGROUND Giving patients access to their medical records can improve health literacy, adherence to therapy, patients’ health-related self-care, doctor-patient communication, and quality of care. The application (app) phellow (“personal health fellow”) was developed to provide patients with mobile access to selected content of their medical records (i.e. physician letters, drug trough levels). It was tested at the heart transplantation (HTx) outpatient clinic at Heidelberg University Hospital among volunteer patients after heart transplantation from late 2018 onward. OBJECTIVE The aims of this study were (1) to assess whether the phellow app can be effectively used by all participating parties (usability) and (2) to determine if the app is feasible to be further implemented in routine care (feasibility). METHODS Usability was quantitatively measured through the System Usability Scale (SUS) among patients who actively used phellow. In addition, usability and feasibility were qualitatively measured through semi-structured guide-based interviews with patients (users, non-users) and health care providers (medical staff, physicians) from the HTx outpatient clinic. Quantitative data were analyzed descriptively and through correlation analyses. Qualitative data were pseudonymized, audiotaped, and transcribed verbatim. Themes were identified through thematic analysis. RESULTS The usability rating measured with the SUS questionnaire (n=31) was 79,9 (SD 14,1) which indicates a high usability. No statistically significant correlation was found between SUS scores and patients’ age, gender, or frequency or duration of phellow use. A more in-depth view on usability and feasibility was obtained from interviews with 16 patients (5 non-users, 11 users) and 7 health care providers (HCPs; 4 medical staff members, 3 physicians) (n=23). App appreciation, interest, and willingness-to-use were high. Tasks fit with clinic workflow and were perceived as clear. An improved technical support infrastructure, clearly defined responsibilities, and app-specific trainings were requested for further implementation. Usability problems such as incompleteness of record, incomprehensible presentation of content, technical issues (e.g. sudden app crashes), and complex registration procedures were reported. Participants recommended usability improvements (e.g. chronically plausible presentation of record content, simplified registration and log-in) and suggested new functionalities (e.g. access to full record, communication module, appointments, medication refill requests). CONCLUSIONS Despite some usability issues, usability of the phellow app was considered high. To be feasible for an implementation in routine care, usability problems should be solved. Accompanying research is crucial to monitor usability improvements and to assess effects of app use on patients and clinic workflow.

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