University of Utah, Department of Family and Preventive Medicine, Division of Family Medicine, Salt Lake City, USA.
University of Utah, Department of Internal Medicine, Division of Geriatrics, Salt Lake City, USA.
Fam Pract. 2021 Jul 28;38(4):468-472. doi: 10.1093/fampra/cmaa145.
Team-based care offers potential improvements in communication, care coordination, efficiency, value and satisfaction levels of both patients and providers. However, the question of how to balance the need for information in team-based care without disregarding patient preferences remains unanswered. This study aims to determine patients' perceptions of information sharing via electronic health records (EHRs) in team-based care.
This qualitative study used a focus group approach. Participants were primary care patients and representative members from minority groups (ethnic, racial or social). Audio recordings of the sessions were transcribed and coded consistent with thematic analyses.
The analysis revealed that the participants in the focus groups had diverging levels of understanding and personal beliefs around five major themes including (i) patient's understanding of the care team, (ii) perceptions of electronic health records, (iii) defining basic health care information, (iv) sharing information with the health care team and (v) patient's trust in doctors and the health care system.
The participants of our focus groups value team-based care and view patients as a critical part of those teams. With respect to electronic health records, our participants recognized their importance but had concerns about inaccuracies and limited options to correct errors in their records. In general, participants were willing to share basic information but disagreed about what information should be considered to be basic. Moreover, based on their trust and comfort level, many participants want to control what information is recorded and shared in the electronic health record.
团队式护理在改善医患双方的沟通、护理协调、效率、价值和满意度方面具有潜在优势。然而，如何在不忽视患者偏好的情况下平衡团队式护理中对信息的需求，这一问题仍未得到解答。本研究旨在确定患者对团队式护理中电子健康记录（EHRs）信息共享的看法。
本定性研究采用了焦点小组的方法。参与者为初级保健患者和来自少数民族群体（族裔、种族或社会）的代表成员。会话的音频记录被转录并按照主题分析进行编码。
分析显示，焦点小组的参与者在五个主要主题方面存在不同程度的理解和个人信念，包括：（i）患者对护理团队的理解；（ii）对电子健康记录的看法；（iii）基本医疗保健信息的定义；（iv）与医疗保健团队共享信息；（v）患者对医生和医疗保健系统的信任。
我们的焦点小组参与者重视团队式护理，并将患者视为这些团队的重要组成部分。关于电子健康记录，我们的参与者认识到其重要性，但对记录中的不准确和纠正错误的选项有限表示担忧。总体而言，参与者愿意共享基本信息，但对于哪些信息应被视为基本信息存在分歧。此外，根据他们的信任和舒适度，许多参与者希望控制电子健康记录中记录和共享的信息。
