Cross-sectoral cancer care: views from patients and health care professionals regarding a personal electronic health record

Cross-sectoral cancer care is complex and involves collaboration from health care professionals (HCPs) across multiple sectors. However, when health information exchange (HIE) is not adequate, it results in impeded coordination and continuity of care. A web-based personal electronic health record (P...

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Main Authors: Baudendistel, Ines (Author) , Winkler, Eva C. (Author) , Kamradt, Martina (Author) , Berger, Sarah (Author) , Bernhard, Gerda (Author) , Heinze, Oliver (Author) , Bergh, Björn (Author) , Szecsenyi, Joachim (Author) , Ose, Dominik (Author)
Format: Article (Journal)
Language:English
Published: 2017
In: European journal of cancer care
Year: 2017, Volume: 26
ISSN:1365-2354
DOI:10.1111/ecc.12429
Online Access:Verlag, Volltext: http://dx.doi.org/10.1111/ecc.12429
Verlag, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/ecc.12429
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Author Notes:I. Baudendistel, E.C. Winkler, M. Kamradt, S. Brophy, G. Längst, F. Eckrich, O. Heinze, B. Bergh, J. Szecsenyi, D. Ose
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Summary:Cross-sectoral cancer care is complex and involves collaboration from health care professionals (HCPs) across multiple sectors. However, when health information exchange (HIE) is not adequate, it results in impeded coordination and continuity of care. A web-based personal electronic health record (PEPA) under patients′ control, providing access to personal health data across sectors, is being developed. Aim of this study was to explore perceived benefits and concerns. Using a qualitative approach, 10 focus groups were performed collecting views of three prospective user groups: patients with colorectal cancer (n = 12), physicians (n = 17) and other HCPs (n = 16). Representatives from different health sectors across the Rhine-Neckar region (Germany) participated. Data were audio- and videotaped, transcribed verbatim and thematically analysed. Our study shows that patients and HCPs expected a PEPA to enhance cross-sectoral availability of information, cross-sectoral cooperation and facilitate data management. Quality of cancer care was expected to be improved. Concerns were expressed in terms of data protection and data security. Concepts like a PEPA offer the chance to support HIE and avoid gaps of information in cross-sectoral cancer care. This may lead to improvements in coordination and continuity of care. Issues concerning data security and protection have to be addressed.
Item Description:First published: 03 February 2016
Gesehen am 10.09.2018
Physical Description:Online Resource
ISSN:1365-2354
DOI:10.1111/ecc.12429