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. 2023 Jun 30;25:e45974. doi: 10.2196/45974

Table 4.

Perceived very negative experiences (n=1305).

Themes Values, n (%)a
Information not available

Missing information 438 (33.56)

Delay in access 227 (17.39)

Information from private health care is missing 31 (2.38)

Information does not transfer to other health care system or service 21 (1.61)

Delay in access because validation by HCPb is still missing 12 (0.92)

HCP responsible for patient does not get information 6 (0.46)
Finding information is difficult

Information difficult to find 255 (19.54)

Disorganized system or view 50 (3.83)

Disorganized view of prescriptions 49 (3.75)

Multiple information levels 23 (1.76)

Examination and test results difficult to view or compare 18 (1.38)

Viewing and comparing HCP notes are difficult 11 (0.84)
Specific functionality challenges

Renewing prescriptions 80 (6.13)

Acting on behalf of adult or child 59 (4.52)

EUc digital COVID-19 vaccination certificate 38 (2.91)

Consent to, or denial of, sharing of own data 32 (2.45)

Printing or saving 22 (1.69)

Living will or organ donation testament 6 (0.46)
Portal is difficult to use

Challenges with logging in or out 36 (2.76)

Issues with menu, topics, navigation, or structure 34 (2.61)

Technical problem 27 (2.07)

Worries about privacy 24 (1.84)

Reading on mobile or tablet devices is difficult 21 (1.61)

Slow 9 (0.69)

System itself 9 (0.69)

Need for another person’s help 6 (0.46)

Missing or changing instructions 5 (0.38)
Information is incorrect

Incorrect notes 80 (6.13)

Incorrect information or errors 42 (3.22)

Errors in notes are difficult or impossible to correct 33 (2.53)
Missing functionality

Information about future appointments 63 (4.83)

Real-time connection with health care 25 (1.92)

Correcting or commenting on health information 15 (1.15)

Notification of new information 12 (0.92)

Inaccuracy of the information who viewed the shared data 10 (0.77)

Booking an appointment 5 (0.38)
Information difficult to understand

Medical terminology difficult to understand 24 (1.84)

Notes difficult to understand 7 (0.54)

Wrong language (eg, Finnish instead of Swedish) 7 (0.54)
Information is inappropriate

Inappropriate notes 16 (1.23)

HCP added information without telling the patient 10 (0.77)

Unwanted (older) information is visible 6 (0.46)
Multiple digital channels: multiple similar systems 20 (1.53)

aA respondent may have mentioned more than one experience.

bHCP: health care professional.

cEU: European Union.