Patient Access – Systematic Review

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Systematic review outline protocol

Title: The impact of patient access to online records and services on the quality of primary health care: systematic review protocol

Aim: To assess the impact of patient access to online records and services on the quality of patient care

We define quality (TBC) using the definition used in the “Darzi report” – NHS next stage review.[1] We define quality as a combination of: (1) Clinical effectiveness, (2) Safety and (3) Patient experience

Objectives: To identify the context in which patient access to records has been successful, and failed.

Potential issues include: Innovators making things work (Rogers 1962), part of a package of measures (e.g. chronic care model).  Possibly using a realist approach (Pawson and Tilley 2004, 2007)[2],[3]

To identify who has used online access: Patient, Spouse, Carer:

  • Who has access and gains benefit? 

To explore the benefits of online access:

  • Are there specific advantages for people with chronic disease?

To describe where online transactional services have been provided:

  • What transactional services are provided and evidence of use and impact of use. E.g. Appointment booking, test results, reminders about prevention.

To describe any disbenefits of providing online access or transactions:

  • Are there issues with respect to vulnerable adults?
  • Risk of privacy breach if messages are sent to mobile phones