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Title: Physicians' and pharmacists' use of My Health Record in the emergency department: results from a mixed-methods study.
Austin Authors: Mullins, Alexandra K;Morris, Heather;Bailey, Cate;Ben-Meir, Michael ;Rankin, David;Mousa, Mariam;Skouteris, Helen
Affiliation: Monash Centre for Health Research and Implementation, School Public Health and Preventative Medicine, Monash University, Melbourne, VIC Australia
Cabrini Health, Melbourne, VIC Australia
Austin Health
Warwick Business School, University of Warwick, Coventry, UK
Issue Date: 16-Apr-2021 2021-12
Publication information: Health Information Science and Systems 2021; 9(1): 19
Abstract: This study aimed to explore pharmacists' and physicians' perceptions of use, barriers to use and the healthcare outcomes associated with use of Australia's national personally controlled electronic health record-known as My Health Record-in the emergency department. A mixed methods approach was deployed, including surveys and individual semi-structured interviews. All physicians and pharmacists who work in the emergency department at Cabrini Health (a non-for-profit healthcare provider in Victoria, Australia) were invited to participate. Due to the timing of elective blocks, physician trainees were excluded from interviews. A total of 40 emergency medicine clinicians responded to the survey. Over 50% (n = 22) of all respondents had used My Health Record in the emergency department at least once. A total of 18 clinicians participated in the semi-structured interviews, which led to the identification of three themes with multiple sub-themes regarding My Health Record: (1) benefits; (2) effectiveness; and; (3) barriers. Participants reported My Health Record use in the emergency department delivers efficiencies for clinicians and has a heightened utility for complex patients, consistent with previous research conducted outside of the Australian setting. Barriers to use were revealed: outdated content, a lack of trust, a low perception of value, no patient record and multiple medical record systems. The participants in this study highlighted that training and awareness raising is needed in order to improve My Health Record use in the emergency department, a need stressed by physician's. Further observational research is required to explores meaningful MHR use at scale.
DOI: 10.1007/s13755-021-00148-6
ORCID: 0000-0002-0285-9156
PubMed URL: 33898021
ISSN: 2047-2501
Type: Journal Article
Subjects: Barriers
Electronic health record
Emergency department
My health record
Patient outcomes
Appears in Collections:Journal articles

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