Dark Daily
“Data from two studies here in the United States affirms that patients want access to their health records. Consequently, health systems are increasingly making it easier for patients to get access to prescription lists, medical laboratory test results and now even doctors’ notes.
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Cory Schultz, iMedicalApps
“Recording notes about a patient is standard practice among physicians and has often left patients curious about what is written down about them.
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Sara Jackson, FierceHealthIT
“Physicians may be reluctant to share their notes openly with patients, according to a study published in the Annals of Internal Medicine that we reported on last month. Once they try it, however, they seem to like it.
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Roni Caryn Rabin, The New York Times
“In an old “Seinfeld” episode, Elaine goes to see a dermatologist about a rash, and is left sitting on the table in the exam room, alone with her medical chart. She opens the folder and almost immediately makes a sour face.
“ ‘Difficult’?” she says, reading aloud.
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Marla Durben Hirsch, FierceEMR
“A striking majority of patients would like to share information in their electronic records and see what their physicians are saying about them, according to a pair of studies published in the Dec. 20 issue of the Annals of Internal Medicine.
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Beth Walsh, CMIO
“The migration from paper charts to EMRs offers the opportunity to provide access to patients, consultants and other caregivers. Electronic records also offer potential for greater transparency, improved efficiency and decreased costs.
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Ken Terry, InformationWeek
“While the federal government’s EHR incentive program requires physicians to provide visit notes to patients who request them, little is known about how doctors and patients view this kind of information sharing or what effect it has on patient care.
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Bernie Monegain, Healthcare IT News
“Patients are overwhelmingly interested in exploring the notes doctors write about them after an office visit, but doctors worry about the impact of such transparency on their patients and on their own workflow, a Beth Israel Deaconess Medical Center (BIDMC) study suggests.
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Rosie Mestel, Los Angeles Times
“Have you ever wondered what’s in your doctor’s notes? I have, although I’m not quite sure if I want to see … what would be written there? “Malingerer“? “Noncompliant”? “Royal pain in the rump?” “Only has one kidney and likely to check out early”?
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Feeley TW et al, Annals of Internal Medicine, 155(12)
Physicians’ notes are one of the oldest tools in medicine and have evolved into today’s electronic medical record. As we move toward greater transparency in health care, one emerging concept is that sharing information among patients, caregivers, and involved clinicians can improve efficiency, decrease redundancy, and decrease cost. The concept of improving health care delivery by sharing the medical record with the patient is not new.
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Ted Eytan, MD
“It’s been almost 40 years of publications and studies supporting patients in seeing the full content of their medical records, and physicians are still divided in their feelings about this. I personally experience this pretty regularly in dialogue with my health care colleagues.
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Walker J et al, Annals of Internal Medicine, 155(12)
Background:
Little is known about what primary care physicians (PCPs) and patients would expect if patients were invited to read their doctors’ office notes.
Objective:
To explore attitudes toward potential benefits or harms if PCPs offered patients ready access to visit notes.
Design:
he PCPs and patients completed surveys before joining a voluntary program that provided electronic links to doctors’ notes.
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e-Patient Dave, e-patients.net
“Patients are overwhelmingly interested in gaining rapid access to their notes … doctors have not experienced significant disruptions to their work.”
Hear hear! That’s from a new commentary published Monday in Modern Healthcare about the OpenNotes project, in which patients have full access to their doctor’s visit notes.
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Robin Tang, Healthcare Breakfast Club
“Imagine I asked you how many times Theodore Roosevelt went hunting. Here, I say – Teddy’s complete library, all his letters, speeches, and journals. You comb through letter after looseleaf letter. Then I say tell me every hotel he ever stayed in. So you go back and go through the library again.
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Anna Caldwell, The Courier-Mail
“Patients will be able to control their most sensitive health details and, for the first time, read their doctor’s secret medical notes.
The reforms, designed to empower patients, will be detailed today in a blueprint for the Gillard Government’s controversial electronic health system.
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EzineMark.com
“Throughout the history of modern medicine, doctors’ handwritten clinical notes concerning medical cases have generally been circulated within a small group of primary care providers. For those physicians, a shared technical vocabulary and scribbled notes have been considered sufficient for developing diagnosis and treatment.
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Wendy S. Harpham, KevinMD
“Does the opportunity for patients to read their medical charts help or hurt patients’ ability to become Healthy Survivors?
Open notes can facilitate Healthy Survivorship for some patients.
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Vogel L. CMAJ, 2010
Think of it as online access to the good, the bad and the sometimes blunt things that doctors write about patients.
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Wendy S. Harpham, KevinMD
“Have you ever read what your physicians and nurses have written in your medical chart? If not, would you want to?
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Dave deBronkart, KevinMD
“The opening anecdote of the e-patient white paper tells of a patient who impersonated a doctor in 1994, to get his hands on an article about an operation he was about to have. He got busted. Two years later episode 139 of Seinfeld had something similar – Kramer impersonates a doctor to try to get Elaine’s medical record.
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