Skip to main content

Advertisement

Table 1 Implementation challenges and facilitators

From: Early evaluation of 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

Major Theme Implementation Challenges Implementation Facilitators
Working conditions High demand, low support Supportive working environment
  Stress, high work load Support by nurses
  Limited resources Support by interns/students
  Strained relationships with patients  
Patient management Low patient adherence to the PHR High patient adherence to the PHR
  New PHRs are handed out to the same patient multiple times Encouraging patients to retrieve their PHR in case they have forgotten
  Patients do not receive appropriate information about the PHR Patients receive appropriate information about the PHR and understand the relevance for their medical treatment
Local PHR practices Low physician adherence to the PHR High physician adherence to the PHR
  Physicians receive no or insufficient information about the PHR before implementation Strong involvement by nurses, e.g. preparing the PHR prior to the consultation
  Documenting in multiple paper-based or electronic health records Printing electronic PHR and storing it in the patient-held PHR’s document pocket to lower workload
  Illegible handwriting Using the PHR as a folder for all relevant documents
Potential benefit of a patient-held PHR Low perceived benefit in settings of low fragmentation High perceived benefit in settings of high fragmentation
  Well-established electronic PHR accessible to all health care providers in the facility Absence of electronic PHR or more than one electronic PHR system
  Small number of personnel Large number of personnel
  Close collaboration and personal communication with external doctors prior to PHR introduction Dissatisfaction with availability of medical history and communication with external doctors prior to PHR introduction
  Mono-disciplinary care settings Different professions and medical specialties involved in care provision
  1. PHR: patient-held personal health record