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J. Pers. Med. 2015, 5(4), 452-469; doi:10.3390/jpm5040452

Patients’ Online Access to Their Primary Care Electronic Health Records and Linked Online Services: Implications for Research and Practice

1
School of Health Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford GU2 7TE, UK
2
Department of Health Care Management and Policy, University of Surrey, Guildford GU2 7XH, UK
*
Author to whom correspondence should be addressed.
Academic Editor: Maged N. Kamel Boulos
Received: 27 July 2015 / Revised: 23 November 2015 / Accepted: 30 November 2015 / Published: 4 December 2015
(This article belongs to the Special Issue Smart, Personalized Digital Health and Medicine)
View Full-Text   |   Download PDF [468 KB, uploaded 4 December 2015]

Abstract

Online access to medical records and linked services, including requesting repeat prescriptions and booking appointments, enables patients to personalize their access to care. However, online access creates opportunities and challenges for both health professionals and their patients, in practices and in research. The challenges for practice are the impact of online services on workload and the quality and safety of health care. Health professionals are concerned about the impact on workload, especially from email or other online enquiry systems, as well as risks to privacy. Patients report how online access provides a convenient means through which to access their health provider and may offer greater satisfaction if they get a timely response from a clinician. Online access and services may also result in unforeseen consequences and may change the nature of the patient-clinician interaction. Research challenges include: (1) Ensuring privacy, including how to control inappropriate carer and guardian access to medical records; (2) Whether online access to records improves patient safety and health outcomes; (3) Whether record access increases disparities across social classes and between genders; and (4) Improving efficiency. The challenges for practice are: (1) How to incorporate online access into clinical workflow; (2) The need for a business model to fund the additional time taken. Creating a sustainable business model for a safe, private, informative, more equitable online service is needed if online access to records is to be provided outside of pay-for-service systems. View Full-Text
Keywords: internet; online systems; medical record systems; computerized; health care quality; health care quality; access; and evaluation; safety; general practice internet; online systems; medical record systems; computerized; health care quality; health care quality; access; and evaluation; safety; general practice
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Mold, F.; de Lusignan, S. Patients’ Online Access to Their Primary Care Electronic Health Records and Linked Online Services: Implications for Research and Practice. J. Pers. Med. 2015, 5, 452-469.

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J. Pers. Med. EISSN 2075-4426 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
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