Patients frequently depend on informal caregivers (e.g., family, friends, or paid workers) to assist with various aspects of medical care, such as medication administration and travel to medical appointments. OpenNotes seeks to share clinicians’ notes with patients through patient portals. Although patients frequently grant portal access to caregivers, the impact of this improved access to health information on the safety of care provided by caregivers remains unknown. Researchers sent a survey to 24,722 patients participating in OpenNotes who had at least one available visit note during the study period. The surveys were sent through the patient portal. Out of the 7058 surveys returned, 150 respondents self-identified as caregivers. Analysis of survey data revealed that access to patient notes enhanced caregiver understanding of recommended medical care including tests and referrals, reminded them about necessary testing, helped them understand results, reminded them about appointments, and improved caregiver ability to assist patients with medications. An Annual Perspective discussed the potential of health information technology to improve patient and caregiver engagement in safety.
caregivers
Take Control of Your Health Care
by OpenNotes – posted first by Age Brilliantly on August 29th, 2017 “I’m a baby boomer, and my son’s on the other end of the baby boomers. We come from a place where doctors tell you what to do. Patients don’t ask the doctor anything, you know. He tells you and you go for it,…
Wall Street Journal: The Delicate Question of Sharing Medical Information With Adult Children
As baby boomers increasingly assist their elderly parents with health issues large and small, families are having to rethink
HIT Leaders & News: Accessing medical information online via patient portals
Linda Johnson was 3,000 miles away from her Seattle home visiting her daughter in Baltimore when she had a medical emergency. Fortunately, Linda, like many of our patients at Harborview Medical Center, has secure online access to her complete medical record, and in this critical moment, she was able to share that access with her daughter.…
New OpenNotes video!!
When Linda Johnson had a significant health scare away from her home in Seattle, she shared her medical notes from Dr. Sara Jackson and her care team at Harborview Medical Center, both with her daughter and the Baltimore hospital’s team that took care of her. Linda’s long term plan going forward is to involve her family…
Patients, Care Partners, and Shared Access to the Patient Portal: Online Practices at an Integrated Health System
Shared access is an underused strategy that may bridge patients’ health literacy deficits and lack of technology experience and that helps but does not fully resolve concerns regarding patient and care partner identity credentials.
Family Caregivers and Consumer Health Information Technology
Health information technology has been embraced as a strategy to facilitate patients’ access to their health information and engagement in care. However, not all patients are able to access, or are capable of using, a computer or mobile device. Although family caregivers assist individuals with some of the most challenging and costly health needs, their role in health information technology is largely undefined and poorly understood. This perspective discusses challenges and opportunities of engaging family caregivers through the use of consumer-oriented health information technology. We compile existing evidence to make the case that involving family caregivers in health information technology as desired by patients is technically feasible and consistent with the principles of patient-centered and family-centered care. We discuss how more explicit and purposeful engagement of family caregivers in health information technology could advance clinical quality and patient safety by increasing the transparency, accuracy, and comprehensiveness of patient health information across settings of care. Finally, we describe how clarifying and executing patients’ desires to involve family members or friends through health information technology would provide family caregivers greater legitimacy, convenience, and timeliness in health system interactions, and facilitate stronger partnerships between patients, family caregivers, and health care professionals.
Patients Who Share Transparent Visit Notes With Others: Characteristics, Risks, and Benefits
Inviting patients to read their primary care visit notes may improve communication and help them engage more actively in their health care. Little is known about how patients will use the opportunity to share their visit notes with family members or caregivers, or what the benefits might b