Abstract
Digital health is widely believed to have vast potential in improving patient care. MyHealthRecord (MyHR) is a digital health information system which enables Australian citizens to access their health information centrally, making it available anywhere, at anytime. The aim of this study is to explore the adoption of MyHR in general practices in Victoria and understand its impacts. A qualitative case study research method was used to underpin this investigation. Ten general practices were engaged where MyHR was implemented/used. Detailed interviews with MyHR implementers were held and GPs were engaged in short interviews. Twenty observations were made during GP/patient consultations for health summary uploads. Findings indicate that the practice incentive payment (PIP) funding policy change encouraged the use of MyHR, but the adoption was limited to satisfy funding criteria. Change management was often extemporised. Health summary upload was a quick and easy process but was influenced by clinical system data quality and GP familiarity with the system. Community awareness and GP interest in MyHR was lacking. The conclusion is that MyHR was not well integrated in general practices nor the community. As a result, an improved engagement approach between healthcare organisations, the MyHR system operator and Australians is required.
| Original language | English |
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| Title of host publication | Digital health: Changing the way healthcare is conceptualised and delivered |
| Subtitle of host publication | Selected papers from the 27th Australian National Health Informatics Conference (HIC 2019) |
| Editors | Elizabeth Cummings, Mark Merolli, Louise K Schaper |
| Place of Publication | Amsterdam, Netherlands |
| Publisher | IOS Press |
| Pages | 162-167 |
| Number of pages | 6 |
| Volume | 266 |
| ISBN (Electronic) | 9781643680071 |
| ISBN (Print) | 9781643680064 |
| DOIs | |
| Publication status | Published - 08 Aug 2019 |
| Event | 27th Australian National Health Informatics Conference, HIC 2019 - Melbourne Convention and Exhibition Centre (MCEC), Melbourne, Australia Duration: 12 Aug 2019 → 14 Aug 2019 https://digitalhealth.org.au/hic2019/ (Conference website) https://digitalhealth.org.au/hic2019/program/ (Conference program) |
Publication series
| Name | Studies in Health Technology and Informatics |
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| Volume | 266 |
| ISSN (Print) | 0926-9630 |
| ISSN (Electronic) | 1879-8365 |
Conference
| Conference | 27th Australian National Health Informatics Conference, HIC 2019 |
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| Abbreviated title | Digital health: Changing the way healthcare is conceptualised and delivered |
| Country/Territory | Australia |
| City | Melbourne |
| Period | 12/08/19 → 14/08/19 |
| Other | The annual Australian national Health Informatics Conference (HIC), Australia’s premier health informatics event, is a key avenue for developing, promoting and maintaining key partnerships. The conference, organised by the Health Informatics Society of Australia (HISA), with the support of the Australasian College of Health Informatics (ACHI), provides the ideal professional and social environment for clinicians, researchers, health IT professionals, industry and consumers to integrate, collaborate, educate and share their knowledge to drive innovative thinking, to enhance services, improve data-driven decision making, and allow greater consumer involvement. This year we have focussed on the following ten key themes that underpin a fully digital healthcare sector: Analytics and the Learning Health System; Clinical Informatics; Digital Health Workforce Development; Health Policy, Ethics and Business Models; Informatics in Health Professional Education; Innovations, Informaticians and Digital Health Entrepreneurship; Integrated and Connected Care; Interoperability and Informatics Infrastructure; Participatory Medicine and Consumer Informatics; and System Implementations and Digital Hospitals. |
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