Beginning November 2, 2020, opening clinical notes to patients with cancer will no longer be a decision left to individual clinicians or institutional preference but rather a requirement, as a result of the 21st Century Cures Act Interoperability and Information Blocking Rule. The rule requires patients to be provided access to all health information in their electronic medical records, including progress notes (aka “open notes”). Cancer patients and their families face serious quality of life and information burdens that may be alleviated through access to notes. Earlier work has shown differences between clinician and patient attitudes after open notes implementation, but there has been no investigation into how oncology clinician views differ from those of their patients.
We examined patients’ perceptions of how note reading affects factors related to medication adherence. In addition, we sought to understand their engagement with online medication lists and their willingness to participate in keeping those lists correct and up to date.
Following a 2010-2011 pilot intervention in which a limited sample of primary care doctors offered their patients secure Web-based portal access to their office visit notes, the participating sites expanded OpenNotes to nearly all clinicians in primary care, medical, and surgical specialty practices.
The OpenNotes initiative encourages health care systems to provide patients online access to clinical notes. Some individuals have expressed concerns about use of OpenNotes in mental health care. This study evaluated changes in mental health clinicians’ attitudes and communications with patients after participation in a Web-based course designed to reduce potential for unintended consequences and enhance likelihood of positive outcomes of OpenNotes.
This article analyzes patients’ perceptions about the patient portal experience with access to primary care and specialist’s notes and evaluates free-text comments as an improvement opportunity.
This study evaluates whether a web-based educational program for patients who read their mental health notes online improves patient-clinician communication and increases patient activation.
Prior studies suggest inviting patients to read their visit notes (OpenNotes) has important benefits for patient engagement. We utilized survey data to investigate our hypothesis that patients who read more notes would report greater shared decision making (SDM).
Background: OpenNotes, a national initiative to share clinicians’ visit notes with patients, can improve patient engagement, but effects on vulnerable populations are not known very well.
Objective: Our aim is to examine the importance of visit notes to nonwhite and less educated patients.
Patients who use online portals to review their clinicians’ notes may become more actively involved in their healthcare, but the healthcare industry knows little about factors that may facilitate or inhibit patients’ use of this new practice.
Abstract: There are concerns regarding whether patients with mental illness should be provided with access to their electronic medical records. This study compared perceptions of patients with (n = 400) and without (n = 2,134) a mental health diagnosis regarding access to primary care clinic notes through secure online portals. Eligible participants viewed at least…