Seniors' views on the use of electronic health records.
In the Mauricie and Centre-du-Québec region of the province of Quebec, Canada, an integrated services network has been implemented for frail seniors. It combines three of the best practices in the field of integrated services, namely: single-entry point, case management and personalized care plan. A shared interdisciplinary electronic health record (EHR) system was set up in 1998. A consensus on the relevance of using EHRs is growing in Quebec, in Canada and around the world. However, technology has out-paced interest in the notions of confidentiality, informed consent and the impact perceived by the clientele. This study specifically examines how frail seniors perceive these issues related to an EHR. The conceptual framework is inspired by the DeLone and McLean model whose main attributes are: system quality, information quality, utilisation modes and the impact on organisations and individuals. This last attribute is the focus of this study, which is a descriptive with quantitative and qualitative component. Thirty seniors were surveyed. Positive information they provided falls under three headings: (i) being better informed; (ii) trust and consideration for professionals; and (iii) appreciation of innovation. The opinions of the seniors are generally favourable regarding the use of computers and the EHR in their presence. Improvements in EHR systems for seniors can be encouraged.
Morin
Diane
D
Faculty of Nursing Sciences, Université Laval, Quebec, Province of Quebec, Canada. diane.morin@fsi.ulaval.ca
Tourigny
Andre
A
Pelletier
Daniel
D
Robichaud
Line
L
Mathieu
Luc
L
Vézina
Aline
A
Bonin
Lucie
L
Buteau
Martin
M
D000368:Aged; D001292:Attitude to Computers; D016494:Computer Security; D003219:Confidentiality; D003625:Data Collection; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D005260:Female; D016330:Frail Elderly; D006801:Humans; D008297:Male; D016347:Medical Records Systems, Computerized; D009313:National Health Programs; D010361:Patients / Q000523:psychology*; D011792:Quebec; D035502:Trust