Association of Online Patient Access to Clinicians and Medical Records With Use of Clinical Services

Abstract

Having online access to medical records and clinicians was associated with increased use of clinical services compared with group members who did not have online access.

Use of email for consulting with patients in general practice

“…Retrospective data, from an analysis of patient online access to medical records and clinicians, found an increased use of clinical services; but it was not clear if this was due to email, the access to records, or both. 7 Qualitative evidence indicates that patients are conscious not to be seen to bombard their GP with emails, wishing to maintain a good relationship with their GP, which counteracts perceptions about possible patient behaviour. 8 With regard to safety, the Cochrane review found no evidence of harm caused by email interventions.…”

Using alternatives to face-to-face consultations: a survey of prevalence and attitudes in general practice

“…Evidence to date has assessed the potential impact of some alternatives on clinical outcomes. 10,11 Although trial evidence is poor, observational data has pointed towards some clinical benefit, such as improved outcomes for those with diabetes and hypertension, 12 and better monitoring of health concerns, 13 at least in market driven health systems. Studies have sought opinions from patients and healthcare professionals on whether and how they would use these alternatives 14,15 but these data have been based on hypothetical opinions rather than experience.…”

Family Caregivers and Consumer Health Information Technology

“…An important challenge of efforts to empower patients through the use of health information technology is that not all patients have access, or are capable of using, a computer or mobile device to manage their health. 3,4 Individuals who are older and with less education, worse cognitive function, and more limited technology experience are less likely to use a patient portal, 5,6 and they are less able to perform health management tasks electronically. 7,8 People with some of the most complex and costly health needs navigate the fragmented health care and social services delivery environments alongside family members and close friends.…”