In this issue, we will discuss electronic medical records and patients.
It's been a while since the introduction of electronic medical records in the medical industry.
While there are several advantages to the introduction of electronic medical records, there is also the question of whether it will affect the health of patients. There is also the question of the impact on patient health.
The electronic medical record will facilitate the disclosure of medical records, but will it improve the health of patients? A study was conducted to find out.
The study
Access to electronic health records may help patients make decisions by encouraging them to discuss their health and potential treatments with their health care providers.The study will look at whether access to electronic health records benefits patients or causes potentially undesirable effects.
The study will include a search and review of studies that have examined patient access to electronic health records.
The validation included
1.How much did patients know and understand about their health care?
2.Whether or not patients felt more in control of their care (empowerment).
3. Taking medication or following a monitoring (prevention) program.
4. The patient's satisfaction with his or her care.
5. How the patient assessed his or her well-being (quality of life).
6. Patient's health.
7. Patient's level of anxiety, worry, or depression.
8.Frequency with which the patient used health care services (number of phone calls or visits).
9.Communication between the patient and his/her health care provider.
10. Whether any adverse effects on the patient occurred.
We drew conclusions from 10 relevant studies of 78-4500 adults published between 2000 and 2016.
These studies were conducted in the United States, Canada, and Japan.
Five of the studies were conducted in clinics and five in hospitals, and participants were followed for three months to two years.
Two of the studies were funded in part by pharmaceutical companies.
The studies were
Type 2 diabetes (5 studies)
Asthma (1 study)
Glaucoma (1 study)
Congestive heart failure (1 study)
Hypertension (1 study)
The focus of the study was on patients suffering from
The study compared usual care and access to electronic health records with usual care alone.Because of the differences in the way the studies were conducted, the types of patients enrolled, and the way the results were measured, the results could not be combined and had to be evaluated separately.
As a result, it is unclear whether there is any impact on access to electronic health records as compared to usual care.
1. on patients' knowledge and understanding of diabetes and blood glucose testing
2. the frequency with which patients contacted their health care providers
This is what the results show.
Another result is that there may be little or no difference in the following
1. satisfaction with care, feeling empowered.
2. reports of mortality, adverse effects, etc.
Four studies also looked at how well patients responded to monitoring programs and continued to take their medications.
Access to electronic health records may help improve health through monitoring programs, but studies evaluating how patients continued to take their medications showed different results, so the effectiveness of the intervention is unclear.
Access to electronic health records may not have affected the frequency with which patients use health care services.
Reviewer's conclusion
In most cases, the effectiveness of EHR access with additional features compared to usual care is uncertain. Only the process of monitoring risk factors and providing preventive services and adherence to a composite score of diabetes risk factors may improve slightly with EHR access with additional features. Because of inconsistent terminology in this area, our search may have missed relevant studies.
The overall quality of the evidence ranges from very low to low, so future studies may change these results. Further trials need to investigate the impact of EHR access in a wider range of countries and clinical settings, including more patients with longer follow-up, as this may increase the likelihood of detecting the effects of interventions. More research should focus on assessing outcomes such as patient empowerment and behavioral outcomes, rather than concentrating solely on health-related outcomes. Future research should investigate the impact of mobile EHR tools, distinguishing between the impact of EHR access alone and the impact of additional features. Future research should include information on usage patterns and examine the potential for increased health inequities with the implementation of EHR access.
Ammenwerth E, Neyer S, Hörbst A, Mueller G, Siebert U, Schnell-Inderst P. Adult patient access to electronic health records. Cochrane Database of Systematic Reviews 2021, Issue 2. Art. No.: CD012707. DOI: 10.1002/14651858.CD012707.pub2.
Summary
As a result of the use of electronic health records, we have heard of ideas that have been extended from existing methods by the Corona disaster and others, but as a result of the thinking that has been used.
If there is not much of an impact on health outcomes, there may be no point in hospitals allocating budget to introduce this system, but it can be useful for some operations.If these systems are to be used in an expanded way, it may be necessary to transform not only the systems but also people's awareness and needs, but it may be a long time before these systems are useful.
