Expectations and experiences of eHealth in primary care: A qualitative practice-based investigation

Flynn, Donal; Gregory, Peggy; Makki, Hani; Gabbay, Mark

doi:10.1016/j.ijmedinf.2009.03.008

Cited by 70 publications

(80 citation statements)

References 77 publications

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“…While significant progress has been made in other jurisdictions, most notably in some sectors of the US health system, 5,6 there has been more limited progress in the UK, at least in part reflecting professional concerns about security, privacy, 7-11 legal constraints, 12 and the potential pitfalls of allowing access to children's records. 13 Pilot studies demonstrate the feasibility of providing online access.…”

Section: Introductionmentioning

confidence: 99%

Patients’ online access to their electronic health records and linked online services: a systematic review in primary care

et al. 2015

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BackgroundOnline access to medical records by patients can potentially enhance provision of patient-centred care and improve satisfaction. However, online access and services may also prove to be an additional burden for the healthcare provider. AimTo assess the impact of providing patients with access to their general practice electronic health records (EHR) and other EHR-linked online services on the provision, quality, and safety of health care. Design and settingA systematic review was conducted that focused on all studies about online record access and transactional services in primary care. MethodData sources included MEDLINE, Embase, CINAHL, Cochrane Library, EPOC, DARE, King's Fund, Nuffield Health, PsycINFO, OpenGrey (1999-2012. The literature was independently screened against detailed inclusion and exclusion criteria; independent dual data extraction was conducted, the risk of bias (RoB) assessed, and a narrative synthesis of the evidence conducted. ResultsA total of 176 studies were identified, 17 of which were randomised controlled trials, cohort, or cluster studies. Patients reported improved satisfaction with online access and services compared with standard provision, improved selfcare, and better communication and engagement with clinicians. Safety improvements were patient-led through identifying medication errors and facilitating more use of preventive services. Provision of online record access and services resulted in a moderate increase of e-mail, no change on telephone contact, but there were variable effects on face-to-face contact. However, other tasks were necessary to sustain these services, which impacted on clinician time. There were no reports of harm or breaches in privacy. ConclusionWhile the RoB scores suggest many of the studies were of low quality, patients using online services reported increased convenience and satisfaction. These services positively impacted on patient safety, although there were variations of record access and use by specific ethnic and socioeconomic groups. Professional concerns about privacy were unrealised and those about workload were only partly so.

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Section: Introductionmentioning

confidence: 99%

Patients’ online access to their electronic health records and linked online services: a systematic review in primary care

et al. 2015

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“…ICT tools improve access to critically important clinical information, can reduce unnecessary repetitions of clinical procedures and provide real-time decision support to clinicians (5)(6)(7)(8). It has been shown that their benefits also include: improved disease management and health outcome of patients, increased levels of preventive care, reduction of paper-based tasks and increased collaboration among members of healthcare teams (7)(8)(9)(10)(11). ICT, which in medical informatics literature generally has the same meaning as "health information technology" (HIT), also has the potential to decrease medical errors (6,12,13).…”

Section: Introductionmentioning

confidence: 99%

Adherence factors to paperless primary healthcare: a focus group study

Iljaž¹,

Meglic²,

Petek³

et al. 2014

Slovenian Journal of Public Health

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“…It has also become an emergent research topic in almost all developed and developing countries. A range of perspectives have been introduced to improve support services such as through e-health in elderly primary care (Flynn et al, 2009), through decision support systems for pressure ulcers (Fossuma et al, 2011) and through mobile-based applications for keeping elderly population more connected and improving awareness of their health issues. Researchers, policy makers, and funding bodies have attracted the attention of governments as the healthcare spending has rapidly escalated (Gaikwad and Warren, 2009).…”

Section: Introductionmentioning

confidence: 99%

Information and communication technology-based innovations for aging healthcare: a literature review

Miah

2014

IJCIH

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Abstract:The paper presents a systematic literature review to identify the key application areas of innovations through the use of information and communication technologies (ICT) in providing healthcare information to elderly population. Out of the 210 articles published in various health informatics and information systems journals, 42 were identified to meet the requirements for inclusion in the particular review. Based on our analysis, ICT innovations offered for elderly population's healthcare are classified as: smart home-based; mobile-based; online-based; and personalised device and application-based innovations. However, most of the innovations focus only on user side demands and omit the service providers' dynamic demands for information delivery. A cloud computing-based innovation shows promise to develop an effective information delivery approach to provide benefits, both for service providers and the elderly population, needing to deliver and use relevant technologies.Keywords: aging population; ICT solutions; cloud computing, healthcare informatics. Biographical notes: Shah Jahan Miah is a faculty member of Information Systems (IS) at Victoria University, Melbourne Australia. Prior to this position, he had academic positions at the University of the Sunshine Coast, Griffith University and James Cook University, Australia. He has received his PhD (in the area of decision support systems), jointly from the Institute for Integrated and Intelligent Systems and Griffith Business School, Griffith University, Australia. He is an early career researcher who has lead authored over 50 peer reviewed publications including research book chapters, journal and conference papers in different IS areas and taught over 20 different IS/IT subjects for both postgraduate and undergraduate levels. His current research interests are decision support systems for industries, design science research methodologies, e-service design for businesses and healthcare information systems development. Reference Information and communication technology-based innovations 29

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Expectations and experiences of eHealth in primary care: A qualitative practice-based investigation

Cited by 70 publications

References 77 publications

Patients’ online access to their electronic health records and linked online services: a systematic review in primary care

Patients’ online access to their electronic health records and linked online services: a systematic review in primary care

Adherence factors to paperless primary healthcare: a focus group study

Information and communication technology-based innovations for aging healthcare: a literature review

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