Developing the role of electronic health records in economic evaluation

Hazra, Nisha C.; Rudisill, Caroline; Gulliford, Martin

doi:10.1007/s10198-019-01042-5

Cited by 1 publication

(2 citation statements)

References 26 publications

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“…Furthermore, our study also reveals that physicians play a significant role as facilitators and gatekeepers by motivating patients and increasing their awareness of EHR [ 69 – 71 ], which is also in line with existing literature assuming enhanced IT competencies and confidence regarding EHR systems by physicians [ 72 ]. This might go hand in hand with an increased awareness of health prevention and promotion (i.e., health screenings) of patients, which was found to contribute to higher EHR acceptance in existing literature on EHR usage [ 14 ].…”

Section: Discussionsupporting

confidence: 86%

“…The data collected during and after a treatment process enable the evaluation of outcomes and resources across patients’ long-term interactions with the national healthcare systems (i.e., medications, health services, diagnoses) [ 65 ]. This subject could also be included on the meso-level of communication, demonstrating that health providers are aware and actively address the topic of EHR education and training [ 71 ]. The findings of our study corroborate the findings of Halmdienst and others [ 14 ], revealing that some patients have a low digital literacy level due to a lack of familiarity with health IT resulting in an insufficient understanding of functions and usefulness of EHR.…”

Section: Discussionmentioning

confidence: 99%

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How do opt-in versus opt-out settings nudge patients toward electronic health record adoption? An exploratory study of facilitators and barriers in Austria and France

Griesser,

Mzoughi,

Bidmon

et al. 2024

BMC Health Serv Res

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Background Electronic health records (EHR) are becoming an integral part of the health system in many developed countries, though implementations and settings vary across countries. Some countries have adopted an opt-out policy, in which patients are enrolled in the EHR system following a default nudge, while others have applied an opt-in policy, where patients have to take action to opt into the system. While opt-in systems may exhibit lower levels of active user requests for access, this contrasts with opt-out systems where a notable percentage of users may passively retain access. Thus, our research endeavor aims to explore facilitators and barriers that contribute to explaining EHR usage (i.e., actively accessing the EHR system) in two countries with either an opt-in or opt-out setting, exemplified by France and Austria. Methods A qualitative exploratory approach using a semi-structured interview guideline was undertaken in both countries: 1) In Austria, with four homogenously composed group discussions, and 2) in France, with 19 single patient interviews. The data were collected from October 2020 to January 2021. Results Influencing factors were categorized into twelve subcategories. Patients have similar experiences in both countries with regard to all facilitating categories, for instance, the role of health providers, awareness of EHR and social norms. However, we highlighted important differences between the two systems regarding hurdles impeding EHR usage, namely, a lack of communication as well as transparency or information security about EHR. Conclusion Implementing additional safeguards to enhance privacy protection and supporting patients to improve their digital ability may help to diminish the perception of EHR-induced barriers and improve patients’ health and commitment in the long term. Practical implications Understanding the differences and similarities will help to develop practical implications to tackle the problem of low EHR usage rates in the long run. This problem is prevalent in countries with both types of EHR default settings.

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