ArticleHealth information management : journal of the Health Information Management Association of Australia2024
Patient online access to general practice medical records: A qualitative study on patients' needs and expectations.
Article in Health information management : journal of the Health Information Management Association of Australia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Predictive testing for Huntington's disease in a digital age; patient power with potential pitfalls.European journal of human genetics : EJHG · 2025Article
- Relevant determinants of Dutch patients' informed decision-making and use of online access to medical records.Health promotion international · 2025Article
- The Effects of Online Access to General Practice Medical Records Perceived by Patients: Longitudinal Survey Study.Journal of medical Internet research · 2023Article
- General Practices' Experiences With Patients' Web-Based Access to Medical Records: Survey Study.Journal of medical Internet research · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient online access to medical records is assumed to foster patient empowerment and advance patient-centred healthcare. Since July 2020, patients in the Netherlands have been legally entitled to electronically access their medical record in general practice. Experience from pioneering countries has shown that despite high patient interest, user rates often remain low. How to best support implementation depends on individual needs and expectations of patient populations, which are as yet unknown in the Dutch context.
objectiveTo understand Dutch patients' needs and expectations with regard to online access to their medical record in general practice.
methodTwenty participants completed semi-structured individual interviews via video or telephone call. Transcripts of interviews underwent template analysis combining deductive and inductive coding using Atlas.ti software.
resultsPatients' needs and expectations ranged across three overlapping areas: (i) prerequisites for getting online access; (ii) using online access; and (iii) the impact on interaction with healthcare providers. Patients expected benefits from online access such as better overview, empowerment and improved communication with their general practitioner but identified needs regarding technological difficulties, data privacy and complex medical language in their record.
conclusionThe concerns and obstacles participants identified point towards the need for organisational changes in general practice, for example, adjusted documentation practices, and the key role of the general practitioner and staff in promoting and facilitating online access. IMPLICATIONS: Implementation strategies addressing needs identified in this study may help to unlock the full potential of online access to achieve desired outcomes of patient involvement and satisfaction.
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