Evidence map›Paper›PMID 38302414›Full record

ArticleBMJ open2024

Experiences and opinions of general practitioners with patient online record access: an online survey in England.

Charlotte R Blease, Anna Kharko, Zhiyong Dong, Ray B Jones, Gail Davidge, Maria Hagglund, Andrew Turner, Catherine DesRoches, Brian McMillan

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
17.0field-weighted citation impact, top 1% of its field
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Communicating blood test results in primary care: a mixed-methods systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Pooled it
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  3. Ambient scribes in general practice - help or hindrance?The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
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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

9 authors at 5 institutions in 3 countries.

Charlotte R BleaseUppsala Universitet, Uppsala, Sweden charlotte.blease@uu.se.ORCID 0000-0002-0205-1165
Anna KharkoFaculty of Health, University of Plymouth, Plymouth, UK.ORCID 0000-0003-0908-6173
Zhiyong DongBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Ray B JonesFaculty of Health, University of Plymouth, Plymouth, UK.ORCID 0000-0002-2963-3421
Gail DavidgeCentre for Primary Care and Health Services Research, The University of Manchester, Manchester, UK.
Maria HagglundDepartment of Women and Children's Health, Uppsala Universitet, Uppsala, Sweden.
Andrew TurnerUniversity of Bristol, Bristol, UK.ORCID 0000-0002-7121-3121
Catherine DesRochesBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Brian McMillanCentre for Primary Care and Health Services Research, The University of Manchester, Manchester, UK.ORCID 0000-0002-0683-3877
Uppsala University · SEBeth Israel Deaconess Medical Center · USManchester Academic Health Science Centre · GBUniversity of Bristol · GBUniversity of Plymouth · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the experiences and opinions of general practitioners (GPs) in England regarding patients having access to their full online GP health records.

designConvenience sample, online survey.

participants400 registered GPs in England.

main outcome measuresInvestigators measured GPs' experiences and opinions about online record access (ORA), including patient care and their practice.

resultsA total of 400 GPs from all regions of England responded. A minority (130, 33%) believed ORA was a good idea. Most GPs believed a majority of patients would worry more (364, 91%) or find their GP records more confusing than helpful (338, 85%). Most GPs believed a majority of patients would find significant errors in their records (240, 60%), would better remember their care plan (280, 70%) and feel more in control of their care (243, 60%). The majority believed they will/already spend more time addressing patients' questions outside of consultations (357, 89%), that consultations will/already take significantly longer (322, 81%) and that they will be/already are less candid in their documentation (289, 72%) after ORA. Nearly two-thirds of GPs believed ORA would increase their litigation (246, 62%).

conclusionsSimilar to clinicians in other countries, GPs in our sample were sceptical of ORA, believing patients would worry more and find their records more confusing than helpful. Most GPs also believed the practice would exacerbate work burdens. However, the majority of GPs in this survey also agreed there were multiple benefits to patients having online access to their primary care health records. The findings of this survey also contribute to a growing body of contrastive research from countries where ORA is advanced, demonstrating clinicians are sceptical while studies indicate patients appear to derive multiple benefits.

Indexed as

General PractitionersAttitude of Health PersonnelEnglandHumansPatient CareReferral and ConsultationSurveys and QuestionnairesElectronic Health RecordsPatientsSurveys and Questionnaires

Identifiers

PMID38302414
PMCPMC10806584
OpenAlexW4392145593

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.