Department of Primary Care and Public Health Sciences, Kings College London, Capital House, 42 Weston Street, London SE1 3QD, UK.
Fam Pract. 2011 Apr;28(2):188-94. doi: 10.1093/fampra/cmq092. Epub 2010 Nov 17.
Record access is likely to become an integral part of routine care in the UK. While existing research suggests that record access improves self-care and improves relationships between patients and clinicians, little is known about how patients make use of their ability to access their records or the impact that this has on health behaviour.
To explore patients' use of access to their electronic GP record and the impact of that process on their health behaviour.
Self-administered postal questionnaire mailed from three general practice surgeries to patients registered to use PAERS record access system. Data were analysed using SPSS. Content analysis was used to analyse free-text responses.
Two hundred and thirty-one of 610 patients responded. Frequent users of Record Access were those in poor health. Record access was used to look at test results and to read letters from those involved in health care. Forty-two per cent reported a positive impact on following medication advice and 64% a positive impact on following lifestyle advice. Just over half the sample felt accessing records prior to appointments saved time and wanted to share records with other health care providers. Approximately a third reported difficulties with understanding their records.
Record access appears to have a number of positive outcomes and very few negative ones, although further work is needed to confirm this. It is used by patients to help practices improve efficiency and to improve compliance. It has the potential to promote and reinforce collaborative relationships between clinicians and patients.
记录访问可能成为英国常规护理的一个组成部分。虽然现有研究表明，记录访问可以改善自我护理并改善患者与临床医生之间的关系，但对于患者如何利用其访问记录的能力以及这对健康行为的影响知之甚少。
探讨患者对电子 GP 记录的访问使用情况，以及该过程对其健康行为的影响。
从三家全科医生手术中通过邮寄自填式邮政问卷向注册使用 PAERS 记录访问系统的患者发送问卷。使用 SPSS 进行数据分析。使用内容分析法分析自由文本回复。
在 610 名患者中，有 231 名患者做出了回应。经常使用记录访问的是健康状况不佳的患者。记录访问用于查看测试结果和阅读医疗保健相关人员的信件。42%的患者报告说，这对遵循药物建议有积极影响，64%的患者报告说对遵循生活方式建议有积极影响。超过一半的样本感到在预约前访问记录可以节省时间，并希望与其他医疗保健提供者共享记录。约三分之一的患者报告说，他们在理解自己的记录方面存在困难。
记录访问似乎有许多积极的结果，很少有负面的结果，尽管需要进一步的工作来证实这一点。它被患者用来帮助实践提高效率并提高依从性。它有可能促进和加强临床医生和患者之间的合作关系。
