Clinician perceptions of My Health Record in mental health care: medication management and sharing mental health information
Timothy C. Kariotis
A B E and Keith M. Harris C D
+ Author Affiliations
- Author Affiliations
A School of Medicine, University of Tasmania, 17 Liverpool Street, Hobart, Tas. 7000, Australia.
B Department of General Practice, University of Melbourne, 200 Berkeley Street, Carlton, Vic. 3053, Australia.
C School of Psychology, University of Queensland, Sir Fred Schonell Drive, St Lucia, Qld 4067, Australia.
D Present address: School of Psychology, Charles Sturt University, 7 Major Innes Road, Port Macquarie, NSW 2444, Australia.
E Corresponding author. Email: timothy.kariotis@unimelb.edu.au
Australian Journal of Primary Health 25(1) 66-71 https://doi.org/10.1071/PY17181
Submitted: 8 December 2017 Accepted: 8 September 2018 Published: 14 January 2019
Abstract
My Health Record (MHR) is a national personally controlled electronic health record, which is projected to be used by all Australian health professionals by 2022. It has also been proposed for use in mental health care, but there is limited information on how clinicians will successfully implement it. This study interviewed seven general practitioners and four psychologists in Tasmania, Australia. Participants were asked about information continuity and barriers and benefits to using My Health Record in mental health care. Thematic analysis identified two pertinent themes: Medication Management and Mental Health Information. Participants reported MHR could improve the quality and frequency of medication information shared between clinicians, but wanted additional medication-related alert features. Mental health information issues were broad in scope and included concerns over sensitive data that might be accessed through MHR and completeness of information. Participants also reported barriers to MHR use, including time burdens and privacy and confidentiality concerns. My Health Record used in mental health care may improve the timely sharing of medication-related information, but clinicians’ concerns regarding the sharing of patients’ highly sensitive mental health information need to be addressed.
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