Whose record is it anyway? Putting patients' interests at the heart of the implementation and use of electronic medical records.

With the dawn of electronic medical records (EMRs) and patient portals, there is an unprecedented opportunity to provide truly collaborative patient-centred care. These tools can promote communication between healthcare providers and patients, improve chronic disease management and enable patients to become active members in the healthcare delivery system, but only if the tools work for everyone involved--including patients. Without patient consultation and input, there will be limitations in the ways in which physicians and patients are able to capitalize on these tools. Decision-makers must begin to enact their commitment to collaborative patient-centred care by engaging patients in discussions related to EMR design, implementation and use.

[1]  F. Brooks.  Nursing and public participation in health: an ethnographic study of a patient council. , 2008, International journal of nursing studies.

[2]  Christian Lovis,et al.  White Paper: Patient-centered Applications: Use of Information Technology to Promote Disease Management and Wellness. A White Paper by the AMIA Knowledge in Motion Working Group , 2008, J. Am. Medical Informatics Assoc..

[3]  David Carrell,et al.  Research Paper: Patient Web Services Integrated with a Shared Medical Record: Patient Use and Satisfaction , 2007, J. Am. Medical Informatics Assoc..

[4]  Christine N L Hogg,et al.  Patient and public involvement: What next for the NHS? , 2007, Health expectations : an international journal of public participation in health care and health policy.

[5]  W. Kondro.  The medical view from 34 000 feet , 2007, Canadian Medical Association Journal.

[6]  D. Roter,et al.  Electronic medical record use and physician-patient communication: an observational study of Israeli primary care encounters. , 2006, Patient education and counseling.

[7]  Warren J. Winkelman,et al.  Research Paper: Patient-Perceived Usefulness of Online Electronic Medical Records: Employing Grounded Theory in the Development of Information and Communication Technologies for Use by Patients Living with Chronic Illness , 2005, J. Am. Medical Informatics Assoc..

[8]  David Young,et al.  Research Paper: Patient Experiences and Attitudes about Access to a Patient Electronic Health Care Record and Linked Web Messaging , 2004, J. Am. Medical Informatics Assoc..