Expectations for the next generation of electronic patient records in primary care: a triangulated study

Tom Christensen, Anders Grimsmo


Background Although primary care physicians are satisfied users of electronic patient records (EPRs) in Norway today, EPR systems may not have reached their full potential. We studied primary care physicians' needs and experiences in relation to EPRs and analysed potential improvements for today's EPR systems.
Respondents and methods This is a triangulatedstudy that compares qualitative and quantitative data from focus groups, observations of primary care encounters and a questionnaire survey.
Results General practioners (GPs) were not satisfied with the level of availability of information within EPR systems. They were especially concerned about follow-up for chronic disease and dealing with patients with multiple conditions. Many expressed a desire for reminders and easier access to clinical guidelines under normal working conditions, as well as the possibility of consultations with specialists from their EPR systems. GPs placed importance on the ability to communicate electronically with patients.
Conclusions Progress toward a problem-oriented EPR system based on episodes of care that includes decision support is necessary to satisfy the needs expressed by GPs. Further research could solve the problem of integration of functionality for consultation with specialists and integration with patient held records. Results from this study could contribute to further development of the next generation of EPRs in primary care, as well as inspire the application of EPRs in other parts of the health sector.


decision support systems; personal health records; problem oriented medical records

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DOI: http://dx.doi.org/10.14236/jhi.v16i1.671


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