Communicating to Employees the Implementation of Patient Online Access to Their EHR. The Case of Adult Psychiatry in Southern Sweden.

Lena Petersson
Department of Design Sciences, Lund University, Lund, Sweden

Gudbjörg Erlingsdóttir
Department of Design Sciences, Lund University, Lund, Sweden

Ladda ner artikel

Ingår i: Proceedings from The 14th Scandinavian Conference on Health Informatics 2016, Gothenburg, Sweden, April 6-7 2016

Linköping Electronic Conference Proceedings 122:2, s. 7-11

Visa mer +

Publicerad: 2016-03-31

ISBN: 978-91-7685-776-2

ISSN: 1650-3686 (tryckt), 1650-3740 (online)


In 2015 Region Skåne was the first county council in Sweden to add adult psychiatry patients to the civic service of patient online access to their EHR (electronic health records). The initial implementation of the service in somatic care had previously raised both questions and resistance amongst the healthcare professionals. It was thus considered important to inform the professionals involved about the planned introduction in psychiatry well in advance. This paper presents and discusses how well the management was able to do this. The material presented derives from a survey that was distributed to employees in adult psychiatry in Region Skåne just before the introduction of the service. Overall, the results show that different professions receive information through different channels. This indicates that it is important for an employer to use many information and communication channels to reach employees. It is also important to use both interpersonal and mediated communication channels as they serve different purposes.


ehealth, ehr, psychiatric care, patient online access, employees, communication channels


[1] Socialdepartementet. Nationell IT-strategi för vård och omsorg, Skr. 2005/06:139 [Internet]. Stockholm: Socialdepar-tementet; 2006 [updated 02 Apr. 2015; cited 08 Feb. 2016] Available from http://www.regeringen.se/rattsdokument/skrivelse/2006/03/skr.-200506139/

[2] Socialdepartementet. Nationell eHälsa – strategin för till-gänglig och säker information inom vård och omsorg, S2010.020 [Internet]. Stockholm: Socialdepartementet; 2010 [updated 02 Apr. 2015; cited 08 Feb. 2016] Available from http://www.regeringen.se/rapporter/2010/06/s2010.020/

[3] Cehis. Handlingsplan 2013 – 2018. Landstings, regioners och kommuners samarbete inom eHälsoområdet [Internet]. Stockholm: Inera; 2012 [cited 08 Feb. 2016] Available from http://www.inera.se/Documents/OM_OSS/handlingsplan_2013_2018.pdf

[4] SKL, Sveriges Kommuner och landsting. Invånartjänster [Internet]. Stockholm: SKL; 2014 [cited 08 Feb. 2016] Avail-able from http://skl.se/halsasjukvard/ehalsa/invanartjanster.1741.html

[5] Kahn M W, Bell S K, Walker J, Delblanco T. Let’s Show Patients Their Mental Health Records. JAMA. 2014;311(13):1291-2.

[6] Erlingsdóttir G, Lindholm C. When patient empowerment encounters professional autonomy: The conflict and negotia-tion process of inscribing an eHealth service. Scandinavian Journal of Public Administration. 2015; 19:2.

[7] Lewis L K. Employee Perspectives on Implementation Communication as Predictors of Perceptions of Success and Resistance. Western Journal of Communication. 2006; 70 (1): 23–46.

[8] Scandurra I, Jansson A, Forsberg-Fransson M-L, Ålander T. Is ‘Patient’s Online Access to Health Records’ a Good Re-form? – Opinions from Swedish Healthcare Professionals Dif-fer. Procedia Computer Science. 2015; 64: 964-8.

[9] Walker J, Leveille S G, Ngo L, Vodicka E, Darer J D, Dhanireddy S, Elmore J G, Feldman H J, Lichtenfeld M J, Oster N, Ralston J D, Ross S E, Delbanco T. Inviting Patients to Read Their Doctors’ Notes: Patients and Doctors Look Ahead: Patient and Physician Surveys. Ann Intern Med. 2011;155(12):811-9.

[10] Lewis L K. Organizational Change. Creating Change Through Strategic Communication [Internet]. Chichester: Wiley-Blackwell; 2011. [cited 08 Feb. 2016]. Available from: doi: 10.1002/9781444340372

[11] Heide M. Social intranets and internal communication. Dreaming of democracy in organisations. In: Coombs W T, Falkheimer J, Heide M and Young P, eds. Strategic Commu-nication, Social Media and Democracy. The challenge of the digital naturals. London: Routledge; 2016. p. 45-53.

Citeringar i Crossref