Evidence map›Paper›PMID 31573898›Full record

ArticleJournal of medical Internet research2019

Health Care Professionals' Perspectives on the Secondary Use of Health Records to Improve Quality and Safety of Care in England: Qualitative Study.

Ana Luísa Neves, Dilkushi Poovendran, Lisa Freise, Saira Ghafur, Kelsey Flott, Ara Darzi, Erik K Mayer

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ana Luísa Neves *Patient Safety Translational Research Centre, Institute of Global Health Innovation, Imperial College London, London, United Kingdom.ORCID 0000-0002-7107-7211
Dilkushi Poovendran *Patient Safety Translational Research Centre, Institute of Global Health Innovation, Imperial College London, London, United Kingdom.ORCID 0000-0002-9919-2932
Lisa FreisePatient Safety Translational Research Centre, Institute of Global Health Innovation, Imperial College London, London, United Kingdom.ORCID 0000-0002-3558-0063
Saira GhafurCentre for Health Policy, Institute of Global Health Innovation, Imperial College London, London, United Kingdom.ORCID 0000-0003-4487-6904
Kelsey FlottPatient Safety Translational Research Centre, Institute of Global Health Innovation, Imperial College London, London, United Kingdom.ORCID 0000-0002-7835-4322
Ara DarziPatient Safety Translational Research Centre, Institute of Global Health Innovation, Imperial College London, London, United Kingdom.ORCID 0000-0001-7815-7989
Erik K MayerPatient Safety Translational Research Centre, Institute of Global Health Innovation, Imperial College London, London, United Kingdom.ORCID 0000-0002-5509-4580

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth care professionals (HCPs) are often patients' first point of contact in what concerns the communication of the purposes, benefits, and risks of sharing electronic health records (EHRs) for nondirect care purposes. Their engagement is fundamental to ensure patients' buy-in and a successful implementation of health care data sharing schemes. However, their views on this subject are seldom evaluated.

objectiveThis study aimed to explore HCPs' perspectives on the secondary uses of health care data in England. Specifically, we aimed to assess their knowledge on its purposes and the main concerns about data sharing processes.

methodsA total of 30 interviews were conducted between March 27, 2017, and April 7, 2017, using a Web-based interview platform and following a topic guide with open-ended questions. The participants represented a variety of geographic locations across England (London, West Midlands, East of England, North East England, and Yorkshire and the Humber), covering both primary and secondary care services. The transcripts were compiled verbatim and systematically reviewed by 2 independent reviewers using the framework analysis method to identify emerging themes.

resultsHCPs were knowledgeable about the possible secondary uses of data and highlighted its importance for patient profiling and tailored care, research, quality assurance, public health, and service delivery planning purposes. Main concerns toward data sharing included data accuracy, patients' willingness to share their records, challenges on obtaining free and informed consent, data security, lack of adequacy or understanding of current policies, and potential patient exposure and exploitation.

conclusionsThese results suggest a high level of HCPs' understanding about the purposes of data sharing for secondary purposes; however, some concerns still remain. A better understanding of HCPs' knowledge and concerns could inform national communication policies and improve tailoring to maximize efficiency and improve patients' buy-in.

Indexed as

Electronic Health RecordsEnglandFemaleHealth PersonnelHumansInformation DisseminationMaleMedical InformaticsQualitative ResearchQuality of Health Careelectronic health recordshealth policyinformation technologysafety culture

Identifiers

PMID31573898
PMCPMC6787532

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.