Evaluating Patient-Centred Electronic Health Records

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Activity 4
Activity 1
Reading 3
1. The (PCEHR) personal Controlled Electronic Health record refers to the process
of secure sharing and communication of clinical information in the form of an
authentic health records. The PCEHR is used to share the health information
between the individual and their health and social care providers. This system is
introduced by the government of Australia with the aim to provide secure health
communication and outcomes.
2. The core principle followed by this system is of the person centred care where the
PCEHR system empowers the patient by involving them in their care process and
giving them opportunity to access as well as control own health and social care plans
(Australian Commission on Safety and Quality in Health Care., 2011). The aim of this
system is to improve and enhance the decision making ability of the patient as well
as provider and it mainly works at shared decision making process. Other principles
includes the sharing of information between the healthcare providers at a timely
manner as well as with appropriate following of the confidentiality policies and also
reduces the communication gap and helps enhancing the better partnership working
(Hanna, Gill, Newstead, Hawkins & Osborne, 2017).
3. Some basic barriers for the usage and implementation of this system are present
that includes limited awareness regarding the use of this technology in health and
social care sector. There is lack of identified interest and any perceived benefit
among the population as well as the major risk for the security and confidentiality of
data is also a concern among the healthcare user (Richardson et al., 2018).
4. The study by Hanna et al (2017), regarding the benefits and use of Personally
Controlled Electronic Health Records stated that there are some credible benefits of
using this technology in the field of health and social care. The study identified two
major advantages of this system- firstly the authors suggested that use of PCEHRs
in health and social care enhances the accessibility of data, ease the process of
information sharing and communication between the professionals and provides the

individual ability to manage their own health and social care. The study also showed
that the perceived benefits also included enhancement of the communication
between the patient and the health and social care provider. It eases the sorting and
access to the information and health records and saves time for both the patient and
the provider. The successful implementation of this system however, includes some
cultural changes and the changes in the practical environment. Redefining the
patient-provider roles and relationship is required as well as inducing the acceptance
by the user is also main element identified.
The study also identified some potential harm from using this system. The authors
suggested that the increased access to the health records for the patient may prove
to be influencing some negative behaviour even if the patient is not competent
enough to understand the health concepts and has limited health literacy. Health
literacy should be adequately kept in mind while implementing and designing this
system as if the individual with limited health knowledge uses the application can
further disadvantage them-selves with its wide information base. The study was
concluded that further research in this area using different demographic samples and
situation in health care settings is required to further clarify the claim and provide
supporting evidences for the system.
Activity 2
Reading 4
1. Telemedicine refers to the sharing of information from one place to another with
use of modern telecommunication developments and applications. The main aim of
telemedicine is to enhance the patient’s health outcomes and provide better care
(Roberts et al., 2015). There are various advantages of using telemedicine in
contemporary health care. The process of telemedicine includes consultations from
the specialists using technical aids and provides access to information regarding
health that is otherwise not available. During the use of telemedicine the patient is
able to communicate in person with the specialist or the doctor and also achieve
answers for their queries similarly the doctor may also assess you with use of this
telecommunication process by visual assessment and auditory assessment of
certain symptoms. This process helps reducing the long travel expenses and time for
the primary health care.

2. Reading any study includes having in-depth ideas of the content of the study that
helps in better understanding and evaluation of positive and negative aspects
illustrated by the authors. The study was conducted between two hospitals in
Northern Territory that includes Royal Darwin Hospital and Katherine Hospital. The
major number of participants in the study reported positive outcomes and
experiences of using telemedicine. On the contrary one participant faced some
technical issue during the session and this concluded that once the technical issues
are rectified telemedicine is a revolutionizing system in health care (Roberts et al.,
2015).
3. After the evaluation of both qualitative as well as quantitative data in the study the
results revealed that the positive outcomes of using telemedicine are more
prominent than any negative experiences. The quantitative results where it was seen
that how strong responses were gained from participants was displayed using
graphs whereas, qualitative results were displayed using themes or statements from
the participants (Roberts et al., 2015).
4. Qualitative research is subjective in nature and provides better understanding of
the patient’s experiences and feelings whereas quantitative approach is objective in
nature and provides well-calculated clinical data and statistical evaluation of the
findings.
5. When the samples include the records of experiences and the feelings of the
participants I would chose qualitative research approach. As I feel that this approach
targets the subjectivity in the responses and focus on the experiences and personal
values and feelings of the participants. This influences the process of partnering with
the consumer and is proved to have beneficial positive outcomes in majority of the
cases.

REFERENCES
Australian Commission on Safety and Quality in Health Care (2011). Patient Centred
Care: Improving quality and safety through partnerships with patients and consumers
(pp. 1-104). Sydney: ACSQHC.
Hanna, L., Gill, S.D., Newstead, L., Hawkins, M. & Osborne R.H. (2017). Patient
perspectives on a personally controlled electronic health record used in regional
Australia: ‘I can be like my own doctor’. Health Information Management Journal,
46(1), 42-48. DOI: 10.1177/1833358316661063
Richardson-Tench, M., Nicholson, P., Taylor, B.J., Kermode, S. & Roberts, K.
(2018). Research in nursing, midwifery and allied health: Evidence for Best Practice
(6th edition). Cengage Learning Australia: South Melbourne, Victoria
Roberts, S., Spain, B., Hicks, C., London, J., & Tay, S. (2015). Telemedicine in the
Northern Territory: An assessment of patient perceptions in the preoperative
anaesthetic clinic, The Australian Journal of Rural Health, 23, 136-141.

Activity 5
Hi Analyn,
I thoroughly enjoyed reading your post.
I liked the depth of reading you must have done to evaluate the studies so well. I
liked you description of the qualitative and quantitative studies and how you justified
your answer by sharing you opinion in part 5 of activity 2. I also liked that you used
very authentic references and in-texted them appropriately.
I felt there was little less description in activity 1 where you could have elaborated
more, other than that the post is very well written.
All the best
Regards