Patient Access to Electronic Health Records: What Does the Doctor Order?

Patient Access to Electronic Health RecordsNew Survey Reveals Doctors Believe Patients Should Update Electronic Health Records

A new Accenture survey shows that most U.S. doctors surveyed (82 percent) want patients to actively participate in their own healthcare by updating their electronic health records. However, only a third of physicians (31 percent) believe a patient should have full access to his or her own record, 65 percent believe patients should have limited access and 4 percent say they should have no access (See figure 1). These findings were consistent among 3,700 doctors surveyed by Accenture in eight countries: Australia, Canada, England, France, Germany, Singapore, Spain and the United States. HITECH Answers talked briefly with Frances Dare, Managing Director at Accenture about this study. Listen hear.

Patients Access to Electronic Health Records
While nearly half of U.S. doctors (47 percent) surveyed believe patients should not be able to update their lab test results, the vast majority believe patients should be able to update some or all of the standard information in their health records, including demographics (95 percent), family medical history (88 percent), medications (87 percent) and allergies (85 percent). And, the majority of doctors (81 percent) believe patients should even be able to add such clinical updates to their records as new symptoms or self-measured metrics, including blood pressure and glucose levels.
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Patient Access to Electronic Health Records
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“Many physicians believe that patients should take an active role in managing their own health information, because it fosters personal responsibility and ownership and enables both the patient and doctor to track progress outside scheduled appointments,” saidMark Knickrehm, global managing director of Accenture Health. “Several U.S. health systems have proven that the benefits outweigh the risks in allowing patients open access to their health records, and we expect this trend to continue.”  In fact, nearly half of doctors surveyed (49 percent) believe that giving patients access to their records is crucial to providing effective care. But, only 21 percent of doctors surveyed currently allow patients to have online access to their medical summary or patient chart, the most basic form of a patient’s record.
 
Perceptions of Electronic Health Records
More than half of doctors surveyed (53 percent) believe that the introduction of electronic health records has improved the quality of patient care, and the overwhelming majority (84 percent) say they are somewhat or strongly committed to promoting electronic records in their clinical practice. Most (77 percent) believe the right investments in adopting electronic records are being made and 83 percent believe they will become integral to effective patient care in the next two years.