ArticleJournal of the American Medical Informatics Association : JAMIA
Overcoming structural constraints to patient utilization of electronic medical records: a critical review and proposal for an evaluation framework.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Investigation on Barriers and Critical Success Factors for Clinical Information Systems in Integrated Care Settings.Yearbook of medical informatics · 2015Pooled it
- An integrative review exploring the impact of Electronic Health Records (EHR) on the quality of nurse-patient interactions and communication.Journal of advanced nursing · 2023Review
- Driving digital transformation of comprehensive primary health services at scale in India: an enterprise architecture framework.BMJ global health · 2021Article
- Characteristics of Patients Who Report Confusion After Reading Their Primary Care Clinic Notes Online.Health communication · 2016Article
- Data model for personalized patient health guidelines: an exploratory study.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2014Article
- Personal health records for patients with chronic disease: a major opportunity.Applied clinical informatics · 2014Article
- Giving rheumatology patients online home access to their electronic medical record (EMR): advantages, drawbacks and preconditions according to care providers.Rheumatology international · 2013Article
- A tablet computer application for patients to participate in their hospital care.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2011Article
- Physician Attitudes about Patient-Facing Information Displays at an Urban Emergency Department.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2010Article
- Power is only skin deep: an institutional ethnography of nurse-driven outpatient psoriasis treatment in the era of clinic web sites.Journal of medical systems · 2007Article
- A rational model for assessing and evaluating complex interventions in health care.BMC health services research · 2006Article
- Reconciling the patient's role in the improvement of health outcomes: medical informatics' newest frontier.Journal of medical Internet research · 2004Article
- A model for evaluating interface terminologies.Journal of the American Medical Informatics Association : JAMIAArticle
- Who uses the patient internet portal? The PatientSite experience.Journal of the American Medical Informatics Association : JAMIAArticle
- Patient-perceived usefulness of online electronic medical records: employing grounded theory in the development of information and communication technologies for use by patients living with chronic illness.Journal of the American Medical Informatics Association : JAMIAArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There are constraints embedded in medical record structure that limit use by patients in self-directed disease management. Through systematic review of the literature from a critical perspective, four characteristics that either enhance or mitigate the influence of medical record structure on patient utilization of an electronic patient record (EPR) system have been identified: environmental pressures, physician centeredness, collaborative organizational culture, and patient centeredness. An evaluation framework is proposed for use when considering adaptation of existing EPR systems for online patient access. Exemplars of patient-accessible EPR systems from the literature are evaluated utilizing the framework. From this study, it appears that traditional information system research and development methods may not wholly capture many pertinent social issues that arise when expanding access of EPR systems to patients. Critically rooted methods such as action research can directly inform development strategies so that these systems may positively influence health outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.