The patient clinical information system (PatCIS)

Technical solutions for and experience with giving patients access to their electronic medical records

James J. Cimino, Vimla Patel, Andre W. Kushniruk

Research output: Contribution to journalArticle

100 Citations (Scopus)

Abstract

As health records evolve into electronic form, increasing demand is being made to provide patients with access to them. We sought to study the character and impact of such access to determine how patients use such records, what cognitive effects it has on them, and how it affects their relationship with their health care providers. We created the Patient Clinical Information System (PatCIS) to interface with the clinical data repository at New York Presbyterian Hospital (NYPH) to allow patients to add to and review their medical data. We also provided educational resources and automated advice programs. We provided access to the system to thirteen subjects over a 36-month period and reviewed their activities in the system's usage log. We also collected data via questionnaire and telephone interview. We collected data for a total of 223 patient months. We found that patients varied in their use of the system, from once a month or less to one or more times per day. All patients primarily used the system to review laboratory results. Both they and their physicians believed that use of the system enhanced the patients' understanding of their conditions and improved their communication with their physicians. There were no adverse events encountered during the study.

Original languageEnglish (US)
Pages (from-to)113-127
Number of pages15
JournalInternational Journal of Medical Informatics
Volume68
Issue number1-3
DOIs
StatePublished - Dec 18 2002
Externally publishedYes

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Electronic Health Records
Information Systems
Physicians
Health Personnel
Communication
Interviews
Health

Keywords

  • Consumer informatics
  • Electronic medical records
  • Personal health records
  • World wide web

ASJC Scopus subject areas

  • Health Informatics

Cite this

The patient clinical information system (PatCIS) : Technical solutions for and experience with giving patients access to their electronic medical records. / Cimino, James J.; Patel, Vimla; Kushniruk, Andre W.

In: International Journal of Medical Informatics, Vol. 68, No. 1-3, 18.12.2002, p. 113-127.

Research output: Contribution to journalArticle

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