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Caregivers' role in using a personal electronic health record: a qualitative study of cancer patients and caregivers in Germany

BACKGROUND: Particularly in the context of severe diseases like cancer, many patients wish to include caregivers in the planning of treatment and care. Many caregivers like to be involved but feel insufficiently enabled. This study aimed at providing insight into patients’ and caregivers’ perspectiv...

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Autores principales: Weis, Aline, Pohlmann, Sabrina, Poss-Doering, Regina, Strauss, Beate, Ullrich, Charlotte, Hofmann, Helene, Ose, Dominik, Winkler, Eva C., Szecsenyi, Joachim, Wensing, Michel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7358207/
https://www.ncbi.nlm.nih.gov/pubmed/32660600
http://dx.doi.org/10.1186/s12911-020-01172-4
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author Weis, Aline
Pohlmann, Sabrina
Poss-Doering, Regina
Strauss, Beate
Ullrich, Charlotte
Hofmann, Helene
Ose, Dominik
Winkler, Eva C.
Szecsenyi, Joachim
Wensing, Michel
author_facet Weis, Aline
Pohlmann, Sabrina
Poss-Doering, Regina
Strauss, Beate
Ullrich, Charlotte
Hofmann, Helene
Ose, Dominik
Winkler, Eva C.
Szecsenyi, Joachim
Wensing, Michel
author_sort Weis, Aline
collection PubMed
description BACKGROUND: Particularly in the context of severe diseases like cancer, many patients wish to include caregivers in the planning of treatment and care. Many caregivers like to be involved but feel insufficiently enabled. This study aimed at providing insight into patients’ and caregivers’ perspectives on caregivers’ roles in managing the patient portal of an electronic personal health record (PHR). METHODS: A descriptive qualitative study was conducted comprising two study phases: (1) Usability tests and interviews with patients with cancer and caregivers (2) additional patient interviews after a 3-month-pilot-testing of the PHR. For both study parts, a convenience sample was selected, focusing on current state of health and therapy process and basic willingness to participate and ending up with a mixed sample as well as saturation of data. All interviews were audio-recorded, pseudonymized, transcribed verbatim and qualitatively analyzed. RESULTS: Two main categories emerged from qualitative data: ‘Caregivers’ role’ and ‘Graduation of access rights’ – consisting of four subcategories each. The interviewed patients (n = 22) and caregivers (n = 9) felt that the involvement of caregivers is central to foster the acceptance of a PHR for cancer patients. However, their role varied from providing technical support to representing patients, e.g. if the patient’s state of health made this necessary. Heterogeneous opinions emerged regarding the question whether caregivers should receive full or graduated access on a patient’s PHR. CONCLUSIONS: In order to support the patient and to participate in the care process, caregivers need up-to-date information on the patient’s health and treatment. Nevertheless, some patients do not want to share all medical data with caregivers, which might strain the patient-caregiver relationship. This needs to be considered in development and implementation of personal health records. Generally, in the debate on patient portals of a personal health record, paying attention to the role of caregivers is essential. By appreciating the important relationship between patients and caregivers right from the beginning, implementation, of a PHR would be enhanced. TRIAL REGISTRATION: ISRCTN85224823. Date of registration: 23/12/2015 (retrospectively registered).
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spelling pubmed-73582072020-07-17 Caregivers' role in using a personal electronic health record: a qualitative study of cancer patients and caregivers in Germany Weis, Aline Pohlmann, Sabrina Poss-Doering, Regina Strauss, Beate Ullrich, Charlotte Hofmann, Helene Ose, Dominik Winkler, Eva C. Szecsenyi, Joachim Wensing, Michel BMC Med Inform Decis Mak Research Article BACKGROUND: Particularly in the context of severe diseases like cancer, many patients wish to include caregivers in the planning of treatment and care. Many caregivers like to be involved but feel insufficiently enabled. This study aimed at providing insight into patients’ and caregivers’ perspectives on caregivers’ roles in managing the patient portal of an electronic personal health record (PHR). METHODS: A descriptive qualitative study was conducted comprising two study phases: (1) Usability tests and interviews with patients with cancer and caregivers (2) additional patient interviews after a 3-month-pilot-testing of the PHR. For both study parts, a convenience sample was selected, focusing on current state of health and therapy process and basic willingness to participate and ending up with a mixed sample as well as saturation of data. All interviews were audio-recorded, pseudonymized, transcribed verbatim and qualitatively analyzed. RESULTS: Two main categories emerged from qualitative data: ‘Caregivers’ role’ and ‘Graduation of access rights’ – consisting of four subcategories each. The interviewed patients (n = 22) and caregivers (n = 9) felt that the involvement of caregivers is central to foster the acceptance of a PHR for cancer patients. However, their role varied from providing technical support to representing patients, e.g. if the patient’s state of health made this necessary. Heterogeneous opinions emerged regarding the question whether caregivers should receive full or graduated access on a patient’s PHR. CONCLUSIONS: In order to support the patient and to participate in the care process, caregivers need up-to-date information on the patient’s health and treatment. Nevertheless, some patients do not want to share all medical data with caregivers, which might strain the patient-caregiver relationship. This needs to be considered in development and implementation of personal health records. Generally, in the debate on patient portals of a personal health record, paying attention to the role of caregivers is essential. By appreciating the important relationship between patients and caregivers right from the beginning, implementation, of a PHR would be enhanced. TRIAL REGISTRATION: ISRCTN85224823. Date of registration: 23/12/2015 (retrospectively registered). BioMed Central 2020-07-13 /pmc/articles/PMC7358207/ /pubmed/32660600 http://dx.doi.org/10.1186/s12911-020-01172-4 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Weis, Aline
Pohlmann, Sabrina
Poss-Doering, Regina
Strauss, Beate
Ullrich, Charlotte
Hofmann, Helene
Ose, Dominik
Winkler, Eva C.
Szecsenyi, Joachim
Wensing, Michel
Caregivers' role in using a personal electronic health record: a qualitative study of cancer patients and caregivers in Germany
title Caregivers' role in using a personal electronic health record: a qualitative study of cancer patients and caregivers in Germany
title_full Caregivers' role in using a personal electronic health record: a qualitative study of cancer patients and caregivers in Germany
title_fullStr Caregivers' role in using a personal electronic health record: a qualitative study of cancer patients and caregivers in Germany
title_full_unstemmed Caregivers' role in using a personal electronic health record: a qualitative study of cancer patients and caregivers in Germany
title_short Caregivers' role in using a personal electronic health record: a qualitative study of cancer patients and caregivers in Germany
title_sort caregivers' role in using a personal electronic health record: a qualitative study of cancer patients and caregivers in germany
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7358207/
https://www.ncbi.nlm.nih.gov/pubmed/32660600
http://dx.doi.org/10.1186/s12911-020-01172-4
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