Shared Electronic Health Records as Innovation

Author(s):  
Troy Pullen ◽  
Latif Al-Hakim

Based on the Diffusion of Innovation theory, this chapter addresses the following research question: Whether factors of diffusion of innovation theory influence care providers' willingness to adopt Shared Electronic Health Records (SEHRs). Data was collected through a self-administered questionnaire distributed to over 5000 active members of the Australian Medical Association Queensland. A total of 588 valid responses were received from currently active care providers in Queensland. Multiple regression analysis and Chi-Square analysis were conducted to test the research hypotheses and answer the research question. The data revealed that while 72% of those surveyed were willing to adopt SEHRs, significant differences existed between public and private sector care providers and across the various tiers of the health system. In relation to the factors influencing future willingness to adopt, the variables comprising relative advantage were shown to have a significant impact upon future willingness to adopt shared electronic health records. The findings from this chapter will benefit those responsible for the future introduction of SEHRs, specifically by allowing policy makers to target the factors that influence care providers' willingness to adopt.

2020 ◽  
pp. 1416-1449
Author(s):  
Troy Pullen ◽  
Latif Al-Hakim

Based on the Diffusion of Innovation theory, this chapter addresses the following research question: Whether factors of diffusion of innovation theory influence care providers' willingness to adopt Shared Electronic Health Records (SEHRs). Data was collected through a self-administered questionnaire distributed to over 5000 active members of the Australian Medical Association Queensland. A total of 588 valid responses were received from currently active care providers in Queensland. Multiple regression analysis and Chi-Square analysis were conducted to test the research hypotheses and answer the research question. The data revealed that while 72% of those surveyed were willing to adopt SEHRs, significant differences existed between public and private sector care providers and across the various tiers of the health system. In relation to the factors influencing future willingness to adopt, the variables comprising relative advantage were shown to have a significant impact upon future willingness to adopt shared electronic health records. The findings from this chapter will benefit those responsible for the future introduction of SEHRs, specifically by allowing policy makers to target the factors that influence care providers' willingness to adopt.


Author(s):  
Abdul Wahid Samadzai ◽  
David Lamas

In an environment of widespread demand in the healthcare system for the provision of equitable, achievable and safe healthcare, the use of information communication technology (ICT) is individual of the identified solutions to meet such expectations. The Electronic Health Record (EHR) is a main instrument towards achieving well healthcare using such technology, although, across the world EHR implementation has experienced a great failure rate. The aim of this research is to move from paper-based health record to some electronic health record. For achieving this aim, the researcher used diffusion of innovation theory.


2021 ◽  
Vol 27 (1) ◽  
pp. 146045822098003
Author(s):  
Tania Moerenhout ◽  
Ignaas Devisch ◽  
Laetitia Cooreman ◽  
Jodie Bernaerdt ◽  
An De Sutter ◽  
...  

Patient access to electronic health records gives rise to ethical questions related to the patient-doctor-computer relationship. Our study aims to examine patients’ moral attitudes toward a shared EHR, with a focus on autonomy, information access, and responsibility. A de novo self-administered questionnaire containing three vignettes and 15 statements was distributed among patients in four different settings. A total of 1688 valid questionnaires were collected. Patients’ mean age was 51 years, 61% was female, 50% had a higher degree (college or university), and almost 50% suffered from a chronic illness. Respondents were hesitant to hide sensitive information electronically from their care providers. They also strongly believed hiding information could negatively affect the quality of care provided. Participants preferred to be informed about negative test results in a face-to-face conversation, or would have every patient decide individually how they want to receive results. Patients generally had little experience using patient portal systems and expressed a need for more information on EHRs in this survey. They tended to be hesitant to take up control over their medical data in the EHR and deemed patients share a responsibility for the accuracy of information in their record.


2005 ◽  
Vol 34 (1) ◽  
pp. 13-18 ◽  
Author(s):  
Khin Than Win

The objective of this study is to answer the research question, ‘Are current information security technologies adequate for electronic health records (EHRs)?’ In order to achieve this, the following matters have been addressed in this article: (i) What is information security in the context of EHRs? (ii) Why is information security important for EHRs? and (iii) What are the current technologies for information security available to EHRs? It is concluded that current EHR security technologies are inadequate and urgently require improvement. Further study regarding information security of EHRs is indicated.


2015 ◽  
Vol 84 (6) ◽  
pp. 423-429 ◽  
Author(s):  
Jasna Vuk ◽  
Michael E. Anders ◽  
Cynthia C. Mercado ◽  
Robert L. Kennedy ◽  
Jessie Casella ◽  
...  

2019 ◽  
Vol 45 (1) ◽  
pp. 17-21
Author(s):  
Bunmi Folarinde ◽  
Gregory Lynn Alexander ◽  
Colleen Galambos ◽  
Bonnie J. Wakefield ◽  
Amy Vogelsmeier ◽  
...  

Author(s):  
Paolo Zanaboni ◽  
Per Egil Kummervold ◽  
Tove Sørensen ◽  
Monika Alise Johansen

BACKGROUND The electronic health record (EHR) has been fully established in all Norwegian hospitals. Patient-accessible electronic health records (PAEHRs) are available to citizens aged 16 years and older through the national health portal Helsenorge. OBJECTIVE This study aimed at understanding how patients use PAEHRs. Three research questions were addressed in order to explore (1) characteristics of users, (2) patients’ use of the service, and (3) patient experience with the service. METHODS We conducted an online survey of users who had accessed their EHR online at least once through the national health portal. Patients from two of the four health regions in Norway were invited to participate. Quantitative data were supplemented by qualitative information. RESULTS A total of 1037 respondents participated in the survey, most of whom used the PAEHR regularly (305/1037, 29.4%) or when necessary (303/1037, 29.2%). Service utilization was associated with self-reported health, age, gender, education, and health care professional background. Patients found the service useful to look up health information (687/778, 88.3%), keep track of their treatment (684/778, 87.9%), prepare for a hospital appointment (498/778, 64.0%), and share documents with their general practitioner (292/778, 37.5%) or family (194/778, 24.9%). Most users found it easy to access their EHR online (965/1037, 93.1%) and did not encounter technical challenges. The vast majority of respondents (643/755, 85.2%) understood the content, despite over half of them acknowledging some difficulties with medical terms or phrases. The overall satisfaction with the service was very high (700/755, 92.7%). Clinical advantages to the patients included enhanced knowledge of their health condition (565/691, 81.8%), easier control over their health status (685/740, 92.6%), better self-care (571/653, 87.4%), greater empowerment (493/674, 73.1%), easier communication with health care providers (493/618, 79.8%), and increased security (655/730, 89.7%). Patients with complex, long-term or chronic conditions seemed to benefit the most. PAEHRs were described as useful, informative, effective, helpful, easy, practical, and safe. CONCLUSIONS PAEHRs in Norway are becoming a mature service and are perceived as useful by patients. Future studies should include experimental designs focused on specific populations or chronic conditions that are more likely to achieve clinically meaningful benefits. Continuous evaluation programs should be conducted to assess implementation and changes of wide-scale routine services over time.


2019 ◽  
Author(s):  
Yonggang Xiao ◽  
Yanbing Liu ◽  
Yunjun Wu ◽  
Tun Li ◽  
Xingping Xian ◽  
...  

BACKGROUND The maintenance of accurate health records of patients is a requirement of health care professionals. Furthermore, these records should be shared across different health care organizations in order for professionals to have a complete review of medical history and avoid missing important information. Nowadays, health care providers use electronic health records (EHRs) as a key to accomplishment of these jobs and delivery of quality care. However, there are technical and legal hurdles that prevent the adoption of these systems, such as the concern about performance and privacy issues. OBJECTIVE The aim of this paper is to build and evaluate an experimental blockchain for EHRs, named HealthChain, which addresses the disadvantages of traditional EHR systems. METHODS HealthChain is built based on consortium blockchain technology. Specifically, three stakeholders, namely hospitals, insurance providers, and governmental agencies, form a consortium that operates under a governance model, which enforces the business logic agreed by all participants. Peer nodes host instance of the distributed ledger consisting of EHRs, and instance of chaincode regulating the permissions of participants; designated orderers establish consensus on the order of EHRs and then disseminate blocks to peers. RESULTS HealthChain achieves the functional and non-functional requirements. While it can store EHRs in distributed ledger and share them among different participants, it demonstrates superior features, such as privacy preserving, security, and high throughout. These are the main reasons why HealthChain is proposed. CONCLUSIONS Consortium blockchain technology can help build EHR system and solve the problems that prevent the adoption of traditional ones.


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