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Patient perspectives on computer-based medical records

S Ornstein1, A Bearden

  • 1Department of Family Medicine, Medical University of South Carolina, Charleston, 29425.

The Journal of Family Practice
|June 1, 1994
PubMed
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.

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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.
Keywords:
Empirical ApproachMedical University of South CarolinaProfessional Patient Relationship

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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.