Department of General Practice, National University of Ireland, Galway, Ireland.
Fam Pract. 2013 Feb;30(1):105-12. doi: 10.1093/fampra/cms036. Epub 2012 Jul 31.
National policies are being developed, which may limit access to patients' records for health research. This could reduce the ability of health research to benefit society as a whole. It is important to develop an in-depth understanding of people's views across demographic groups to inform such policy development. Aims. To explore patients' views about the use of their general practice records in health research with attention to gender and age. Design of study. Qualitative study using focus groups.
Six General Practices in the west of Ireland.
Focus Group interviews with 35 people who were patients at the practices.
Overall, participants were positively inclined towards the idea of information from their records (anonymous and identifiable) being used in research for the 'greater good' although there were some concerns about personal information being 'leaked'. Males emphasized risks in relation to employment and finances, whereas females emphasized risks in relation to social discomfort and embarrassment. Participants were supportive of consent models that enable patients to give prior ongoing consent for specific agreed 'levels' of data use, affording patients self-determination without the need for consent request on study-by-study basis.
Overall male and female patients of different ages are supportive of the use of their general practice records in health research and of general practitioners as data protectors.
国家政策正在制定中,这可能会限制健康研究获取患者记录的机会。这可能会降低健康研究造福全社会的能力。深入了解不同人群的观点对于此类政策的制定非常重要。目的:探讨患者对在健康研究中使用其全科医生记录的看法,重点关注性别和年龄。研究设计:使用焦点小组的定性研究。
爱尔兰西部的六家全科诊所。
对 35 名在诊所就诊的患者进行焦点小组访谈。
总体而言,参与者对记录(匿名和可识别)信息用于“更大利益”的研究的想法持积极态度,尽管有些人担心个人信息会“泄露”。男性强调与就业和财务有关的风险,而女性则强调与社会不适和尴尬有关的风险。参与者支持允许患者事先持续同意特定商定的“级别”数据使用的同意模式,使患者能够自行决定,而无需在研究基础上逐个请求同意。
不同年龄的男性和女性患者总体上支持在健康研究中使用他们的全科医生记录,并支持全科医生作为数据保护者。