Patient-accessible electronic health records: a qualitative study from the perspective of potential users in the Netherlands

The Dutch patient-accessible electronic health record (PAEHR) has recently been implemented on a small scale. Yet, little is known about the users’ needs. This study aimed to provide a detailed insight of success and failure factors of the PAEHR. Forty-three citizens and 23 healthcare professionals (HCPs) participated. Audio recordings were transcribed. Open coding was used and codes were put into themes by using NVIVO12. PAEHR leads to more patient-centred care and a more detailed insight into patients’ own health status. The barrier identified was the increased workload of HCPs. Citizens stated that there should be more publicity regarding the PAEHR. Citizens like to receive support from their HCP about the PAEHR, but in contrast, HCPs stated that it is not their task to give instructions. The Dutch government needs to think about appropriate strategies to inform their inhabitants and encourage them and their HCPs to implement the PAEHR successfully.