by Leonor Fernandez, MD Hot coffee beckons with its promise of contraband comfort on a cold and busy Monday morning. Ms. H, my first patient, has not arrived yet. I consider a quick dash downstairs to the coffee shop. I can usually make it back in 4 minutes.… I glance at my email. You have 2 newPatientSitemessages.…
patient engagement
Evaluating the impact of patients’ online access to doctors’ visit notes: designing and executing the OpenNotes project
Background
Providers and policymakers are pursuing strategies to increase patient engagement in health care. Increasingly, online sections of medical records are viewable by patients though seldom are clinicians’ visit notes included. We designed a one-year multi-site trial of online patient accessible office visit notes, OpenNotes. We hypothesized that patients and primary care physicians (PCPs) would want it to continue and that OpenNotes would not lead to significant disruptions to doctors’ practices.
SGIM Forum: OpenNotes Debate Part I, II & III
DEBATE: PART I– Benefits from Destroying the Black Box (or Are We Opening Pandora’s Box?) – Tom Delbanco, MD, and Jan Walker, RN, MBA Dr. Delbanco and Ms. Walker are on the faculty of Harvard Medical School and Beth Israel Deaconess Medical Center. DEBATE: PART II– Patient Access to Electronic Records: Not Now – Douglas…
The New York Times: Project Puts Records in the Patients’ Hands
by Roni Caryn Rabin 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. Let’s face it: We’ve all…
TIME Healthland: Can Patients Handle the Truth? Getting Access to Doctors’ Notes
by Alice Park The last time you were at the doctor’s office, and your physician scribbled or typed something into your chart, did you wonder what it said? If so, you’re in the majority: according to a new survey, more than 90% of patients said they would want to know. Not surprisingly, most doctors were…
Modern Healthcare: Patients should have easier access to their doctors’ medical notes
by Tom Delbanco and Jan Walker HHS Secretary Kathleen Sebelius has taken an important step in launching the first national effort to give consumers electronic access to their laboratory results. We certainly agree with the secretary that “When it comes to health, information is power.” But at a time when all Americans are increasingly relying…
NPR: Doctors Don’t Agree On Letting Patients See Notes
Every time you see the doctor, he or she writes a note about the encounter for the record. Normally you never see it. A lot of what’s in that note is objective stuff about your blood pressure, weight and blood count. But often your doctor puts down subjective impressions. Did you seem down? Anxious? Angry?…
