Health information management : journal of the Health Information Management Association of Australia最新文献

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Factors affecting clinicians' adherence to principles of diagnosis documentation: A concept mapping approach for improved decision-making. 影响临床医生遵守诊断文件原则的因素:改进决策的概念映射方法。
Health information management : journal of the Health Information Management Association of Australia Pub Date : 2022-09-01 Epub Date: 2021-04-12 DOI: 10.1177/1833358321991362
Nafiseh Hosseini, Sayyed Mostafa Mostafavi, Kazem Zendehdel, Saeid Eslami
{"title":"Factors affecting clinicians' adherence to principles of diagnosis documentation: A concept mapping approach for improved decision-making.","authors":"Nafiseh Hosseini,&nbsp;Sayyed Mostafa Mostafavi,&nbsp;Kazem Zendehdel,&nbsp;Saeid Eslami","doi":"10.1177/1833358321991362","DOIUrl":"https://doi.org/10.1177/1833358321991362","url":null,"abstract":"<p><strong>Background: </strong>The quality of data in electronic health records (EHRs) depends on adherence of clinicians to principles of diagnosis documentation.</p><p><strong>Objective: </strong>A concept mapping (CM) approach was used to extract factors related to quality of clinicians' documentation that govern EHR data quality.</p><p><strong>Method: </strong>Influential factors extracted from brainstorming sessions were sorted by individual participants, followed by a quantitative analysis using multidimensional scaling and cluster analysis to categorise sorted factors. Finally, a questionnaire was used to elicit the importance-feasibility of the extracted factors. Results were visualised by cluster maps and Go-Zone plots.</p><p><strong>Result: </strong>Factors were classified into seven clusters: \"knowledge about International Classification of Diseases and clinical coding,\" \"need for facilitators and guidelines,\" \"explaining the importance of the issue and defining responsibilities,\" \"cooperation of other personnel,\" \"codify legal requirements,\" \"workload\" and \"clinical obstacles,\" as ranked by importance.</p><p><strong>Conclusion: </strong>To enhance the quality of EHR data, a collaboration between physicians, nurses, managers and EHR developers is required. CM is an acceptable approach to meet this objective. Our findings highlight the significance of clinical coding knowledge, awareness about its importance and applicability and use of well-structured information systems. In combination, these three factors can have a strong positive impact on the quality of EHR data.</p><p><strong>Implications: </strong>A list of solutions is provided for policymakers, and two interventions suggested, based on the findings of this study, including the adoption of EHRs that incorporate documentation guidelines. We further propose updated clinical training programs and a monitoring and feedback mechanism to facilitate the EHR documentation process.</p>","PeriodicalId":73210,"journal":{"name":"Health information management : journal of the Health Information Management Association of Australia","volume":"51 3","pages":"149-158"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1833358321991362","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25582848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Recognising complexity: Foregrounding vulnerable and diverse populations for inclusive health information management research. 认识到复杂性:将弱势群体和不同人群纳入包容性卫生信息管理研究。
Health information management : journal of the Health Information Management Association of Australia Pub Date : 2022-09-01 Epub Date: 2021-11-25 DOI: 10.1177/18333583211052708
Bronwyn Hemsley, Deborah Debono
{"title":"Recognising complexity: Foregrounding vulnerable and diverse populations for inclusive health information management research.","authors":"Bronwyn Hemsley,&nbsp;Deborah Debono","doi":"10.1177/18333583211052708","DOIUrl":"https://doi.org/10.1177/18333583211052708","url":null,"abstract":"Good access to and management of high-quality health information is essential for people with disabilities and/or multiple health conditions. This includes access to information about health and personally held information that can be stored and shared across their health providers (Hemsley et al. 2016). Public digital health technologies (e.g., blogs and websites, social media, and mobile technology apps) as well as personally-controlled electronic health records should help people with disabilities and multiple health conditions make better use of health information and engage in storing and sharing that information at critical points in their health pathway. However, the highly diverse populations of people with disabilities and multiple health conditions, as citizens and members of the general population, are often absent from, or in the background of, initiatives to improve people’s access to health information for informing health decisions. The foregrounding of “less visible” populations with disabilities and/or multiple health conditions means making them a priority, including them in health information initiatives and research, and reporting specifically and respectfully on their needs. In making these diverse populations more visible, health information management professionals could lead the charge to a more inclusive and just health system. Hoyle (2018: 48) emphasised this, and questioned the primacy of diagnostic constructs over aspects of the human experiences: “More fundamentally, the conceptual foundations of health information in terms of “diagnostic” constructs are creating limitations: Why should a medical diagnosis be privileged as the key descriptor of care, over disability or other aspects of the human experience? Who gets to say what matters, and how and by whom is that translated into meaningful information? These are important questions on which the health information management profession is well placed to lead”.","PeriodicalId":73210,"journal":{"name":"Health information management : journal of the Health Information Management Association of Australia","volume":"51 3","pages":"113-117"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39658180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A qualitative investigation into clinical documentation: why do clinicians document the way they do? 对临床文献的定性调查:为什么临床医生记录他们的方式?
Health information management : journal of the Health Information Management Association of Australia Pub Date : 2022-09-01 Epub Date: 2020-07-09 DOI: 10.1177/1833358320929776
Stella Rowlands, Amina Tariq, Steven Coverdale, Sue Walker, Maryann Wood
{"title":"A qualitative investigation into clinical documentation: why do clinicians document the way they do?","authors":"Stella Rowlands,&nbsp;Amina Tariq,&nbsp;Steven Coverdale,&nbsp;Sue Walker,&nbsp;Maryann Wood","doi":"10.1177/1833358320929776","DOIUrl":"https://doi.org/10.1177/1833358320929776","url":null,"abstract":"<p><strong>Background: </strong>Clinical documentation is a fundamental component of patient care. The transition from paper based to electronic medical records/electronic health records has highlighted a number of issues associated with documentation practices including duplication. Developing new ways to document the care provided to patients and in turn, persuading clinicians to accept a change, must be supported by evidence that a change is required. In Australia, there has been a limited number of studies exploring the clinical documentation practices and beliefs of clinicians.</p><p><strong>Objective: </strong>To gain an in-depth understanding of clinician documentation practices.</p><p><strong>Method: </strong>A qualitative design using semi-structured interviews with clinicians (allied health professionals, doctors (physicians) and nurses) working in a tertiary-level hospital in South-East Queensland, Australia.</p><p><strong>Results: </strong>Several themes emerged from the data: environmental factors, including departmental policy and systemic issues, and personal factors, including verification, clinical reasoning and experience influencing documentation practices.</p><p><strong>Conclusion: </strong>Our study identified that the documentation practices of clinicians are complex, being driven by both environmental and systemic factors and personal factors. This in turn leads to duplication and some redundancy. The documentation burden of duplication could be reduced by changes in policy, supported by multidisciplinary documentation procedures and electronic systems aligned with clinician workflows, while retaining some flexible documentation practices. The documentation practices of individuals, when considered from the perspective of enhancing quality care, are considered legitimate and therefore will continue to form part of the health (medical) record regardless of the format.</p>","PeriodicalId":73210,"journal":{"name":"Health information management : journal of the Health Information Management Association of Australia","volume":"51 3","pages":"126-134"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1833358320929776","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38141157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Factors affecting the acceptance of integrated electronic personal health records in Saudi Arabia: The impact of e-health literacy. 影响沙特阿拉伯接受综合电子个人健康记录的因素:电子健康素养的影响。
Health information management : journal of the Health Information Management Association of Australia Pub Date : 2022-05-01 Epub Date: 2020-11-28 DOI: 10.1177/1833358320964899
Yaser A Alsahafi, Valerie Gay, Adel A Khwaji
{"title":"Factors affecting the acceptance of integrated electronic personal health records in Saudi Arabia: The impact of e-health literacy.","authors":"Yaser A Alsahafi,&nbsp;Valerie Gay,&nbsp;Adel A Khwaji","doi":"10.1177/1833358320964899","DOIUrl":"https://doi.org/10.1177/1833358320964899","url":null,"abstract":"<p><strong>Background: </strong>National implementation of electronic personal health record (ePHR) systems is of vital importance to governments worldwide because this type of technology promises to promote and enhance healthcare. Although there is widespread agreement as to the advantages of ePHRs, the level of awareness and acceptance of this technology among healthcare consumers has been low.</p><p><strong>Objective: </strong>The aim of this study was to identify the factors that can influence the acceptance and use of an integrated ePHR system in Saudi Arabia.</p><p><strong>Method: </strong>The unified theory of acceptance and use of technology model was extended in this study to include e-health literacy (e-HL) and tested using structural equation modelling. Data were collected via a questionnaire survey, resulting in 794 valid responses.</p><p><strong>Results: </strong>The proposed model explained 56% of the variance in behavioural intention (BI) to use the integrated ePHR system. Findings also highlighted the significance of performance expectancy, effort expectancy, social influence (SI) and e-HL as determinants of Saudi healthcare consumers' intentions to accept and use the integrated ePHR system. Additionally, assessment of the research model moderators revealed that only gender had a moderating influence on the relationship between SI and BI. Finally, findings showed a low level of awareness among Saudi citizens about the national implementation of an integrated ePHR system, suggesting the need to promote a greater and more widespread awareness of the system and to demonstrate its usefulness.</p><p><strong>Conclusion: </strong>Findings from this study can assist governments, policymakers and developers of health information technologies and systems by identifying important factors that may influence the diffusion and use of integrated ePHRs.</p>","PeriodicalId":73210,"journal":{"name":"Health information management : journal of the Health Information Management Association of Australia","volume":"51 2","pages":"98-109"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1833358320964899","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38650743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 26
Options to enhance the veracity of Australian health service accreditation assessments. 提高澳大利亚卫生服务认证评估准确性的备选办法。
Health information management : journal of the Health Information Management Association of Australia Pub Date : 2022-05-01 Epub Date: 2020-03-24 DOI: 10.1177/1833358320910890
Reece Hinchcliff, Deborah Debono, David Carter, Miriam Glennie, Hamish Robertson, Joanne Travaglia
{"title":"Options to enhance the veracity of Australian health service accreditation assessments.","authors":"Reece Hinchcliff,&nbsp;Deborah Debono,&nbsp;David Carter,&nbsp;Miriam Glennie,&nbsp;Hamish Robertson,&nbsp;Joanne Travaglia","doi":"10.1177/1833358320910890","DOIUrl":"https://doi.org/10.1177/1833358320910890","url":null,"abstract":"<p><strong>Background: </strong>Assessment processes applied within some health service accreditation programs have been criticised at times for being inaccurate, inconsistent or inefficient. Such criticism has inspired the development of innovative assessment methods.</p><p><strong>Objective: </strong>The Australian Commission on Safety and Quality in Health Care considered the use of three such methods: short-notice or unannounced methods; patient journey or tracer methods; and attestation by governing bodies.</p><p><strong>Method: </strong>A systematic search and synthesis of published peer-reviewed and grey literature associated with these methods.</p><p><strong>Results and conclusion: </strong>The published literature demonstrates that the likely benefits of these three assessment methods warrant further evaluation, real-world trials and stakeholder consultation to determine the most appropriate models to introduce into national accreditation programs.</p><p><strong>Implications: </strong>The subsequent introduction of models of short-notice assessments and attestation by governing bodies into the Australian Health Service Safety and Quality Accreditation Scheme in January 2019 demonstrates how the findings presented in this article influenced the national change in assessment practice, providing an example of evidence-informed accreditation development.</p>","PeriodicalId":73210,"journal":{"name":"Health information management : journal of the Health Information Management Association of Australia","volume":"51 2","pages":"59-62"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1833358320910890","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37766727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The attributes of hospital-based coronary artery diseases registries with a focus on key registry processes: A systematic review. 以医院为基础的冠状动脉疾病登记的属性,重点是关键登记过程:系统回顾。
Health information management : journal of the Health Information Management Association of Australia Pub Date : 2022-05-01 Epub Date: 2020-07-17 DOI: 10.1177/1833358320929366
Ali Garavand, Reza Rabiei, Hassan Emami, Mehdi Pishgahi, Mojtaba Vahidi-Asl
{"title":"The attributes of hospital-based coronary artery diseases registries with a focus on key registry processes: A systematic review.","authors":"Ali Garavand,&nbsp;Reza Rabiei,&nbsp;Hassan Emami,&nbsp;Mehdi Pishgahi,&nbsp;Mojtaba Vahidi-Asl","doi":"10.1177/1833358320929366","DOIUrl":"https://doi.org/10.1177/1833358320929366","url":null,"abstract":"<p><strong>Background: </strong>The management of data on coronary artery disease (CAD) plays a significant role in controlling the disease and reducing the mortality of patients. The diseases registries facilitate the management of data.</p><p><strong>Objective: </strong>This study aimed to identify the attributes of hospital-based CAD registries with a focus on key registry processes.</p><p><strong>Method: </strong>In this systematic review, we searched for studies published between 2000 and 2019 in PubMed, Scopus, EMBASE and ISI Web of Knowledge. The search terms included coronary artery disease, registry and data management (MeSH terms) at November 2019. Data gathering was conducted using a data extraction form, and the content of selected studies was analysed with respect to key registry processes, including case finding, data gathering, data abstracting, data quality control, reporting and patient follow-up.</p><p><strong>Results: </strong>A total of 17,604 studies were identified in the search, 55 of which were relevant studies that addressed the 21 registries and were selected for the analysis. Results showed that the most common resources for case finding included admission and discharge documents, physician's reports and screening results. Patient follow-up was mainly performed through direct visits or via telephone calls. The key attributes used for checking the data quality included data accuracy, completeness and definition.</p><p><strong>Conclusion: </strong>CAD registries aim to facilitate the assessment of health services provided to patients. Putting the key registry processes in place is crucial for developing and implementing the CAD registry. The data quality control, as a CAD registry process, requires developing standard tools and applying appropriate data quality attributes.</p><p><strong>Implications: </strong>The findings of the current study could lay the foundation for successful design and development of CAD registries based on the key registry processes for effective data management.</p>","PeriodicalId":73210,"journal":{"name":"Health information management : journal of the Health Information Management Association of Australia","volume":"51 2","pages":"63-78"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1833358320929366","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38170510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
An investigation of the status and maturity of hospitals' health information governance in Victoria, Australia. 澳大利亚维多利亚州医院健康信息治理现状及成熟度调查
Health information management : journal of the Health Information Management Association of Australia Pub Date : 2022-05-01 Epub Date: 2020-07-14 DOI: 10.1177/1833358320938309
Helen Kwan, Merilyn Riley, Natasha Prasad, Kerin Robinson
{"title":"An investigation of the status and maturity of hospitals' health information governance in Victoria, Australia.","authors":"Helen Kwan,&nbsp;Merilyn Riley,&nbsp;Natasha Prasad,&nbsp;Kerin Robinson","doi":"10.1177/1833358320938309","DOIUrl":"https://doi.org/10.1177/1833358320938309","url":null,"abstract":"<p><strong>Background: </strong>Health information governance (IG) in Australian hospitals was hitherto unexplored.</p><p><strong>Objectives: </strong>To determine hospitals' health IG status and maturity in Victoria, Australia, identify drivers and barriers affecting IG adoption, examine electronic health data breach response plan usage and assess employees' electronic data breach awareness.</p><p><strong>Method: </strong>Mixed-methods descriptive study utilising an online survey of directors - clinical/health information services and chief health information managers (HIMs) in Victorian hospitals, ≥50 beds.</p><p><strong>Results: </strong>Response rate: 42.9% (<i>n</i> = 36). Fifty percent (<i>n</i> = 17) of respondent-hospitals had an IG program. IG equally supported decision-making and risk identification and prevention. The greatest potential organisational damages from system disruption or failure were information loss (66.7%) and clinical risks (63.9%). HIMs in 15 (55.6%) hospitals had knowledge to monitor and detect electronic data breaches. Staff in 19 (70.4%) hospitals knew who to inform about a suspected breach. Most hospitals had mature health information-related IG practices, most (88.9%, <i>n</i> = 24) provided IG-related education, 77.8% (<i>n</i> = 21) regularly reviewed data breach response plans. The strongest IG drivers were privacy-security compliance and changes to data capture or documentation practices (82.8%, <i>n</i> = 24); the greatest barriers were implementation complexity (57.1%, <i>n</i> = 16) and cost (55.6%, <i>n</i> = 15).</p><p><strong>Conclusion: </strong>These baseline Australian data show 50% of respondent-hospitals had no formal health IG program. Privacy-security compliance, and audits, needed improvement; however, most hospitals had well-developed medical record/health information IG-relevant schedules, policies and practices. HIMs, the professionals most engaged in IG, required upskilling in electronic data breach detection.</p>","PeriodicalId":73210,"journal":{"name":"Health information management : journal of the Health Information Management Association of Australia","volume":"51 2","pages":"89-97"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1833358320938309","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38152547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
A learning agenda to build the evidence base for strengthening global health information systems. 为加强全球卫生信息系统建立证据基础的学习议程。
Health information management : journal of the Health Information Management Association of Australia Pub Date : 2022-05-01 Epub Date: 2020-07-23 DOI: 10.1177/1833358320936801
Heidi W Reynolds, Shannon Salentine, Eva Silvestre, Elizabeth Millar, Ashley Strahley, Abby C Cannon, Emily A Bobrow
{"title":"A learning agenda to build the evidence base for strengthening global health information systems.","authors":"Heidi W Reynolds,&nbsp;Shannon Salentine,&nbsp;Eva Silvestre,&nbsp;Elizabeth Millar,&nbsp;Ashley Strahley,&nbsp;Abby C Cannon,&nbsp;Emily A Bobrow","doi":"10.1177/1833358320936801","DOIUrl":"https://doi.org/10.1177/1833358320936801","url":null,"abstract":"<p><strong>Background: </strong>Evidence-based interventions are necessary for planning and investing in health information systems (HIS) and for strengthening those systems to collect, manage, sort and analyse health data to support informed decision-making. However, evidence and guidance on HIS strengthening in low- and middle-income countries have been historically lacking.</p><p><strong>Objective: </strong>This article describes the approach, methods, lessons learned and recommendations from 5 years of applying our learning agenda to strengthen the evidence base for effective HIS interventions.</p><p><strong>Methods: </strong>The first step was to define key questions about characteristics, stages of progression, and factors and conditions of HIS performance progress. We established a team and larger advisory group to guide the implementation of activities to build the evidence base to answer questions. We strengthened learning networks to share information.</p><p><strong>Results: </strong>The process of applying the learning agenda provided a unique opportunity to learn by doing, strategically collecting information about monitoring and evaluating HIS strengthening interventions and building a body of evidence. There are now models and tools to strengthen HIS, improved indicators and measures, country HIS profiles, documentation of interventions, a searchable database of HIS assessment tools and evidence generated through syntheses and evaluation results.</p><p><strong>Conclusion: </strong>The systematic application of learning agenda processes and activities resulted in increased evidence, information, guidance and tools for HIS strengthening and a resource centre, making that information accessible and available globally.</p><p><strong>Implications: </strong>We describe the inputs, processes and lessons learned, so that others interested in designing a successful learning agenda have access to evidence of how to do so.</p>","PeriodicalId":73210,"journal":{"name":"Health information management : journal of the Health Information Management Association of Australia","volume":"51 2","pages":"79-88"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1833358320936801","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38182218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Patient online access to general practice medical records: A qualitative study on patients' needs and expectations. 患者在线访问全科医疗记录:一项关于患者需求和期望的定性研究。
R. Thielmann, C. Hoving, Esther Schutgens-Kok, J. Cals, R. Crutzen
{"title":"Patient online access to general practice medical records: A qualitative study on patients' needs and expectations.","authors":"R. Thielmann, C. Hoving, Esther Schutgens-Kok, J. Cals, R. Crutzen","doi":"10.31234/osf.io/eq2mh","DOIUrl":"https://doi.org/10.31234/osf.io/eq2mh","url":null,"abstract":"BACKGROUND\u0000Patient online access to medical records is assumed to foster patient empowerment and advance patient-centred healthcare. Since July 2020, patients in the Netherlands have been legally entitled to electronically access their medical record in general practice. Experience from pioneering countries has shown that despite high patient interest, user rates often remain low. How to best support implementation depends on individual needs and expectations of patient populations, which are as yet unknown in the Dutch context.\u0000\u0000\u0000OBJECTIVE\u0000To understand Dutch patients' needs and expectations with regard to online access to their medical record in general practice.\u0000\u0000\u0000METHOD\u0000Twenty participants completed semi-structured individual interviews via video or telephone call. Transcripts of interviews underwent template analysis combining deductive and inductive coding using Atlas.ti software.\u0000\u0000\u0000RESULTS\u0000Patients' needs and expectations ranged across three overlapping areas: (i) prerequisites for getting online access; (ii) using online access; and (iii) the impact on interaction with healthcare providers. Patients expected benefits from online access such as better overview, empowerment and improved communication with their general practitioner but identified needs regarding technological difficulties, data privacy and complex medical language in their record.\u0000\u0000\u0000CONCLUSION\u0000The concerns and obstacles participants identified point towards the need for organisational changes in general practice, for example, adjusted documentation practices, and the key role of the general practitioner and staff in promoting and facilitating online access.\u0000\u0000\u0000IMPLICATIONS\u0000Implementation strategies addressing needs identified in this study may help to unlock the full potential of online access to achieve desired outcomes of patient involvement and satisfaction.","PeriodicalId":73210,"journal":{"name":"Health information management : journal of the Health Information Management Association of Australia","volume":"47 1","pages":"18333583221144666"},"PeriodicalIF":0.0,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86891870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
A multi-method quality improvement approach to systematically improve and promote the quality of national health and social care information. 一种多方法质量改进方法,系统地改进和促进国家卫生和社会保健信息的质量。
Health information management : journal of the Health Information Management Association of Australia Pub Date : 2022-01-01 Epub Date: 2020-06-26 DOI: 10.1177/1833358320926422
Niamh McGrath, Barbara Foley, Caroline Hurley, Maria Ryan, Rachel Flynn
{"title":"A multi-method quality improvement approach to systematically improve and promote the quality of national health and social care information.","authors":"Niamh McGrath,&nbsp;Barbara Foley,&nbsp;Caroline Hurley,&nbsp;Maria Ryan,&nbsp;Rachel Flynn","doi":"10.1177/1833358320926422","DOIUrl":"https://doi.org/10.1177/1833358320926422","url":null,"abstract":"<p><p>Safe and reliable healthcare depends on access to health information that is accurate, valid, reliable, timely, relevant, legible and complete. National data collections are repositories of health and social care data and play a crucial role in healthcare planning and clinical decision-making. We describe the development of an evidence-informed multi-method quality improvement program aimed to improve the quality of health and social care data in Ireland. Specific components involved: development of guidance to support implementation of health information standards; review program to assess compliance with standards; and educating health information stakeholders about health data and information quality. Observations from implementation of the program indicate enhanced health information stakeholder awareness of, and increased adoption of information management standards. The methodology used in the review program has proved to be a robust approach to identify areas of good practice and opportunities for improvement in information management practices. There has been positive adoption of the program among organisations reviewed and acceptance of the proposed recommendations. Early indications are that this multi-method approach will drive improvements in information management practices, leading to an improvement in health and social care data quality in Ireland. Aspects of this approach may be adapted to meet the needs of other countries.</p>","PeriodicalId":73210,"journal":{"name":"Health information management : journal of the Health Information Management Association of Australia","volume":"51 1","pages":"50-56"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1833358320926422","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38085554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
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