Matches in SemOpenAlex for { <https://semopenalex.org/work/W57106541> ?p ?o ?g. }
- W57106541 abstract "Benefits The main potential benefit of the SCR is considered to be in emergency and unscheduled care settings, especially for people who are unconscious, confused, unsure of their medical details, or unable to communicate effectively in English. Other benefits may include improved efficiency of care and avoidance of hospital admission, but it is too early for potential benefits to be verified or quantified. Progress As of end April 2008, the SCR of 153,188 patients in the first two Early Adopter sites (Bolton and Bury) had been created. A total of 614,052 patients in four Early Adopter sites had been sent a letter informing them of the programme and their choices for opting out of having a SCR. Staff attitudes and usage The evaluation found that many NHS staff in Early Adopter sites (which had been selected partly for their keenness to innovate in ICT) were enthusiastic about the SCR and keen to see it up and running, but a significant minority of GPs had chosen not to participate in the programme and others had deferred participation until data quality improvement work was completed. Whilst 80 per cent of patients interviewed were either positive about the idea of having a SCR or ?did not mind?, others were strongly opposed ?on principle?. Staff who had attempted to use the SCR when caring for patients felt that the current version was technically immature (describing it as ?clunky? and ?complicated?), and were looking forward to a more definitive version of the technology. A comparable technology (the Emergency Care Summary) introduced in Scotland two years ago is now working well, and over a million records have been accessed in emergency and out-of-hours care. Patient attitudes and awareness Having a SCR is optional (people may opt out if they wish, though fewer than one per cent of people in Early Adopter sites have done so) and technical security is said to be high via a system of password protection and strict access controls. Nevertheless, the evaluation showed that recent stories about data loss by government and NHS organisations had raised concerns amongst both staff and patients that human fallibility could potentially jeopardise the operational security of the system. Despite an extensive information programme to inform the public in Early Adopter sites about the SCR, many patients interviewed by the UCL team were not aware of the programme at all. This raises important questions about the ethics of an ?implied consent? model for creating the SCR. The evaluation recommended that the developers of the SCR should consider a model in which the patient is asked for ?consent to view? whenever a member of staff wishes to access their record. Not a single patient interviewed in the evaluation was confident that the SCR would be 100 per cent secure, but they were philosophical about the risks of security breaches. Typically, people said that the potential benefit of a doctor having access to key medical details in an emergency outweighed the small but real risk of data loss due to human or technical error. Even patients whose medical record contained potentially sensitive data such as mental health problems, HIV or drug use were often (though not always) keen to have a SCR and generally trusted NHS staff to treat sensitive data appropriately. However, they and many other NHS patients wanted to be able to control which staff members were allowed to access their record at the point of care. Some doctors, nurses and receptionists, it seems, are trusted to view a person?s SCR, whereas others are not, and this is a decision which patients would like to make in real time." @default.
- W57106541 created "2016-06-24" @default.
- W57106541 creator A5010758758 @default.
- W57106541 creator A5025875063 @default.
- W57106541 creator A5042185682 @default.
- W57106541 creator A5046268202 @default.
- W57106541 creator A5056183710 @default.
- W57106541 creator A5059176055 @default.
- W57106541 creator A5067850911 @default.
- W57106541 creator A5078843653 @default.
- W57106541 date "2008-05-16" @default.
- W57106541 modified "2023-09-27" @default.
- W57106541 title "Summary care record early adopter programme: an independent evaluation by University College London." @default.
- W57106541 cites W1491407876 @default.
- W57106541 cites W1496549882 @default.
- W57106541 cites W1545342596 @default.
- W57106541 cites W1596395683 @default.
- W57106541 cites W1597858170 @default.
- W57106541 cites W194147919 @default.
- W57106541 cites W1965163712 @default.
- W57106541 cites W1977084121 @default.
- W57106541 cites W1977832388 @default.
- W57106541 cites W1982013581 @default.
- W57106541 cites W1989837406 @default.
- W57106541 cites W1990347374 @default.
- W57106541 cites W1991716969 @default.
- W57106541 cites W2012609846 @default.
- W57106541 cites W2017041372 @default.
- W57106541 cites W2033469757 @default.
- W57106541 cites W2041050474 @default.
- W57106541 cites W2042481873 @default.
- W57106541 cites W2049701924 @default.
- W57106541 cites W2059716485 @default.
- W57106541 cites W2061787399 @default.
- W57106541 cites W207459807 @default.
- W57106541 cites W2078644293 @default.
- W57106541 cites W2107999364 @default.
- W57106541 cites W2112260461 @default.
- W57106541 cites W2116199508 @default.
- W57106541 cites W2126070475 @default.
- W57106541 cites W2127695051 @default.
- W57106541 cites W2132454116 @default.
- W57106541 cites W2141049141 @default.
- W57106541 cites W2154064731 @default.
- W57106541 cites W2154824956 @default.
- W57106541 cites W2168510418 @default.
- W57106541 cites W2169453967 @default.
- W57106541 cites W2322083831 @default.
- W57106541 cites W2750176725 @default.
- W57106541 cites W3121175530 @default.
- W57106541 cites W54348722 @default.
- W57106541 cites W2139192070 @default.
- W57106541 hasPublicationYear "2008" @default.
- W57106541 type Work @default.
- W57106541 sameAs 57106541 @default.
- W57106541 citedByCount "13" @default.
- W57106541 countsByYear W571065412013 @default.
- W57106541 countsByYear W571065412018 @default.
- W57106541 crossrefType "journal-article" @default.
- W57106541 hasAuthorship W57106541A5010758758 @default.
- W57106541 hasAuthorship W57106541A5025875063 @default.
- W57106541 hasAuthorship W57106541A5042185682 @default.
- W57106541 hasAuthorship W57106541A5046268202 @default.
- W57106541 hasAuthorship W57106541A5056183710 @default.
- W57106541 hasAuthorship W57106541A5059176055 @default.
- W57106541 hasAuthorship W57106541A5067850911 @default.
- W57106541 hasAuthorship W57106541A5078843653 @default.
- W57106541 hasConcept C111472728 @default.
- W57106541 hasConcept C125502 @default.
- W57106541 hasConcept C127413603 @default.
- W57106541 hasConcept C138885662 @default.
- W57106541 hasConcept C144133560 @default.
- W57106541 hasConcept C15744967 @default.
- W57106541 hasConcept C159110408 @default.
- W57106541 hasConcept C162853370 @default.
- W57106541 hasConcept C17744445 @default.
- W57106541 hasConcept C18762648 @default.
- W57106541 hasConcept C21547014 @default.
- W57106541 hasConcept C2779530757 @default.
- W57106541 hasConcept C39549134 @default.
- W57106541 hasConcept C509550671 @default.
- W57106541 hasConcept C545542383 @default.
- W57106541 hasConcept C71924100 @default.
- W57106541 hasConcept C78519656 @default.
- W57106541 hasConceptScore W57106541C111472728 @default.
- W57106541 hasConceptScore W57106541C125502 @default.
- W57106541 hasConceptScore W57106541C127413603 @default.
- W57106541 hasConceptScore W57106541C138885662 @default.
- W57106541 hasConceptScore W57106541C144133560 @default.
- W57106541 hasConceptScore W57106541C15744967 @default.
- W57106541 hasConceptScore W57106541C159110408 @default.
- W57106541 hasConceptScore W57106541C162853370 @default.
- W57106541 hasConceptScore W57106541C17744445 @default.
- W57106541 hasConceptScore W57106541C18762648 @default.
- W57106541 hasConceptScore W57106541C21547014 @default.
- W57106541 hasConceptScore W57106541C2779530757 @default.
- W57106541 hasConceptScore W57106541C39549134 @default.
- W57106541 hasConceptScore W57106541C509550671 @default.
- W57106541 hasConceptScore W57106541C545542383 @default.
- W57106541 hasConceptScore W57106541C71924100 @default.