Honeyman Alasdair, Cox Benita, Fisher Brian
Lambeth Walk Group Practice, London, UK.
Inform Prim Care. 2005;13(1):55-60. doi: 10.14236/jhi.v13i1.579.
This paper examines the interest and expectations of patients having access to their electronic care records. Semi-structured prospective interviews were performed with 109 patients in a community setting in London where all records are stored digitally either as coded data, free text or scanned in from the paper original. A booth had recently been set up for patients to access their electronic records in the waiting room with secure access through fingerprint recognition technology. The interviews detailed history and levels of interest in access, impact on relationship with clinician, familiarity with digital media and issues of security and accuracy. Patients were more interested in seeing their electronic than their paper record; they felt it would improve their relationship with their clinician; they generally trusted in the security of their records; they anticipated that there would be some mistakes; they were enthusiastic about the idea of adding to the record themselves, but were divided about having access over the internet. Patients are confident in and anticipate the value of having access to their electronic records.
本文探讨了患者获取其电子病历的兴趣和期望。在伦敦的一个社区环境中，对109名患者进行了半结构化前瞻性访谈，该社区所有记录均以数字形式存储，包括编码数据、自由文本或从纸质原件扫描而来。最近在候诊室设立了一个展位，患者可通过指纹识别技术安全访问其电子记录。访谈详细了解了患者的病史、获取记录的兴趣程度、对与临床医生关系的影响、对数字媒体的熟悉程度以及安全和准确性问题。患者对查看电子病历比纸质病历更感兴趣；他们认为这将改善与临床医生的关系；他们总体上信任病历的安全性；他们预计会有一些错误；他们对自己添加病历内容的想法很感兴趣，但对于通过互联网访问存在分歧。患者对获取电子病历充满信心，并预期其具有价值。
