Tags

Type your tag names separated by a space and hit enter

Patient experiences and attitudes about access to a patient electronic health care record and linked web messaging.
J Am Med Inform Assoc. 2004 Nov-Dec; 11(6):505-13.JAMIA

Abstract

OBJECTIVE

Patient access to their electronic health care record (EHR) and Web-based communication between patients and providers can potentially improve the quality of health care, but little is known about patients' attitudes toward this combined electronic access. The objective of our study was to evaluate patients' values and perceptions regarding Web-based communication with their primary care providers in the context of access to their electronic health care record.

METHODS

We conducted an online survey of 4,282 members of the Geisinger Health System who are registered users of an application (MyChart) that allows patients to communicate electronically with their providers and view selected portions of their EHR. To supplement the survey, we also conducted focus groups with 25 patients who were using the system and conducted one-on-one interviews with ten primary care clinicians. We collected and analyzed data on user satisfaction, ease of use, communication preferences, and the completeness and accuracy of the patient EHR.

RESULTS

A total of 4,282 registered patient EHR users were invited to participate in the survey; 1,421 users (33%) completed the survey, 60% of them female. The age distribution of users was as follows: 18 to 30 (5%), 31 to 45 (24%), 46 to 64 (54%), 65 and older (16%). Using a continuous scale from 1 to 100, the majority of users indicated that the system was easy to use (mean scores ranged from 78 to 85) and that their medical record information was complete, accurate, and understandable (mean scores ranged from 65 to 85). Only a minority of users was concerned about the confidentiality of their information or about seeing abnormal test results after receiving only an explanatory electronic message from their provider. Patients preferred e-mail communication for some interactions (e.g., requesting prescription renewals, obtaining general medical information), whereas they preferred in-person communication for others (e.g., getting treatment instructions). Telephone or written communication was never their preferred communication channel. In contrast, physicians were more likely to prefer telephone communication and less likely to prefer e-mail communication.

CONCLUSION

Patients' attitudes about the use of Web messaging and online access to their EHR were mostly positive. Patients were satisfied that their medical information was complete and accurate. A minority of patients was mildly concerned about the confidentiality and privacy of their information and about learning of abnormal test results electronically. Clinicians were less positive about using electronic communication than their patients. Patients and clinicians differed substantially regarding their preferred means of communication for different types of interactions.

Authors+Show Affiliations

Abt Associates Inc., Cambridge, MA 02138, USA. andrea_hassol@abtassoc.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15299001

Citation

Hassol, Andrea, et al. "Patient Experiences and Attitudes About Access to a Patient Electronic Health Care Record and Linked Web Messaging." Journal of the American Medical Informatics Association : JAMIA, vol. 11, no. 6, 2004, pp. 505-13.
Hassol A, Walker JM, Kidder D, et al. Patient experiences and attitudes about access to a patient electronic health care record and linked web messaging. J Am Med Inform Assoc. 2004;11(6):505-13.
Hassol, A., Walker, J. M., Kidder, D., Rokita, K., Young, D., Pierdon, S., Deitz, D., Kuck, S., & Ortiz, E. (2004). Patient experiences and attitudes about access to a patient electronic health care record and linked web messaging. Journal of the American Medical Informatics Association : JAMIA, 11(6), 505-13.
Hassol A, et al. Patient Experiences and Attitudes About Access to a Patient Electronic Health Care Record and Linked Web Messaging. J Am Med Inform Assoc. 2004 Nov-Dec;11(6):505-13. PubMed PMID: 15299001.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Patient experiences and attitudes about access to a patient electronic health care record and linked web messaging. AU - Hassol,Andrea, AU - Walker,James M, AU - Kidder,David, AU - Rokita,Kim, AU - Young,David, AU - Pierdon,Steven, AU - Deitz,Deborah, AU - Kuck,Sarah, AU - Ortiz,Eduardo, Y1 - 2004/08/06/ PY - 2004/8/10/pubmed PY - 2004/12/16/medline PY - 2004/8/10/entrez KW - Empirical Approach KW - Professional Patient Relationship SP - 505 EP - 13 JF - Journal of the American Medical Informatics Association : JAMIA JO - J Am Med Inform Assoc VL - 11 IS - 6 N2 - OBJECTIVE: Patient access to their electronic health care record (EHR) and Web-based communication between patients and providers can potentially improve the quality of health care, but little is known about patients' attitudes toward this combined electronic access. The objective of our study was to evaluate patients' values and perceptions regarding Web-based communication with their primary care providers in the context of access to their electronic health care record. METHODS: We conducted an online survey of 4,282 members of the Geisinger Health System who are registered users of an application (MyChart) that allows patients to communicate electronically with their providers and view selected portions of their EHR. To supplement the survey, we also conducted focus groups with 25 patients who were using the system and conducted one-on-one interviews with ten primary care clinicians. We collected and analyzed data on user satisfaction, ease of use, communication preferences, and the completeness and accuracy of the patient EHR. RESULTS: A total of 4,282 registered patient EHR users were invited to participate in the survey; 1,421 users (33%) completed the survey, 60% of them female. The age distribution of users was as follows: 18 to 30 (5%), 31 to 45 (24%), 46 to 64 (54%), 65 and older (16%). Using a continuous scale from 1 to 100, the majority of users indicated that the system was easy to use (mean scores ranged from 78 to 85) and that their medical record information was complete, accurate, and understandable (mean scores ranged from 65 to 85). Only a minority of users was concerned about the confidentiality of their information or about seeing abnormal test results after receiving only an explanatory electronic message from their provider. Patients preferred e-mail communication for some interactions (e.g., requesting prescription renewals, obtaining general medical information), whereas they preferred in-person communication for others (e.g., getting treatment instructions). Telephone or written communication was never their preferred communication channel. In contrast, physicians were more likely to prefer telephone communication and less likely to prefer e-mail communication. CONCLUSION: Patients' attitudes about the use of Web messaging and online access to their EHR were mostly positive. Patients were satisfied that their medical information was complete and accurate. A minority of patients was mildly concerned about the confidentiality and privacy of their information and about learning of abnormal test results electronically. Clinicians were less positive about using electronic communication than their patients. Patients and clinicians differed substantially regarding their preferred means of communication for different types of interactions. SN - 1067-5027 UR - https://www.unboundmedicine.com/medline/citation/15299001/Patient_experiences_and_attitudes_about_access_to_a_patient_electronic_health_care_record_and_linked_web_messaging_ L2 - https://academic.oup.com/jamia/article-lookup/doi/10.1197/jamia.M1593 DB - PRIME DP - Unbound Medicine ER -