Nothing about me without me: An interpretative review of patient accessible Electronic health records

2^nd International Conference on Health Informatics and Technology

July 27-29, 2015 Valencia, Spain

Sagar Jilka

Posters-Accepted Abstracts: J Health Med Informat

Abstract :

Patient accessible electronic health records (PAEHRs) enable patients to access and manage personal clinical information that is made available to them by their healthcare providers (HCPs). It is thought that the shared-management nature of medical record access improves patient outcomes and improves patient satisfaction. However, recent reviews have found that this is not the case. Furthermore, little research has focused on PAEHRs from the HCP viewpoint. Here, we provide a systematic review of reviews of the impact of giving patients record access from both a patient and HCP point of view. The review covers a broad range of outcome measures, including patient safety, patient satisfaction and privacy and security. A systematic search was conducted to identify review articles on the impact of PAEHRs (n=73) of which eight fulfilled the inclusion criteria. These reviews went through a novel scoring system analysis whereby we calculated how many positive outcomes were reported per every outcome measure investigated. This provided a way to quantify the impact of PAEHRs. We found mixed outcomes across both patient and HCP groups, with approximately half of the reviews showing positive changes with record access. Patients believe that record access increases their perception of control, however this still remains unanswered. Nurses are more likely than physicians to gain time efficiencies by using a PAEHR system with the main concern from physicians being the security of the PAEHRs. There is currently insufficient evidence about the effect of PAEHRs on health outcomes for patients or HCPs.