Ålander Ture, Scandurra Isabella
Department of Public Health and Caring Sciences, Uppsala University, Sweden.
School of Business, eHealth, Örebro University, Sweden.
Stud Health Technol Inform. 2015;216:153-7.
Patients' increasing demands for medical information, the digitization of health records and the fast spread of Internet access form a basis of introducing new eHealth services. An international trend is to provide access for patients to health information of various kind. In Sweden, access by patients to their proper electronic health record (EHR) has been provided in a pilot county since November 2012. This eHealth service is controversial and criticism has arised from the clinical professions, mainly physicians. Two web surveys were conducted to discover whether the opinions of healthcare professionals differ; between staff that have had experience with patients accessing their own EHR and those who have no such expericence. Experienced nurses found the EHR more important for the patients and a better reform, compared to unexperienced nurses in the rest of the country. Similarly, physicians with their own experience had a more positive attitude compared to non-experienced physicians. The conclusion of this study is that healthcare professionals must be involved in the implementation of public eHealth services such as EHRs and that real experiences of the professionals should be better disseminated to their inexperienced peers.
患者对医疗信息需求的不断增加、健康记录的数字化以及互联网接入的迅速普及构成了引入新电子健康服务的基础。国际趋势是为患者提供获取各类健康信息的途径。在瑞典,自2012年11月起,在一个试点县为患者提供了访问其个人电子健康记录(EHR)的权限。这项电子健康服务存在争议,并且引发了临床专业人员(主要是医生)的批评。开展了两项网络调查,以了解医疗保健专业人员的意见是否存在差异;比较有患者访问自己电子健康记录经验的工作人员与没有此类经验的工作人员。与该国其他地区没有经验的护士相比,有经验的护士认为电子健康记录对患者更重要,也是一项更好的改革。同样,有自身经验的医生比没有经验的医生态度更积极。这项研究的结论是,医疗保健专业人员必须参与诸如电子健康记录等公共电子健康服务的实施,并且专业人员的实际经验应更好地传播给缺乏经验的同行。