User Evaluation of the Swedish Patient Accessible Electronic Health Record – a long overdue publication

Finally!

Data for this study was collected years ago, but we just never had the time to sit down and analyze it properly until last year. But we somehow managed to squeeze it into the pandemic schedule at last, and now it’s published!

my husband + my laptop

The data was collected through an oline survey which was accessible to everyone who logged into the Swedish patient accessible electronic health record (PAEHR) Journalen. The survey had lots of questions, and part of it was the 10 System Usability Scale (SUS) items. We had 2587 unique users complete the survey.

ItemSUS questionsModified questionsQuestions in Swedish
1I think that I would like to use this system frequently.I think that I would like to use Journalen regularlyJag tror att jag vill använda ”Journalen” regelbundet
2I found the system unnecessarily complex.I found Journalen unnecessarily complexJag anser att ”Journalen” är mer komplicerad än vad den behöver vara
3I thought the system was easy to use.I thought Journalen was easy to useJag anser att ”Journalen” är lätt att använda
4I think that I would need the support of a technical person to be able to use this system.I think that I would need the support of a technical person to be able to use JournalenJag tror att jag skulle behöva personlig teknisk support för att kunna använda ”Journalen”
5I found the various functions in this system were well integrated.I found the various functions in the system were well integratedJag anser att de olika funktionerna i ”Journalen” fungerar väl tillsammans
6I thought there was too much inconsistency in this system.I thought there was too much inconsistency in this systemJag anser att det finns många delar i ”Journalen” som inte är konsekventa
7I would imagine that most people would learn to use this system very quickly.I would imagine that most people would learn to use Journalen very quicklyJag tror att de flesta skulle kunna lära sig att använda ”Journalen” ganska snabbt
8I found the system very cumbersome to use.I found Journalen very cumbersome to useJag anser att ”Journalen” är besvärlig att använda
9I felt very confident using the system.I felt very confident using JournalenJag känner mig väldigt säker och trygg (på vad jag gör) när jag använder ”Journalen”
10I needed to learn a lot of things before I could get going with this system.I needed to learn a lot things before I could get going with JournalenJag behöver lära mig ganska mycket innan jag kan börja använda ”Journalen”
The SUS questions and our modifications

The total mean score for all respondents to the SUS items was 79.81 (SD 14.25), which corresponds to a system with good usability. According to Bangor and colleagues’ thorough evaluation of the SUS, a system needs to score above 70 to be considered at least passable. Better systems will score in the high 70s to high 80s, and scores over 90 indicate a truly superior system. 

Now, the SUS scale will give you an indication of how good or bad a system is, but it will not tell you much about what usability problems your users are actually struggling with. Therefore, we also asked the study participants to comment on the usability in a free-text answer. We are currently working on finalizing the analysis of these answers, and they are VERY interesting!

This entry was posted in Academic writing, Consumer Health Informatics, Patient experience, Usability and tagged , . Bookmark the permalink.

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