Openness of patients' reporting with use of electronic records

Psychiatric clinicians' views

Ronald M. Salomon, Jennifer Urbano Blackford, S. Trent Rosenbloom, Sandra Seidel, Ellen Wright Clayton, David Dilts, Stuart G. Finder

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Objectives: Improvements in electronic health record (EHR) system development will require an understanding of psychiatric clinicians' views on EHR system acceptability, including effects on psychotherapy communications, data-recording behaviors, data accessibility versus security and privacy, data quality and clarity, communications with medical colleagues, and stigma. Design: Multidisciplinary development of a survey instrument targeting psychiatric clinicians who recently switched to EHR system use, focus group testing, data analysis, and data reliability testing. Measurements: Survey of 120 university-based, outpatient mental health clinicians, with 56 (47%) responding, conducted 18 months after transition from a paper to an EHR system. Results: Factor analysis gave nine item groupings that overlapped strongly with five a priori domains. Respondents both praised and criticized the EHR system. A strong majority (81%) felt that open therapeutic communications were preserved. Regarding data quality, content, and privacy, clinicians (63%) were less willing to record highly confidential information and disagreed (83%) with including their own psychiatric records among routinely accessed EHR systems. Limitations: single time point; single academic medical center clinic setting; modest sample size; lack of prior instrument validation; survey conducted in 2005. Conclusions: In an academic medical center clinic, the presence of electronic records was not seen as a dramatic impediment to therapeutic communications. Concerns regarding privacy and data security were significant, and may contribute to reluctances to adopt electronic records in other settings. Further study of clinicians' views and use patterns may be helpful in guiding development and deployment of electronic records systems.

Original languageEnglish (US)
Pages (from-to)54-60
Number of pages7
JournalJournal of the American Medical Informatics Association
Volume17
Issue number1
DOIs
StatePublished - Jan 2010

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Electronic Health Records
Psychiatry
Privacy
Communication
Computer Security
Confidentiality
Focus Groups
Psychotherapy
Sample Size
Statistical Factor Analysis
Mental Health
Outpatients
Surveys and Questionnaires
Therapeutics

ASJC Scopus subject areas

  • Health Informatics
  • Medicine(all)

Cite this

Salomon, R. M., Blackford, J. U., Rosenbloom, S. T., Seidel, S., Clayton, E. W., Dilts, D., & Finder, S. G. (2010). Openness of patients' reporting with use of electronic records: Psychiatric clinicians' views. Journal of the American Medical Informatics Association, 17(1), 54-60. https://doi.org/10.1197/jamia.M3341

Openness of patients' reporting with use of electronic records : Psychiatric clinicians' views. / Salomon, Ronald M.; Blackford, Jennifer Urbano; Rosenbloom, S. Trent; Seidel, Sandra; Clayton, Ellen Wright; Dilts, David; Finder, Stuart G.

In: Journal of the American Medical Informatics Association, Vol. 17, No. 1, 01.2010, p. 54-60.

Research output: Contribution to journalArticle

Salomon, RM, Blackford, JU, Rosenbloom, ST, Seidel, S, Clayton, EW, Dilts, D & Finder, SG 2010, 'Openness of patients' reporting with use of electronic records: Psychiatric clinicians' views', Journal of the American Medical Informatics Association, vol. 17, no. 1, pp. 54-60. https://doi.org/10.1197/jamia.M3341
Salomon, Ronald M. ; Blackford, Jennifer Urbano ; Rosenbloom, S. Trent ; Seidel, Sandra ; Clayton, Ellen Wright ; Dilts, David ; Finder, Stuart G. / Openness of patients' reporting with use of electronic records : Psychiatric clinicians' views. In: Journal of the American Medical Informatics Association. 2010 ; Vol. 17, No. 1. pp. 54-60.
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