Article
Health Care Sciences & Services
Charlotte Blease, John Torous, Zhiyong Dong, Gail Davidge, Catherine DesRoches, Anna Kharko, Andrew Turner, Ray Jones, Maria Hagglund, Brian McMillan
Summary: This study explores the experiences and opinions of GPs in England regarding patient access to their web-based health records. The majority of GPs expressed skepticism about the benefits of access for both patients and their practices.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Health Care Sciences & Services
Antonius Mattheus van Rijt, Pauline Hulter, Anne Marie Weggelaar-Jansen, Kees Ahaus, Bettine Pluut
Summary: Mental health care professionals are struggling with the impact of web-based patient access to electronic health records and are seeking ways to modify their practices. There is a lack of systematization and communal appraisal among professionals, but various solutions are being suggested to address the challenges. Professional involvement in the development, implementation, and embedding of patient portals is essential to optimize the effects of web-based patient access.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Health Care Sciences & Services
Eve Rittenberg, Jeffrey B. Liebman, Kathryn M. Rexrode
Summary: Previous research has shown that female physicians spend more time than male physicians in the electronic health record (EHR). This study aimed to examine gender differences in EHR usage among primary care physicians and identify potential causes for those differences. The findings indicate that female primary care physicians spend more time working in the EHR and receive more staff and patient messages compared to their male colleagues.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Computer Science, Information Systems
Chelsea Richwine, Christian Johnson, Vaishali Patel
Summary: This study aims to identify racial and ethnic disparities in patient portal offers, access, and use, as well as examine the role of providers in facilitating access to electronic health information. The results indicate that Black and Hispanic individuals are offered and access patient portals at lower rates compared to White individuals. However, among those who are offered and access a patient portal, Black and Hispanic individuals are more likely to use it to download or transmit information compared to Whites.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Article
Computer Science, Information Systems
Yuriy Pylypchuk, Chad D. Meyerhoefer, William Encinosa, Talisha Searcy
Summary: The study found that hospitals' adoption of a new electronic health record (EHR) developer increases patient sharing with hospitals using the same developer. Consolidation in the EHR industry has led to higher patient sharing among hospitals with the same EHR developer, which may impact patient flow and healthcare outcomes across hospitals.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Article
Health Care Sciences & Services
Dori A. Cross, Zachary Levin, Minakshi Raj
Summary: The study found that older adults who are moderate users of patient portals have lower perceptions of care quality, and perceptions of how well their provider uses the EHR to support care also impact care quality assessment.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Health Care Sciences & Services
Anjali Varma Desai, Chelsea L. Michael, Gilad J. Kuperman, Gregory Jordan, Haley Mittelstaedt, Andrew S. Epstein, MaryAnn Connor, Rika Paula B. Villar, Camila Bernal, Dana Kramer, Mary Elizabeth Davis, Yuxiao Chen, Catherine Malisse, Gigi Markose, Judith E. Nelson
Summary: The study describes the integration and systematization of health-related values discussions led by oncology nurses for newly diagnosed cancer patients at MSK. They created the Patient Values Tab in the center's EHR to provide ready access to key information about the patient's individual values, goals, and preferences. Through an interprofessional, user-centered design approach, they have already deployed the tab to a pilot sample of users with early evidence of positive impact.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Primary Health Care
Gail Davidge, Lindsey Brown, Moira Lyons, Charlotte Blease, David French, Tjeerd van Staa, Brian McMillan
Summary: This study examined the views and experiences of primary care staff in England regarding patients' online access to their health records. Most staff supported the principle of patient access, but had mixed feelings about the potential benefits and drawbacks in practice. They identified opportunities to improve patient engagement, health literacy, and administrative efficiencies, but also expressed concerns about maintaining clinical integrity and ensuring safety and wellbeing.
BRITISH JOURNAL OF GENERAL PRACTICE
(2023)
Review
Pharmacology & Pharmacy
Ghadah Assiri
Summary: This narrative review summarizes previous studies on the impact of adult patients accessing their own electronic health records (EHRs) on medication management safety. The results suggest that providing patients with access to their EHRs can improve medication management safety and enhance medication control. These findings lay the foundation for future research.
SAUDI PHARMACEUTICAL JOURNAL
(2022)
Article
Engineering, Multidisciplinary
Guangyu Peng, Aiqing Zhang, Xiaodong Lin
Summary: This study proposes a privacy-preserving EMR sharing architecture based on blockchain technology to address the issue of privacy leakage in cloud-based storage. Through a dual-blockchain system and identity-based tripartite authentication key agreement scheme, patients have fine-grained control over their EMR access, ensuring trust between healthcare institutions and supervising doctors' identities. The results of the study demonstrate that the proposed protocol is secure, efficient, and suitable for the EMR sharing of comatose patients.
IEEE TRANSACTIONS ON NETWORK SCIENCE AND ENGINEERING
(2023)
Article
Medicine, General & Internal
Wui Ip, Samuel Yang, Jacob Parker, Austin Powell, James Xie, Keith Morse, Rachael C. Aikens, Jennifer Lee, Manjot Gill, Shravani Vundavalli, Yungui Huang, Jeannie Huang, Jonathan H. Chen, Jeffrey Hoffman, Cynthia Kuelbs, Natalie Pageler
Summary: This study estimated the prevalence of guardian access to adolescent patient portals at 3 academic children's hospitals, revealing that more than half of adolescent accounts with outbound messages were accessed by guardians. These findings have implications for health systems intending to rely on separate adolescent accounts to protect adolescent confidentiality.
Article
Medical Informatics
Alexandra Mullins, Renee O'Donnell, Heather Morris, Michael Ben-Meir, Kostas Hatzikiriakidis, Lisa Brichko, Helen Skouteris
Summary: This study investigated the use and perspectives of My Health Record in the emergency department of a metropolitan public hospital in Melbourne, Australia. The results showed that My Health Record has not been widely adopted as routine practice in the emergency department and is not considered critical to patient care by most clinicians. The main barrier to its use is clinicians forgetting to utilize the system.
BMC MEDICAL INFORMATICS AND DECISION MAKING
(2022)
Review
Health Care Sciences & Services
Olga Petrovskaya, Albina Karpman, Joanna Schilling, Simran Singh, Larissa Wegren, Vera Caine, Elizabeth Kusi-Appiah, Willow Geen
Summary: This scoping review analyzes and synthesizes published research on patient and healthcare provider perspectives on the direct release of laboratory, imaging, and radiology results to patients via web portals. The review identifies important themes and factors to consider, such as the timing of result release, when making decisions about patient access to test results.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Primary Health Care
Gail Davidge, Lindsey Brown, Moira Lyons, Charlotte Blease, David French, Tjeerd van Staa, Brian McMillan
Summary: This study aims to explore the views and experiences of primary care staff regarding patients' online access to their health records, and how this service can be supported and improved. Most staff agreed with the principle of patient access but had mixed feelings about the potential benefits and drawbacks. They identified opportunities to enhance patient engagement and health literacy while also expressing concerns about maintaining clinical integrity and ensuring safety and wellbeing. Participants recognized the transformative potential of online access and emphasized the need for additional training and support to adapt practice and enhance patient understanding.
BRITISH JOURNAL OF GENERAL PRACTICE
(2023)
Article
Health Care Sciences & Services
Simone Arvisais-Anhalt, May Lau, Christoph U. Lehmann, A. Jay Holmgren, Richard J. Medford, Charina M. Ramirez, Clifford N. Chen
Summary: The ONC's Information Blocking Provision in the Cures Act Final Rule is a significant advancement in providing patients access to their electronic health information, but concerns exist about potential harm in adolescent care contexts. The rule's exceptions may erode patient trust and impede care-seeking willingness.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)