Most patients have serious reservations about electronic medical records
Released on = November 28, 2005, 7:25 am
Press Release Author = PatientView
Industry = Healthcare
Press Release Summary = Some 70 countries around the world have announced programmes to digitise the medical records of patients. But a global survey of healthcare campaigning groups conducted by HSCNews International into the subject of electronic medical records (EMRs) found that although healthcare advocacy groups are enthusiastic about the technology, 65% of them are also worried that medical records would get into the wrong hands if records are distributed electronically.
Press Release Body = Some 70 countries around the world have announced programmes to digitise the medical records of patients. But a global survey of healthcare campaigning groups conducted by HSCNews International into the subject of electronic medical records (EMRs) found that although healthcare advocacy groups are enthusiastic about the technology, 65% of them are also worried that medical records would get into the wrong hands if records are distributed electronically.
Among those most fearful of EMRs are individuals who have already experienced stigmatisation (including people with a disability, HIV/AIDS, or a mental health problem). Disparate groups-such as the Vereniging Samenwerkende Ouder- en Patiëntenorganisaties (VSOP, the Dutch Genetic Patient Alliance), the Swiss Angst-und Panikhilfe Schweiz (APhS, a support group for people who suffer from anxiety and panic attacks), English-based Mind Manchester, the Highland User's Group from Scotland, US-based Conquer Fragile-X Foundation, and the Nevada Diabetes Association for Children and Adults -emphasised that EMR systems should be secure from hackers. These organisations were concerned that people's personal medical details could leak out to a wide audience-resulting in further stigmatisation.
Although technologists and governments expect EMRs to empower patients, only 27% of the respondent healthcare campaigning groups thought that the technology was capable of improving doctor-patient relationships, and only 17% believed that it would help patients manage their own care. Instead, the perception was that EMR systems are primarily for the benefit of doctors and other health professionals.
The majority of the 208 health campaigners who took part in this survey called for better policing and controls over EMRs. 70% believed that patients should decide who can access their own EMR.
57% recommended that patient satisfaction or dissatisfaction with the EMR systems should be constantly monitored.
A lack of government consultation with patients and the public on the subject of the introduction of EMRs may explain why people are so concerned about the technology. Only 7% of the respondent healthcare campaigners were aware of any significant efforts by local or national government to engage patients or the public in debate about the introduction and use of EMR systems.
Over one quarter of the groups participating in the survey considered the technology not yet good enough to develop comprehensive, foolproof, EMR systems. Not surprisingly then, one fifth stressed that the money being spent on EMRs could be better deployed towards other aspects of patient care. WHAT SOME PATIENTS AND PATIENT GROUPS SAID ABOUT EMRs
"The concern is primarily a privacy one. There is an understanding of the virtues of the system, but fear about how the information could be improperly used." -CONQUER FRAGILE-X FOUNDATION, USA
"When the doctor keeps their records electronically, they [patients] worry when records are passed on by Internet." -ASTMA-EN ALLERGIEKOEPEL, BELGIUM
"In the 1980s, the NHS in the Hampshire area lost millions of pounds trying (and failing) to install a comprehensive, linked, and interactive computer system. Will another foray into this subject mean more money and administrative tasks, and less nursing care? These fears are part of the difficulty that patients seem to face on [hospital] wards at the moment." -RESPONDENT FROM A CANCER PATIENT ORGANISATION, ENGLAND
"Some people are concerned about who will have access to their confidential information." -FERTILITY SUPPORT GROUP, NORTHERN IRELAND
"The prevailing view is that EMRs increase efficiency and efficacy, not the patient-doctor relationship. That may, instead, be impaired." -FORUM ITALIANO PERMANENTE PER LA PREVENZIONE ED IL TRATTAMENTO DELL\'ICTUS CEREBRALE, ITALY
"Many see the benefits of better information flows, although some are concerned about possible errors and the electronic storage of any information." -GROUP SPECIALISING IN OLDER PEOPLE, AUSTRALIA
"The desired system should be looked at first as a system from which people will gain benefit, rather than as a development of the capacities of healthcare providers. Such a system would be applied first within the public and non-profit healthcare provision organisations. Strict regulations should be produced for the for-profit healthcare providers.\" -THE ASSOCIATION FOR HEALTH AND ENVIRONMENTAL DEVELOPMENT, EGYPT
"The key problem is easy access by the patients to their own records." -DIABETES PATIENT ORGANISATION, IVORY COAST
Web Site = http://www.patient-view.com
Contact Details = Contact details: Alex Wyke at HSCNews International, PatientView Woodhouse PLace UpperWoodhouse Knighton Powys LD 7 ING on tel: 00-44-(0)1547 520 965; email: info@patient-view.com