Patients’ Perspectives About Factors Affecting Their Use of Electronic Personal Health Records in England: Qualitative Analysis
<h3>Background</h3><p dir="ltr">General practices (GPs) in England have recently introduced a nationwide electronic personal health record (ePHR) system called Patient Online or GP online services, which allows patients to view parts of their medical records, book appoint...
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| مؤلفون آخرون: | , , , |
| منشور في: |
2021
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| الموضوعات: | |
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إضافة وسم
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| _version_ | 1864513516816302080 |
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| author | Alaa Abd-Alrazaq (17430900) |
| author2 | Zeineb Safi (18281719) Bridgette M Bewick (18102667) Mowafa Househ (9154124) Peter H Gardner (18508173) |
| author2_role | author author author author |
| author_facet | Alaa Abd-Alrazaq (17430900) Zeineb Safi (18281719) Bridgette M Bewick (18102667) Mowafa Househ (9154124) Peter H Gardner (18508173) |
| author_role | author |
| dc.creator.none.fl_str_mv | Alaa Abd-Alrazaq (17430900) Zeineb Safi (18281719) Bridgette M Bewick (18102667) Mowafa Househ (9154124) Peter H Gardner (18508173) |
| dc.date.none.fl_str_mv | 2021-01-13T03:00:00Z |
| dc.identifier.none.fl_str_mv | 10.2196/17500 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Patients_Perspectives_About_Factors_Affecting_Their_Use_of_Electronic_Personal_Health_Records_in_England_Qualitative_Analysis/25756257 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Health sciences Health services and systems electronic personal health records tethered personal health records patient portal patient online technology acceptance technology adoption qualitative research mobile phone |
| dc.title.none.fl_str_mv | Patients’ Perspectives About Factors Affecting Their Use of Electronic Personal Health Records in England: Qualitative Analysis |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Background</h3><p dir="ltr">General practices (GPs) in England have recently introduced a nationwide electronic personal health record (ePHR) system called Patient Online or GP online services, which allows patients to view parts of their medical records, book appointments, and request prescription refills. Although this system is free of charge, its adoption rates are low. To improve patients’ adoption and implementation success of the system, it is important to understand the factors affecting their use of the system.</p><h3>Objective</h3><p dir="ltr">The aim of this study is to explore patients’ perspectives of factors affecting their use of ePHRs in England.</p><h3>Methods</h3><p dir="ltr">A cross-sectional survey was carried out between August 21 and September 26, 2017. A questionnaire was used in this survey to collect mainly quantitative data through closed-ended questions in addition to qualitative data through an open-ended question. A convenience sample was recruited in 4 GPs in West Yorkshire, England. Given that the quantitative data were analyzed in a previous study, we analyzed the qualitative data using thematic analysis.</p><h3>Results</h3><p dir="ltr">Of the 800 eligible patients invited to participate in the survey, 624 (78.0%) returned a fully completed questionnaire. Of those returned questionnaires, the open-ended question was answered by 136/624 (21.8%) participants. A total of 2 meta-themes emerged from participants’ responses. The first meta-theme comprises 5 themes about why patients do not use Patient Online: concerns about using Patient Online, lack of awareness of Patient Online, challenges regarding internet and computers, perceived characteristics of nonusers, and preference for personal contact. The second meta-theme contains 1 theme about why patients use Patient Online: encouraging features of Patient Online.</p><h3>Conclusions</h3><p dir="ltr">The challenges and concerns that impede the use of Patient Online seem to be of greater importance than the facilitators that encourage its use. There are practical considerations that, if incorporated into the system, are likely to improve its adoption rate: Patient Online should be useful, easy to use, secure, and easy to access. Different channels should be used to increase the awareness of the system, and GPs should ease registration with the system and provide manuals, training sessions, and technical support. More research is needed to assess the effect of the new factors found in this study (eg, lack of trust, difficulty registering with Patient Online) and factors affecting the continuing use of the system.</p><h2>Other Information</h2><p dir="ltr">Published in: Journal of Medical Internet Research<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.2196/17500" target="_blank">https://dx.doi.org/10.2196/17500</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_3c4ee5d5a940ade4d7e78f15c71d9c54 |
| identifier_str_mv | 10.2196/17500 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/25756257 |
| publishDate | 2021 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Patients’ Perspectives About Factors Affecting Their Use of Electronic Personal Health Records in England: Qualitative AnalysisAlaa Abd-Alrazaq (17430900)Zeineb Safi (18281719)Bridgette M Bewick (18102667)Mowafa Househ (9154124)Peter H Gardner (18508173)Health sciencesHealth services and systemselectronic personal health recordstethered personal health recordspatient portalpatient onlinetechnology acceptancetechnology adoptionqualitative researchmobile phone<h3>Background</h3><p dir="ltr">General practices (GPs) in England have recently introduced a nationwide electronic personal health record (ePHR) system called Patient Online or GP online services, which allows patients to view parts of their medical records, book appointments, and request prescription refills. Although this system is free of charge, its adoption rates are low. To improve patients’ adoption and implementation success of the system, it is important to understand the factors affecting their use of the system.</p><h3>Objective</h3><p dir="ltr">The aim of this study is to explore patients’ perspectives of factors affecting their use of ePHRs in England.</p><h3>Methods</h3><p dir="ltr">A cross-sectional survey was carried out between August 21 and September 26, 2017. A questionnaire was used in this survey to collect mainly quantitative data through closed-ended questions in addition to qualitative data through an open-ended question. A convenience sample was recruited in 4 GPs in West Yorkshire, England. Given that the quantitative data were analyzed in a previous study, we analyzed the qualitative data using thematic analysis.</p><h3>Results</h3><p dir="ltr">Of the 800 eligible patients invited to participate in the survey, 624 (78.0%) returned a fully completed questionnaire. Of those returned questionnaires, the open-ended question was answered by 136/624 (21.8%) participants. A total of 2 meta-themes emerged from participants’ responses. The first meta-theme comprises 5 themes about why patients do not use Patient Online: concerns about using Patient Online, lack of awareness of Patient Online, challenges regarding internet and computers, perceived characteristics of nonusers, and preference for personal contact. The second meta-theme contains 1 theme about why patients use Patient Online: encouraging features of Patient Online.</p><h3>Conclusions</h3><p dir="ltr">The challenges and concerns that impede the use of Patient Online seem to be of greater importance than the facilitators that encourage its use. There are practical considerations that, if incorporated into the system, are likely to improve its adoption rate: Patient Online should be useful, easy to use, secure, and easy to access. Different channels should be used to increase the awareness of the system, and GPs should ease registration with the system and provide manuals, training sessions, and technical support. More research is needed to assess the effect of the new factors found in this study (eg, lack of trust, difficulty registering with Patient Online) and factors affecting the continuing use of the system.</p><h2>Other Information</h2><p dir="ltr">Published in: Journal of Medical Internet Research<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.2196/17500" target="_blank">https://dx.doi.org/10.2196/17500</a></p>2021-01-13T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.2196/17500https://figshare.com/articles/journal_contribution/Patients_Perspectives_About_Factors_Affecting_Their_Use_of_Electronic_Personal_Health_Records_in_England_Qualitative_Analysis/25756257CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/257562572021-01-13T03:00:00Z |
| spellingShingle | Patients’ Perspectives About Factors Affecting Their Use of Electronic Personal Health Records in England: Qualitative Analysis Alaa Abd-Alrazaq (17430900) Health sciences Health services and systems electronic personal health records tethered personal health records patient portal patient online technology acceptance technology adoption qualitative research mobile phone |
| status_str | publishedVersion |
| title | Patients’ Perspectives About Factors Affecting Their Use of Electronic Personal Health Records in England: Qualitative Analysis |
| title_full | Patients’ Perspectives About Factors Affecting Their Use of Electronic Personal Health Records in England: Qualitative Analysis |
| title_fullStr | Patients’ Perspectives About Factors Affecting Their Use of Electronic Personal Health Records in England: Qualitative Analysis |
| title_full_unstemmed | Patients’ Perspectives About Factors Affecting Their Use of Electronic Personal Health Records in England: Qualitative Analysis |
| title_short | Patients’ Perspectives About Factors Affecting Their Use of Electronic Personal Health Records in England: Qualitative Analysis |
| title_sort | Patients’ Perspectives About Factors Affecting Their Use of Electronic Personal Health Records in England: Qualitative Analysis |
| topic | Health sciences Health services and systems electronic personal health records tethered personal health records patient portal patient online technology acceptance technology adoption qualitative research mobile phone |