Sharing data matters: exploring the attitudes of older consumers on an emerging healthy ageing data platform using electronic health records for research.

IF 4.1 Q1 HEALTH CARE SCIENCES & SERVICES BMJ Health & Care Informatics Pub Date : 2025-01-02 DOI:10.1136/bmjhci-2024-101126
Kim Naude, David A Snowdon, Emily Parker, Roisin McNaney, Velandai Srikanth, Nadine E Andrew
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Abstract

Background: In Australia, with the recent introduction of electronic health records (EHRs) into hospitals, the use of hospital-based EHRs for research is a relatively new concept. The aim of this study was to explore the attitudes of older healthcare consumers on sharing their health data with an emerging EHR-based Research Data Platform within the National Centre for Healthy Ageing.

Methods: This was a qualitative study. Two workshops were conducted in March 2022 with consumer representatives across Peninsula Health, Victoria, Australia. The workshops comprised three parts: (1) an ice-breaker (2) an introduction to EHR-based research through the presentation of 'use case' scenarios and (3) focus group discussions. Qualitative data were analysed using reflexive thematic analysis.

Results: Consumer participants (n=16) were aged between 62 and 83 years and were of mixed gender. The overarching theme was related to trust in the use of EHR data for research; themes included: (1) benefits of sharing data, (2) uncertainty around data collection processes and (3) data sharing fears. The three themes within the overarching theme all reflect participants' levels of trust.

Conclusion: Our study identified fundamental issues related to trust in the use of EHR data for research, with both healthcare and broader societal factors contributing to consumer attitudes. Processes to support transparent and clear communication with consumers are essential to support the responsible use of EHR data for research.

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共享数据很重要:探索老年消费者对利用电子健康记录进行研究的新兴健康老龄化数据平台的态度。
背景:在澳大利亚,随着最近电子健康记录(EHRs)引入医院,使用基于医院的电子健康记录进行研究是一个相对较新的概念。本研究的目的是探讨老年医疗保健消费者与国家健康老龄化中心内新兴的基于电子病历的研究数据平台分享健康数据的态度。方法:定性研究。2022年3月与澳大利亚维多利亚州半岛健康中心的消费者代表举办了两次讲习班。研讨会由三个部分组成:(1)打破僵局;(2)通过展示“用例”场景介绍基于电子病历的研究;(3)焦点小组讨论。定性数据采用反身性主题分析进行分析。结果:消费者参与者(n=16)年龄在62至83岁之间,性别混合。总体主题与使用电子病历数据进行研究的信任有关;主题包括:(1)共享数据的好处;(2)数据收集过程的不确定性;(3)数据共享的恐惧。总体主题中的三个主题都反映了参与者的信任水平。结论:我们的研究确定了与使用电子病历数据进行研究的信任相关的基本问题,医疗保健和更广泛的社会因素都影响了消费者的态度。支持与消费者进行透明和清晰沟通的流程对于支持负责任地使用电子病历数据进行研究至关重要。
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来源期刊
CiteScore
6.10
自引率
4.90%
发文量
40
审稿时长
18 weeks
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