Introducing an electronic Palliative Care Summary (ePCS) in Scotland: Patient, carer and professional perspectives

Susan Jane Hall, Peter Murchie, Christine Campbell, Scott A. Murray

Research output: Contribution to journalArticle

15 Citations (Scopus)
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Abstract

Background. An electronic Palliative Care Summary (ePCS) is currently being implemented throughout Scotland to provide out-of-hours (OOH) staff with up-to-date summaries of medical history, patient understanding and wishes, medications and decisions regarding treatment of patients requiring palliative care: automatic twice daily updates of information from GP records to a central electronic repository are available to OOH services.
Aims. To identify key issues related to the introduction of ePCS from primary care and OOH staff, to identify facilitators and barriers to their use, to explore the experiences of patients and carers and to make recommendations for improvements.
Methods. Twenty-two semi-structured interviews were carried out with a purposive sample of health professionals [practice nurses (3 interviews), GPs (12 interviews), a practice manager (1 interview) from practices using different computing software systems] and patients and/or carers (6 interviews for whom an ePCS had been completed). Interviews were digitally recorded, transcribed and analysed thematically.
Results. Patients and carers were reassured that OOH staff were informed about their current circumstances. OOH staff considered the ePCS allowed them to be better informed in decision making and in carrying out home visits. GPs viewed the introduction of ePCSs to have benefits for in-hours structures of care including advance care planning. No interviewee expressed concern about confidentiality. Barriers raised related to the introduction of new technology including unfamiliarity with the process, limited time and information technology skills.
Conclusions. The ePCS has clear potential to improve patient care although several implementation issues and technical problems require to be addressed first to enable this. GPs and community nurses should identify more patients with malignant and non-malignant illnesses for completion of the ePCS.
Original languageEnglish
Pages (from-to)576-585
Number of pages10
JournalFamily Practice
Volume29
Issue number5
Early online date15 Feb 2012
DOIs
Publication statusPublished - Oct 2012

Keywords

  • communication
  • continuity of care
  • electronic health record
  • palliative care
  • qualitative research

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