Clinician Experiences of Patient Access to Health Records - An Interview Study in Home Dialysis Care
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View abstract on PubMed
Summary
This summary is machine-generated.Patient-accessible electronic health records (PAEHRs) can empower patients with chronic kidney disease. However, their impact on clinicians depends on patient understanding and motivation, highlighting the need for socio-technical system examination.
Area Of Science
- Health Informatics
- Patient Empowerment
- Chronic Disease Management
Background
- Patient-accessible electronic health records (PAEHRs) aim to increase patient engagement in managing their health, particularly for chronic conditions.
- Clinician concerns exist regarding potential negative impacts of PAEHRs, such as patient data misinterpretation, affecting patient care.
Purpose Of The Study
- To explore clinicians' experiences with PAEHRs in the context of home dialysis for chronic kidney disease patients.
- To understand how patient factors influence the effectiveness and challenges associated with PAEHR use in clinical practice.
Main Methods
- Semi-structured interviews were conducted with eleven clinicians providing home dialysis care.
- Qualitative analysis of interview data to identify themes related to PAEHR impact.
Main Results
- PAEHRs had varied effects, positively impacting workload and communication when patients were knowledgeable and motivated.
- Negative impacts were observed with anxious patients or those struggling to interpret their health data.
- Challenges reported by clinicians in home dialysis mirrored those in other patient groups.
Conclusions
- The impact of PAEHRs is contingent on patient-specific factors, including their capabilities and circumstances.
- A socio-technical systems perspective is crucial for understanding PAEHRs, considering patient-clinician communication and patient context.
- Further research is needed on socio-technical aspects influencing PAEHRs in chronic conditions requiring significant patient involvement.
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