临床医生对心理健康护理中我的健康记录的看法：药物管理与心理健康信息共享

Clinician perceptions of My Health Record in mental health care: medication management and sharing mental health information.

作者信息

Kariotis Timothy C, Harris Keith M

机构信息

School of Medicine, University of Tasmania, 17 Liverpool Street, Hobart, Tas. 7000, Australia; and Department of General Practice, University of Melbourne, 200 Berkeley Street, Carlton, Vic. 3053, Australia; and Corresponding author. Email:

School of Psychology, University of Queensland, Sir Fred Schonell Drive, St Lucia, Qld 4067, Australia; and Present address: School of Psychology, Charles Sturt University, 7 Major Innes Road, Port Macquarie, NSW 2444, Australia.

出版信息

Aust J Prim Health. 2019 Mar;25(1):66-71. doi: 10.1071/PY17181.

DOI:10.1071/PY17181

PMID:30636668

Abstract

My Health Record (MHR) is a national personally controlled electronic health record, which is projected to be used by all Australian health professionals by 2022. It has also been proposed for use in mental health care, but there is limited information on how clinicians will successfully implement it. This study interviewed seven general practitioners and four psychologists in Tasmania, Australia. Participants were asked about information continuity and barriers and benefits to using My Health Record in mental health care. Thematic analysis identified two pertinent themes: Medication Management and Mental Health Information. Participants reported MHR could improve the quality and frequency of medication information shared between clinicians, but wanted additional medication-related alert features. Mental health information issues were broad in scope and included concerns over sensitive data that might be accessed through MHR and completeness of information. Participants also reported barriers to MHR use, including time burdens and privacy and confidentiality concerns. My Health Record used in mental health care may improve the timely sharing of medication-related information, but clinicians' concerns regarding the sharing of patients' highly sensitive mental health information need to be addressed.

摘要

我的健康记录（MHR）是一份全国性的个人控制电子健康记录，预计到2022年所有澳大利亚医疗专业人员都将使用。它也被提议用于精神卫生保健，但关于临床医生将如何成功实施它的信息有限。本研究采访了澳大利亚塔斯马尼亚州的7名全科医生和4名心理学家。参与者被问及信息连续性以及在精神卫生保健中使用我的健康记录的障碍和益处。主题分析确定了两个相关主题：药物管理和心理健康信息。参与者报告说，MHR可以提高临床医生之间共享药物信息的质量和频率，但希望增加与药物相关的警报功能。心理健康信息问题范围广泛，包括对可能通过MHR访问的敏感数据以及信息完整性的担忧。参与者还报告了使用MHR的障碍，包括时间负担以及隐私和保密问题。在精神卫生保健中使用我的健康记录可能会改善与药物相关信息的及时共享，但临床医生对患者高度敏感的心理健康信息共享的担忧需要得到解决。