TY - JOUR
T1 - Patients' positive and negative responses to reading mental health clinical notes online
AU - Denneson, Lauren M.
AU - Chen, Jason I.
AU - Pisciotta, Maura
AU - Tuepker, Anais
AU - Dobscha, Steven K.
N1 - Funding Information:
This material is based upon work supported by the Department of Veterans Affairs, Veterans Health Administration, and Health Services Research and Development Service Project IIR 13-347. The funders did not give input on study design; the collection, analysis, or interpretation of data; the writing of the article; or the decision to submit it for publication. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States government.
Publisher Copyright:
© American Psychiatric Association. All rights reserved.
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Objective: This study describes responses to OpenNotes, clinical notes available online, among patients receivingmental health care and explores whether responses vary by patient demographic or clinical characteristics. Methods: Survey data from 178 veterans receiving mental health treatment at a large Veterans Affairs medical center included patient-reported health self-efficacy, health knowledge, alliance with clinicians, and negative emotional responses after reading OpenNotes. Health care data were extracted from the patient care database. Results: Reading OpenNotes helped many participants feel in control of their health care (49%) and have more trust in clinicians (45%), although a few (8%) frequently felt upset after reading their notes. In multivariate models, posttraumatic stress disorderwas associatedwith increased patient-clinician alliance (p5.046) but also with negative emotional responses (p,<01). Conclusions: Patients receivingmental health care frequently reported benefits from reading OpenNotes, yet some experienced negative responses.
AB - Objective: This study describes responses to OpenNotes, clinical notes available online, among patients receivingmental health care and explores whether responses vary by patient demographic or clinical characteristics. Methods: Survey data from 178 veterans receiving mental health treatment at a large Veterans Affairs medical center included patient-reported health self-efficacy, health knowledge, alliance with clinicians, and negative emotional responses after reading OpenNotes. Health care data were extracted from the patient care database. Results: Reading OpenNotes helped many participants feel in control of their health care (49%) and have more trust in clinicians (45%), although a few (8%) frequently felt upset after reading their notes. In multivariate models, posttraumatic stress disorderwas associatedwith increased patient-clinician alliance (p5.046) but also with negative emotional responses (p,<01). Conclusions: Patients receivingmental health care frequently reported benefits from reading OpenNotes, yet some experienced negative responses.
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U2 - 10.1176/appi.ps.201700353
DO - 10.1176/appi.ps.201700353
M3 - Article
C2 - 29493408
AN - SCOPUS:85046357030
SN - 1075-2730
VL - 69
SP - 593
EP - 596
JO - Hospital and Community Psychiatry
JF - Hospital and Community Psychiatry
IS - 5
ER -