Introducing an electronic palliative care summary

patient, carer and professional perspectives

Susan Jane Hall, Christine Campbell, Peter Alexander Kiehlmann, Peter Murchie, Scott Murray

Research output: Contribution to journalAbstract

Abstract

Introduction and aims The electronic Palliative Care Summary (ePCS) is being introduced throughout Scotland to provide out of hours (OOH) staff with up to date records of medications, decisions regarding treatment and health status of patients requiring palliative care. Automatic twice-daily updates of information from General Practitioner (GP) records to a central electronic repository are available to OOH services. We sought to identify key issues related to the introduction of ePCS from primary care and OOH staff, to identify facilitators and barriers to its use, to explore the experiences of patients and carers, and to make recommendations for improvements.

Methods Semi-structured interviews were carried out with a purposive sample of GPs from practices using different computing software systems; out-of-hours GPs; and patients (and/or their carer) for whom an ePCS had been completed. Interviews were digitally recorded with consent, 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 such as advance care planning. No interviewee expressed concern about loss of confidentiality. Barriers raised related mainly to the introduction of a new technology including unfamiliarity with the process, limited time and IT skills.

Conclusions The ePCS has the potential to improve patient care. Training in ePCS completion and updating should be available for all GPs and community nurses.
Original languageEnglish
Article numberA10
Number of pages1
JournalBMJ Supportive & Palliative Care
Volume1
Issue numberSupp. 1
DOIs
Publication statusPublished - 2011

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Palliative Care
Caregivers
Advance Care Planning
Interviews
House Calls
Confidentiality
Scotland
General Practitioners
Health Status
Primary Health Care
Patient Care
Software
Nurses
Technology

Cite this

Introducing an electronic palliative care summary : patient, carer and professional perspectives. / Hall, Susan Jane; Campbell, Christine; Kiehlmann, Peter Alexander; Murchie, Peter; Murray, Scott.

In: BMJ Supportive & Palliative Care, Vol. 1, No. Supp. 1, A10, 2011.

Research output: Contribution to journalAbstract

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abstract = "Introduction and aims The electronic Palliative Care Summary (ePCS) is being introduced throughout Scotland to provide out of hours (OOH) staff with up to date records of medications, decisions regarding treatment and health status of patients requiring palliative care. Automatic twice-daily updates of information from General Practitioner (GP) records to a central electronic repository are available to OOH services. We sought to identify key issues related to the introduction of ePCS from primary care and OOH staff, to identify facilitators and barriers to its use, to explore the experiences of patients and carers, and to make recommendations for improvements. Methods Semi-structured interviews were carried out with a purposive sample of GPs from practices using different computing software systems; out-of-hours GPs; and patients (and/or their carer) for whom an ePCS had been completed. Interviews were digitally recorded with consent, 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 such as advance care planning. No interviewee expressed concern about loss of confidentiality. Barriers raised related mainly to the introduction of a new technology including unfamiliarity with the process, limited time and IT skills. Conclusions The ePCS has the potential to improve patient care. Training in ePCS completion and updating should be available for all GPs and community nurses.",
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N2 - Introduction and aims The electronic Palliative Care Summary (ePCS) is being introduced throughout Scotland to provide out of hours (OOH) staff with up to date records of medications, decisions regarding treatment and health status of patients requiring palliative care. Automatic twice-daily updates of information from General Practitioner (GP) records to a central electronic repository are available to OOH services. We sought to identify key issues related to the introduction of ePCS from primary care and OOH staff, to identify facilitators and barriers to its use, to explore the experiences of patients and carers, and to make recommendations for improvements. Methods Semi-structured interviews were carried out with a purposive sample of GPs from practices using different computing software systems; out-of-hours GPs; and patients (and/or their carer) for whom an ePCS had been completed. Interviews were digitally recorded with consent, 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 such as advance care planning. No interviewee expressed concern about loss of confidentiality. Barriers raised related mainly to the introduction of a new technology including unfamiliarity with the process, limited time and IT skills. Conclusions The ePCS has the potential to improve patient care. Training in ePCS completion and updating should be available for all GPs and community nurses.

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