What do patients want? A qualitative exploration of patients' needs and expectations regarding online access to their primary care record.


Journal

The British journal of general practice : the journal of the Royal College of General Practitioners
ISSN: 1478-5242
Titre abrégé: Br J Gen Pract
Pays: England
ID NLM: 9005323

Informations de publication

Date de publication:
Jun 2020
Historique:
entrez: 20 6 2020
pubmed: 20 6 2020
medline: 20 6 2020
Statut: ppublish

Résumé

Primary care records have traditionally served the needs and demands of clinicians rather than those of the patient. GP contracts in England state practices must promote and offer registered patients online access to their primary care record and research has shown benefits to both patients and clinicians of doing so. Despite this, we know little about patients' needs and expectations regarding online access. To explore patients' views about accessing online primary care records and to find out how patients would like to interact with their records and what support they may need. Interviews and focus groups with a sample of 50 patients from a variety of socio-demographic backgrounds who were either; eligible for the NHS Health Check; had multimorbidities or were carers. Thematic analysis of data identified major themes impacting upon patients' wishes and needs as well as highlighting population-specific issues. Participants highlighted a wide range of views about the benefits and drawbacks of accessing their records online. The majority of participants indicated that they would be more likely to access their online primary care record if improvements were made to the design, reliability and functionality of existing online record services. Carers found accessing online records particularly useful. Consultation with patients and carers about their experiences of accessing online records; support needs and preferred functions can provide useful insights to inform the future design of online record services.

Sections du résumé

BACKGROUND BACKGROUND
Primary care records have traditionally served the needs and demands of clinicians rather than those of the patient. GP contracts in England state practices must promote and offer registered patients online access to their primary care record and research has shown benefits to both patients and clinicians of doing so. Despite this, we know little about patients' needs and expectations regarding online access.
AIM OBJECTIVE
To explore patients' views about accessing online primary care records and to find out how patients would like to interact with their records and what support they may need.
METHOD METHODS
Interviews and focus groups with a sample of 50 patients from a variety of socio-demographic backgrounds who were either; eligible for the NHS Health Check; had multimorbidities or were carers. Thematic analysis of data identified major themes impacting upon patients' wishes and needs as well as highlighting population-specific issues.
RESULTS RESULTS
Participants highlighted a wide range of views about the benefits and drawbacks of accessing their records online. The majority of participants indicated that they would be more likely to access their online primary care record if improvements were made to the design, reliability and functionality of existing online record services. Carers found accessing online records particularly useful.
CONCLUSION CONCLUSIONS
Consultation with patients and carers about their experiences of accessing online records; support needs and preferred functions can provide useful insights to inform the future design of online record services.

Identifiants

pubmed: 32554652
pii: 70/suppl_1/bjgp20X711245
doi: 10.3399/bjgp20X711245
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© British Journal of General Practice 2020.

Auteurs

Gail Davidge (G)

The University of Manchester.

Caroline Sanders (C)

The University of Manchester.

Rebecca Hays (R)

The University of Manchester.

Rebecca Morris (R)

The University of Manchester.

Helen Atherton (H)

The University of Warwick.

Freda Mold (F)

The University of Surrey.

Brian McMillan (B)

The University of Manchester.

Classifications MeSH