scholarly journals Patient Accessible Electronic Health Records for the Chronically Ill: A Review of the Literature

2012 ◽  
Vol 1 (2) ◽  
pp. 64 ◽  
Author(s):  
Sara Urowitz ◽  
Kevin Smith ◽  
Nour Alkazaz ◽  
Emma Apatu ◽  
Naa Kwarley Quartey ◽  
...  

Background: Consumers with chronic conditions account for approximately 70% of all healthcare spending. The Chronic Care Model is a healthcare paradigm whose purpose is the achievement of improved patient outcomes by facilitating the delivery of patient-centered, evidence-based care. We conducted a review of the literature to examine the role patient accessible electronic health records (PAEHR) may play in implementing and supporting the Chronic Care Model. Methods: A review of the literature was conducted using multiple databases (1950-2012). Publications included in the review were restricted to those using experimental or quasi-experimental methodology, English language and peer review. Results: Published results indicated that PAEHR facilitated improvements in health literacy and patient-provider communication, and that personalization of content was viewed favourably. Research on the use of PAEHR by some disease groups suggest improvements in clinical outcomes. Conclusions: The literature reviewed indicated that the patient experience for individuals with chronic illnesses could be enhanced through access to PAEHR. Improved satisfaction was noted for individuals with access to PAEHR with personalized content (e.g lab results etc). Use of PAEHR also improved patient-provider communication and increased personal knowledge and comprehension concerning individual condition and state of health. PAEHR for individuals living with chronic illnesses are an effective management technique that can help patients better manage the challenges of living with a chronic illness. These results indicate PAEHR have the potential to be a key component for actualizing the theoretical constructs of the Chronic Care Model by providing a platform for increased patient-provider collaboration.

2013 ◽  
Vol 35 (11) ◽  
pp. e1551-e1560 ◽  
Author(s):  
Jermaine Goveia ◽  
Feikje Van Stiphout ◽  
Zing Cheung ◽  
Bharti Kamta ◽  
Carolina Keijsers ◽  
...  

Author(s):  
Katherine Gariépy-Saper ◽  
Nicholas Decarie

Privacy in the context of electronic health records (EHR) is an incredibly complex and multi-faceted topic within the LIS field. We selected twenty-five articles published over the past fifteen years, which explore this topic from the perspectives of patients, doctors, medical librarians, informatics experts, and archivists. We identified themes that appeared consistently across the literature, as well as issues that differed across healthcare systems with varying levels of IT infrastructure. Significant changes have also taken place over time, especially with the development of technologies meant to protect privacy and make the widespread use of EHR possible. However, despite technological advances, many of the same problems of privacy ethics remain. Diverging opinions exist in the literature regarding how, and if, EHR systems should be established in light of these unresolved issues.


2019 ◽  
Vol 27 (1) ◽  
pp. 175-180 ◽  
Author(s):  
Akshay Rajaram ◽  
Zachary Hickey ◽  
Nimesh Patel ◽  
Joseph Newbigging ◽  
Brent Wolfrom

Abstract Objective Our objectives were to identify educational interventions designed to equip medical students or residents with knowledge or skills related to various uses of electronic health records (EHRs), summarize and synthesize the results of formal evaluations of these initiatives, and compare the aims of these initiatives with the prescribed EHR-specific competencies for undergraduate and postgraduate medical education. Materials and Methods We conducted a systematic review of the literature following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta Analyses) guidelines. We searched for English-language, peer-reviewed studies across 6 databases using a combination of Medical Subject Headings and keywords. We summarized the quantitative and qualitative results of included studies and rated studies according to the Best Evidence in Medical Education system. Results Our search yielded 619 citations, of which 11 studies were included. Seven studies involved medical students, 3 studies involved residents, and 1 study involved both groups. All interventions used a practical component involving entering information into a simulated or prototypical EHR. None of the interventions involved extracting, aggregating, or visualizing clinical data for panels of patients or specific populations. Discussion This review reveals few high-quality initiatives focused on training learners to engage with EHRs for both individual patient care and population health improvement. In comparing these interventions with the broad set of electronic records competencies expected of matriculating physicians, critical gaps in undergraduate and postgraduate medical education remain. Conclusions With the increasing adoption of EHRs and rise of competency-based medical education, educators should address the gaps in the training of future physicians to better prepare them to provide high quality care for their patients and communities.


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