1 / 10

Experiences of Health Care Providers with Patient-Held Personal Health Records for Asylum Seekers

This study examines the experiences of health care providers in reception centers with a patient-held personal health record for asylum seekers in Germany. The study explores the access to medical history, benefits, limitations, and implementation of the patient-held personal health records.

Download Presentation

Experiences of Health Care Providers with Patient-Held Personal Health Records for Asylum Seekers

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Experiences of health care providers in reception centers with a patient-held personal health record for asylum seekers – a multi-sited qualitative study in a German federal state Rosa Jahn, Sandra Ziegler, Stefan Nöst, Sandra Claudia Gewalt, Cornelia Straßner, Kayvan Bozorgmehr Department of General Practice and Health Services Research University Hospital Heidelberg rosa.jahn@med.uni-heidelberg.de

  2. Background - When in Germany…. Hospital A Private practitioner A Private practitioner B Private practitioner B Reception center Walk-in clinic Transfer Hospital A Continuity of care across in-country trajectory? Private practitioner C District-level accomodation Hospital B Private practitioner ^C Walk-in clinic Private practitioner A Hospital B Heidelberg University Hospital | MERH 2018 | Rosa Jahn, Sandra Ziegler, Stefan Nöst, Sandra Claudia Gewalt, Cornelia Straßner, Kayvan Bozorgmehr

  3. Background – When in Germany… • Walk-in clinics in house • Nostandards, variousmodels • Professions • Medical fields • Staffsize • Health informationsystem • Paper-based, electronic records Reception center Walk-in clinic Continuity of care withinfacilities? Heidelberg University Hospital | MERH 2018 | Rosa Jahn, Sandra Ziegler, Stefan Nöst, Sandra Claudia Gewalt, Cornelia Straßner, Kayvan Bozorgmehr

  4. Personal Health Record – The Solution? Patient-held PHR Start: Feb 2016 Content: • Name, ID • Explanations for patients / doctors • Chronicdiseases • Medication Plan • Consultations • Medical appointments Heidelberg University Hospital | MERH 2018 | Rosa Jahn, Sandra Ziegler, Stefan Nöst, Sandra Claudia Gewalt, Cornelia Straßner, Kayvan Bozorgmehr

  5. Evaluatingthe PHR - Methods • Research question: • Availabilityofmedicalhistorybefore/after, localpractices, perceivedbenefits & limitations • Data collection: • Semi-structuredinterviews • 17 health care providers (11 doctors, 6 nurses) from 6 receptioncenters in Baden-Wuerttemberg • Analysis: • Coding in MAXQDA, thematicanalysis to identifykeyissues Heidelberg University Hospital | MERH 2018 | Rosa Jahn, Sandra Ziegler, Stefan Nöst, Sandra Claudia Gewalt, Cornelia Straßner, Kayvan Bozorgmehr

  6. Results – Access to historybefore • Particularlyimportantbecausecommunicationwiththepatientscanbechallenging, puzzle work • Particularlydifficult in facilitieswith multiple health informationsystems, large staffsize (~ 40 doctors), lack ofcommunicationwith external doctors • And – All is lost after transfer  Generally positive attitudestowardsthe PHR Heidelberg University Hospital | MERH 2018 | Rosa Jahn, Sandra Ziegler, Stefan Nöst, Sandra Claudia Gewalt, Cornelia Straßner, Kayvan Bozorgmehr

  7. Results – Access to history after • Collecting all medical documents in one place – „folder“ • Reading colleagues‘ notes, improving care • Information about external consultations • Information about consultations prior to transfer • Communicating tasks to nurses – eg blood pressure, prescription • However: • „Most of the time, I see only my own handwriting“ (D5) • „There is a point in the booklet if it is properly kept“ (D4) Heidelberg University Hospital | MERH 2018 | Rosa Jahn, Sandra Ziegler, Stefan Nöst, Sandra Claudia Gewalt, Cornelia Straßner, Kayvan Bozorgmehr

  8. Results – Implementation Implementation successaffectedby… • …workingenvironment • …physicianinformation, inclusion and compliance • …patientinformation, patientcompliance • …integrationof PHR withexistinghealth informationsystems - no „double documentation“ • …perceivedbenefitsof PHR in respective individual worksetting Heidelberg University Hospital | MERH 2018 | Rosa Jahn, Sandra Ziegler, Stefan Nöst, Sandra Claudia Gewalt, Cornelia Straßner, Kayvan Bozorgmehr

  9. Take Home Message • Patient-held PHR considered to improvecontinuityof care • Things to consider in implementation: • The contextneeds to betakenintoaccount! (staffsize, health informationsystem, workingconditions,…) • The providershave to beincluded in theimplementationprocess • Provideguidelinesregardingpatientinformation Heidelberg University Hospital | MERH 2018 | Rosa Jahn, Sandra Ziegler, Stefan Nöst, Sandra Claudia Gewalt, Cornelia Straßner, Kayvan Bozorgmehr

  10. Time for questions! Heidelberg University Hospital | MERH 2018 | Rosa Jahn, Sandra Ziegler, Stefan Nöst, Sandra Claudia Gewalt, Cornelia Straßner, Kayvan Bozorgmehr

More Related