access
Green LV et al, Health Affairs, 32(1)
Most existing estimates of the shortage of primary care physicians are based on simple ratios, such as one physician for every 2,500 patients. These estimates do not consider the impact of such ratios on patients’ ability to get timely access to care. They also do not quantify the impact of changing patient demographics on the demand side and alternative methods of delivering care on the supply side. We used simulation methods to provide estimates of the number of primary care physicians needed, based on a comprehensive analysis considering access, demographics, and changing practice patterns.
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Published:
January 2013 |
Keyword(s): Access, Electronic Health Records, Physicians, Primary Care, United States
Palen TE et al, JAMA. 2012 Nov 21;308(19)
Context
Prior studies suggest that providing patients with online access to health records and e-mail communication with physicians may substitute for traditional health care services.
Objective
To assess health care utilization by both users and nonusers of online access to health records before and after initiation of MyHealthManager (MHM), a patient online access system.
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Published:
21 November 2012 |
Keyword(s): Access, Electronic Health Records, Patient Record Access
Luchenski S et al, BMC medical informatics and decision making, 12(1)
BACKGROUND:
Immediate access to patients’ complete health records via electronic databases could improve healthcare and facilitate health research. However, the possible benefits of a national electronic health records (EHR) system must be balanced against public concerns about data security and personal privacy. Successful development of EHR requires better understanding of the views of the public and those most affected by EHR: users of the National Health Service. This study aims to explore the correlation between personal healthcare experience (including number of healthcare contacts and number and type of longer term conditions) and views relating to development of EHR for healthcare, health services planning and policy and health research.
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Published:
23 May 2012 |
Keyword(s): Access, Electronic Health Records, Perception, Privacy, Quality Improvement, Research, Security, UK
Calvillo J et al, International Journal of Medical Informatics, 2012
Background
Advancements in information and communication technologies have allowed the development of new approaches to the management and use of healthcare resources. Nowadays it is possible to address complex issues such as meaningful access to distributed data or communication and understanding among heterogeneous systems. As a consequence, the discussion focuses on the administration of the whole set of resources providing knowledge about a single subject of care (SoC). New trends make the SoC administrator and responsible for all these elements (related to his/her demographic data, health, well-being, social conditions, etc.) and s/he is granted the ability of controlling access to them by third parties. The subject of care exchanges his/her passive role without any decision capacity for an active one allowing to control who accesses what.
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Published:
20 March 2012 |
Keyword(s): Access, Distributed systems, Electronic Health Records, Medical Informatics, Patient Empowerment, Semantics, Systems Integration
Ettel III G et al, The Permanente Journal, 12(1)
Objective:
To improve understanding about how high school students use electronic tools to obtain health information and how this information affects their behavior.
Design/Methods:
Using a cross-sectional design, we administered an anonymous survey to high school students in grades 9 through 12 at a single private Catholic high school, inquiring about their use of electronic tools to obtain health information, topics of interest, sources used to obtain information, and modifications in their behavior based on that information. Descriptive statistics and multivariate analysis of variance were used to compare trends across grade levels.
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Published:
2012 |
Keyword(s): Access, Adolescents, Health Information, United States
McCormick D et al, Health Affairs, 31(3)
Policy-based incentives for health care providers to adopt health information technology are predicated on the assumption that, among other things, electronic access to patient test results and medical records will reduce diagnostic testing and save money. To test the generalizability of findings that support this assumption, we analyzed the records of 28,741 patient visits to a nationally representative sample of 1,187 office-based physicians in 2008. Physicians’ access to computerized imaging results (sometimes, but not necessarily, through an electronic health record) was associated with a 40-70 percent greater likelihood of an imaging test being ordered.
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Published:
March 2012 |
Keyword(s): Access, Costs, Electronic Health Records, Information Technology, Laboratory Results, Physician, United States
Prados-Suárez B et al, Expert Systems with Applications, 2012
This paper aims to solve a recently arose problem, related to the access to the Electronic Health Records (EHR) in the Hospitals. Due to the digitalization of the information contained in the medical records, and the growing availability of devices that directly generate digital documents to include in it, the EHR are becoming unmanageable. Even more, to find a concrete item of information relevant for a given assistance act is a very hard, difficult and time-consuming task. To solve it we propose here the definition of contexts of access to the EHR, to exploit the logical division of the information inside each document in the EHR into data groups, and the computation of the pertinence of each data group to each context.
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Published:
30 January 2012 |
Keyword(s): Access, Context, Electronic Health Records, Fuzzy Logic, Pertinence
Walker J et al, Annals of Internal Medicine, 155(12)
Background:
Little is known about what primary care physicians (PCPs) and patients would expect if patients were invited to read their doctors’ office notes.
Objective:
To explore attitudes toward potential benefits or harms if PCPs offered patients ready access to visit notes.
Design:
he PCPs and patients completed surveys before joining a voluntary program that provided electronic links to doctors’ notes.
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Published:
20 December 2011 |
Keyword(s): Access, Patient, Patient Record Access, Physician notes, Primary Care, United States
DeVoe JE et al, Annals of Family Medicine, 9(4)
PURPOSE
Electronic Health Record (EHR) databases in community health centers (CHCs) present new opportunities for quality improvement, comparative effectiveness, and health policy research. We aimed (1) to create individual-level linkages between EHR data from a network of CHCs and Medicaid claims from 2005 through 2007; (2) to examine congruence between these data sources; and (3) to identify sociodemographic characteristics associated with documentation of services in one data set vs the other.
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Published:
1 July 2011 |
Keyword(s): Access, Diabetes Mellitus, Electronic Health Records, Insurance, Primary Care, United States
Kadda A. International Journal of Electronic Healthcare, 5(4)
The aim of this study is to look into the social utility of personalised electronic health using the home-based healthcare as a case study. For this purpose research was carried out based on a review of the literature, resulting in a drawing of the following conclusions:
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Published:
2010 |
Keyword(s): Access, Digital Homecare, Efficacy, Electronic Health Records, Personalized health, Quality
Quantin C et al, International Journal of Medical Informatics, 2010
Purpose
The purpose of our multidisciplinary study was to define a pragmatic and secure alternative to the creation of a national centralised medical record which could gather together the different parts of the medical record of a patient scattered in the different hospitals where he was hospitalised without any risk of breaching confidentiality.
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Published:
4 November 2010 |
Keyword(s): Access, Electronic Health Records, Electronic Medical Records, Patient identifier, Privacy, Search Engines, Security
Leonard KJ et al, Healthcare Quarterly, 11(1)
3C have a constant need to manage their own personal healthcare. This requires managing information related to their conditions. Given that the nature of healthcare is information intensive, effective management requires much more than simply providing patients with access to their electronic health record within a hospital-based system. This practice has been followed with little ongoing success. 3C will need a health recording system specifically designed and implemented for them, with essential decision-support capabilities built in.
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Published:
2008 |
Keyword(s): Access, Chronic Disease Management, Electronic Health Records, Electronic Medical Records, Personal Health Records
Tiik M. Medical and Care Compunetics 6, 2010
There should be a clear understanding that when implementing an electronic health record system (EHR), one of the hardest problems we have to solve is the access rights. In Estonia this process lasted for three years and involved all stakeholders of the healthcare sector. Special ethical committee was established to advise the decision makers and doctors to help them understand the ethical dilemmas from the patient’s and society’s point of view.
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Published:
8 June 2010 |
Keyword(s): Access, Electronic Health Records, Estonia, Patient Record Access
Chen T and Zhong S, Journal of Medical Systems, 2010
Personally controlled health records (PCHR) systems have emerged to allow patients to control their own medical data. In a PCHR system, all the access privileges to a patient’s data are granted by the patient. However, in many emergency cases, it is impossible for the patient to participate in access authorization on site when immediate medical treatment is needed. To solve the emergency access authorization problem in the absence of patients, we consider two cases: a) the requester is already in the PCHR system but has not obtained the access privilege of the patient’s health records, and b) the requester does not even have an account in the PCHR system to submit its request.
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Published:
6 April 2010 |
Keyword(s): Access, Electronic Health Records, Emergency Medicine, Personal Health Records, United States
Rothstein, Mark A., The Journal of Law, Medicine & Ethics, 38(1)
The shift to longitudinal, comprehensive electronic health records (EHRs) means that any health care provider (e.g., dentist, pharmacist, physical therapist) or third-party user of the EHR (e.g., employer, life insurer) will be able to access much health information of questionable clinical utility and possibly of great sensitivity. Genetic test results, reproductive health, mental health, substance abuse, and domestic violence are examples of sensitive information that many patients would not want routinely available.
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Published:
2010 |
Keyword(s): Access, Confidentiality, Electronic Health Records, Ethics, Health Information, Health Information Technology, Physician-Patient Relationship, Privacy, Sensitivity and Specificity
Hargreaves JS. Telemedicine and e-Health, 16(2)
Purpose:
The objective of this study was to educate stakeholders (e.g., providers, patients, insurers, government) in the healthcare industry about electronic personal health records (PHRs) and their potential application in rural America.
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Published:
18 January 2010 |
Keyword(s): Access, Awareness, Electronic Health Records, Patient, Personal Health Records, Quality of Health Care, Rural, United States
Pak, Richard et al, J Med Internet Res, 11(4)
Background:
Older adults’ health maintenance may be enhanced by having access to online health information. However, usability issues may prevent older adults from easily accessing such information. Prior research has shown that aging is associated with a unique pattern of cognitive changes, and knowledge of these changes may be used in the design of health websites for older adults.
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Published:
16 November 2009 |
Keyword(s): Access, Adolescents, Barriers, Elderly, Health Information, Internet, United States, Usability, Websites
Hunter IM et al, Health Informatics Journal, 15(3)
This project investigates public attitudes towards sharing confidential personal health information held in electronic health records (EHRs). The project uses computer assisted telephone interviewing (CATI) to conduct a quantitative national survey of the attitudes of New Zealanders towards access to their personal health information using vignettes. Respondents are presented with vignettes which describe ways in which their health information might be used, and asked about their attitude to and consent for each type of access.
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Published:
September 2009 |
Keyword(s): Access, Consent, De-identify, Electronic Health Records, New Zealand, Patient Record Access, Survey
Dixon, Brian E. et al, Journal of Healthcare Information Management, 23(3)
Personal health records (PHRs) have the potential to empower patient decision-making. Integrating PHRs into the nation’s health information infrastructure via the Nationwide Health Information Network (NHIN) may accelerate their adoption and use. PHR and NHIN technical development activities are advancing, but little is known about provider acceptance of PHR usage in this manner. Researchers conducted semi-structured interviews with organizations participating in an operational health information exchange to elicit opinions regarding such integration.
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Published:
2009 |
Keyword(s): Access, Consumer, Decision Making, Empowerment, Health Information Exchange, Personal Health Records, United States
Orchard M et al, BMC Medical Informatics and Decision Making, 9(1)
Background
The use of electronic health records (EHRs) to support the organization and delivery of healthcare is evolving rapidly. However, little is known regarding potential variation in access to EHRs by provider type or care setting. This paper reports on observed variation in the perceptions of access to EHRs by a wide range of cancer care providers covering diverse cancer care settings in Ontario, Canada.
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Published:
10 August 2009 |
Keyword(s): Access, Adoption, Canada, Continuity of Patient Care, Electronic Health Records, Oncology, Provider
