Patients' positive and negative responses to reading mental health clinical notes online

Lauren M. Denneson, Jason Chen, Maura Pisciotta, Anais Tuepker, Steven Dobscha

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)593-596
Number of pages4
JournalPsychiatric Services
Volume69
Issue number5
DOIs
StatePublished - May 1 2018

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Mental Health
Delivery of Health Care
Veterans
Insurance Pools
Self Efficacy
Patient Care
Demography
Databases
Health
Therapeutics

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Patients' positive and negative responses to reading mental health clinical notes online. / Denneson, Lauren M.; Chen, Jason; Pisciotta, Maura; Tuepker, Anais; Dobscha, Steven.

In: Psychiatric Services, Vol. 69, No. 5, 01.05.2018, p. 593-596.

Research output: Contribution to journalArticle

Denneson, Lauren M. ; Chen, Jason ; Pisciotta, Maura ; Tuepker, Anais ; Dobscha, Steven. / Patients' positive and negative responses to reading mental health clinical notes online. In: Psychiatric Services. 2018 ; Vol. 69, No. 5. pp. 593-596.
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