Mark Earnest|Ross Se|Loretta Wittevrongel|Laurie Moore|Chen-Tan Lin
Use of a Patient-Accessible Electronic Medical Record in a Practice for Congestive Heart Failure: Patient and Physician Experiences
University of Colorado Health|University of Colorado Health|University of Colorado Health|University of Colorado Health|University of Colorado Health
aim study evaluate experiences patients physicians clinical trial online electronic medical record spparo system providing patients access records onlinequantitative data obtained questionnaires qualitative data obtained individual interviews focus groupsquestionnaire items based issues identified patients physicians previous studies individual interviews focus groups performed using semistructured format developed iterative processof eight physicians participated trial seven completed questionnaires interviews 394 patients practice 107 enrolled study 54 assigned randomly intervention group 41 used spparo trial period questionnaires interviews patients significantly likely physicians anticipate benefits spparo less likely anticipate problems attitudes subjects diverge controls intervention period posttrial focus groups spparo users described practical benefits comprehending medical jargon minor obstacle physicians anticipated implementing spparo might increase workload distort clinical interactions posttrial interviews physicians staff reported change workload adverse consequences physicians ultimately supported concept giving patients online access clinical notes test resultsspparo useful number patients physicians initially voiced number concerns implementing spparo experience far positive