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Patient perspectives on computer-based medical records
1Department of Family Medicine, Medical University of South Carolina, Charleston, 29425.
The Journal of Family Practice
|June 1, 1994
Summary
Patients generally support computer-based patient records (CPRs), viewing them as beneficial for accessing information and improving care quality. Concerns about confidentiality exist but rarely impact the physician-patient relationship.
Area of Science:
- Medical Informatics
- Health Services Research
- Primary Care
Background:
- Low adoption of electronic health records (EHRs) in the US, with less than 1% of medical records digitized.
- Physician apprehension regarding potential negative impacts of EHRs on the physician-patient relationship.
- Need to understand patient perspectives on computer-based patient records (CPRs).
Purpose of the Study:
- To assess patient attitudes towards the implementation and use of CPR systems.
- To explore patient perceptions of CPR advantages, disadvantages, and impact on physician interactions.
Main Methods:
- Conducted in-depth interviews with 16 patients at a family medicine department.
- Survey topics included patient knowledge, perceived benefits/drawbacks, and effects on the physician-patient relationship.
Main Results:
- Most patients were aware of and held positive views on CPR systems.
- Patients perceived CPRs as enhancing information access, streamlining clinical encounters, and improving care quality.
- Confidentiality was a noted concern, though it minimally affected patient-physician interaction for most.
Conclusions:
- The study indicates significant patient acceptance and support for CPR systems in clinical practice.
- Findings suggest that physician concerns about negative impacts on the physician-patient relationship may be overstated.
- Encourages wider adoption of CPRs by highlighting patient endorsement.