Naude Kim, Snowdon David A, Parker Emily, McNaney Roisin, Srikanth Velandai, Andrew Nadine E
Monash University, Melbourne, Victoria, Australia
Monash University, Melbourne, Victoria, Australia.
BMJ Health Care Inform. 2025 Jan 2;32(1):e101126. doi: 10.1136/bmjhci-2024-101126.
In Australia, with the recent introduction of electronic health records (EHRs) into hospitals, the use of hospital-based EHRs for research is a relatively new concept. The aim of this study was to explore the attitudes of older healthcare consumers on sharing their health data with an emerging EHR-based Research Data Platform within the National Centre for Healthy Ageing.
This was a qualitative study. Two workshops were conducted in March 2022 with consumer representatives across Peninsula Health, Victoria, Australia. The workshops comprised three parts: (1) an ice-breaker (2) an introduction to EHR-based research through the presentation of 'use case' scenarios and (3) focus group discussions. Qualitative data were analysed using reflexive thematic analysis.
Consumer participants (n=16) were aged between 62 and 83 years and were of mixed gender. The overarching theme was related to trust in the use of EHR data for research; themes included: (1) benefits of sharing data, (2) uncertainty around data collection processes and (3) data sharing fears. The three themes within the overarching theme all reflect participants' levels of trust.
Our study identified fundamental issues related to trust in the use of EHR data for research, with both healthcare and broader societal factors contributing to consumer attitudes. Processes to support transparent and clear communication with consumers are essential to support the responsible use of EHR data for research.
在澳大利亚,随着医院近期引入电子健康记录(EHRs),利用基于医院的电子健康记录进行研究是一个相对较新的概念。本研究的目的是探讨老年医疗消费者对于在国家健康老龄化中心内与一个新兴的基于电子健康记录的研究数据平台共享其健康数据的态度。
这是一项定性研究。2022年3月,与澳大利亚维多利亚州半岛健康服务中心的消费者代表举办了两次研讨会。研讨会包括三个部分:(1)破冰环节;(2)通过展示“用例”场景介绍基于电子健康记录的研究;(3)焦点小组讨论。使用反思性主题分析法对定性数据进行分析。
消费者参与者(n = 16)年龄在62岁至83岁之间,性别各异。总体主题与对使用电子健康记录数据进行研究的信任有关;主题包括:(1)共享数据的益处;(2)数据收集过程的不确定性;(3)数据共享担忧。总体主题中的这三个主题均反映了参与者的信任程度。
我们的研究确定了与使用电子健康记录数据进行研究的信任相关的基本问题,医疗和更广泛的社会因素都会影响消费者的态度。支持与消费者进行透明和清晰沟通的流程对于支持负责任地使用电子健康记录数据进行研究至关重要。