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 - 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 - Psychiatric Services
JF - Psychiatric Services
IS - 5
ER -