Carroll Joanne, Butler-Henderson Kerryn
cohealth, Melbourne, Australia.
Australian Institute of Health Service Management, Tasmanian School of Business & Economics, University of Tasmania, Locked Bag 1317, Launceston, 7250, Australia.
J Med Syst. 2017 Sep 2;41(10):158. doi: 10.1007/s10916-017-0807-3.
Australia's investment in the national MyHealthRecord has not been successfully communicated to the myriad of stakeholder groups, resulting in negative perceptions about the system and serious consequences for the uptake of the MyHealthRecord. Local stakeholder attitudes and perceptions will be crucial in setting the scene for success or failure with MyHealthRecord. A survey was undertaken to identify primary healthcare provider perceptions of the MyHealthRecord system, and capture the perceived enablers and barriers for use of the MyHealthRecord system. Almost all (89%) of the twenty-seven (27) respondents had previously heard of the MyHealthRecord system prior to completing the survey. Enablers included a decrease in duplication of effort and an increase in continuity of care. However, concerns about the perceived impact on healthcare provider time, privacy, access controls, and the need for full participation will need to be managed if MyHealthRecord is to be successfully implemented. The MyHealthRecord system will only be perceived as trustworthy when there is full participation by healthcare organisations, providers, and consumers. If Australian consumers become participants in an opt-out approach, it will be a catalyst for participation by healthcare organisations and providers. Incentives to encourage MyHealthRecord participation need to be extended to all healthcare providers as healthcare provider attitudes are influential with consumers. Therefore MyHealthRecord training and education needs to be targeted towards healthcare providers. Research into the attitudes of the local healthcare provider cohort is valuable in creating a change management strategy for maximising local success.
澳大利亚对全国性的“我的健康记录”（MyHealthRecord）的投资未能成功传达给众多利益相关者群体，导致对该系统产生负面看法，并对“我的健康记录”的采用造成严重后果。当地利益相关者的态度和看法对于“我的健康记录”的成败至关重要。开展了一项调查，以确定初级医疗保健提供者对“我的健康记录”系统的看法，并找出使用该系统的已知推动因素和障碍。在完成调查之前，27名受访者中几乎所有人（89%）都曾听说过“我的健康记录”系统。推动因素包括减少重复工作以及提高护理连续性。然而，如果要成功实施“我的健康记录”，就需要解决对医疗保健提供者时间、隐私、访问控制以及全面参与需求的潜在影响方面的担忧。只有当医疗保健组织、提供者和消费者全面参与时，“我的健康记录”系统才会被视为值得信赖。如果澳大利亚消费者以退出选项的方式参与，这将成为医疗保健组织和提供者参与的催化剂。由于医疗保健提供者的态度对消费者有影响，因此需要向所有医疗保健提供者提供鼓励参与“我的健康记录”的激励措施。因此，“我的健康记录”培训和教育需要针对医疗保健提供者。研究当地医疗保健提供者群体的态度对于制定变革管理策略以实现本地最大程度的成功具有重要价值。
