Doctors See Value in Sharing Visit Notes with Patients

RWJF
When patients have access to their doctors’ visit notes, they have a better understanding of their health care, according to a study published in the Annals of Internal Medicine this week.

The study shared findings from OpenNotes, a Robert Wood Johnson Foundation-supported initiative in which, over the course of one year, 105 doctors shared their notes with more than 19,000 patients at three health centers around the country—Beth Israel Deaconess Medical Center in Boston; Geisinger Health System in Danville, Pa.; and Harborview Medical Center in Seattle.
The study revealed that patients who participated in OpenNotes felt more in control of their health care, experienced improved recall of their care plan, and reported they were more likely to take their medications as prescribed. Doctors’ fears about the added time burden and offending or worrying patients did not materialize, and many doctors reported that note-sharing strengthened their relationships with patients, including enhancing trust, transparency, communication, and shared decision-making.

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http://jamia.bmj.com/site/icons/amiajnl8946.pdf
  • patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations;
  • transparency and a commitment to patient safety should govern vendor contracts;
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  • vendors, system purchasers, and users should encourage and assist in each others’ efforts to adopt best practices.

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