Family physicians' perspectives on personal health records: qualitative study.
Can Fam Physician
; 57(5): e178-84, 2011 May.
Article
em En
| MEDLINE
| ID: mdl-21642732
ABSTRACT
OBJECTIVE:
To explore FPs' perspectives on the value of personal health records (PHRs) in primary care and the implementation and adoption of PHRs in Canada.DESIGN:
A qualitative design using semistructured interviews.SETTING:
Southwestern Ontario.PARTICIPANTS:
Ten FPs.METHODS:
The 10 FPs participated in semistructured interviews, which were audiotaped and transcribed verbatim. An iterative approach using immersion and crystallization was employed for analysis. MAINFINDINGS:
Participants were generally positive about PHRs, and were attracted to their portability and potential to engage patients in health care. Their concerns focused on 3 main themes data management, practice management, and the patient-physician relationship. Subthemes included security, privacy, reliability of data, workload, remuneration, physician obligations, patient misinterpretation of medical information, and electronic communication displacing face-to-face visits. Participants identified 3 key facilitators for adoption of PHR systems integration with existing electronic health record systems, ease of use without being a burden on either time or money, and offering a demonstrated added value to family practice.CONCLUSION:
This study replicates previously published literature about FP concerns and opinions, and it further identifies remuneration as a potential barrier in Canadian fee-for-service payment models. Participants identified 3 key facilitators, which were suggested for implementation and adoption of PHRs, providing a basis for future research and development of these systems for use in Canadian family practice.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Médicos de Família
/
Atitude do Pessoal de Saúde
/
Registros de Saúde Pessoal
/
Registros Eletrônicos de Saúde
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article