Table 1 Analytical framework
CATEGORIES AND CODES | DESCRIPTION |
|---|---|
General thoughts on the service | |
Inform patients about the service | Whether health professionals tend to inform patients |
Scope and use | How much the service is used and who uses it |
Training on the service for health personnel | Whether health professionals attended courses |
Internal routines and practices | Formal or informal practices (e.g. discussions with colleagues) |
Patient-provider relationship | |
Transparency | The content of the EHR is visible to patients |
Unsuitability | Whether the service is unsuitable to some patients |
Relationship with the patient | How the service affects the relationship with patients |
Roles of caregivers, children and third parties | How caregivers affect use of the service |
EHR can be used as legal document | PAEHR as a service to patients vs EHR as a legal document |
Use of PAEHR in treatment | Whether the service is actively used in patient treatment |
Way of writing in the EHR | |
Changes in writing | E.g. writing shorter sentences, less use of medical words |
Changes in workflow | Whether the service resulted in changes in work practices |
Consequences for the EHR as a work tool | Whether the service affected the main role of the EHR |
Practices to deny access to information | |
Knowledge of the functionality | Whether health professionals are aware of the functionality |
Use of the functionality | How much and when the functionality is used |
Reflections around the functionality | What health professionals think about the functionality |
Avoid to write in the EHR | Whether omitting information in the EHR is applied |
Other methods of making information not accessible | E.g. “hidden” or “shadow” journal |