US Experience with Doctors and Patients Sharing Clinical Notes
BMJ 2015; 350:g7785 (2015)
Posted: 29 Sep 2015
Date Written: February 10, 2015
For decades clinicians have experimented with making medical records available to patients. Now electronic medical records and associated secure internet portals provide patients the opportunity to view test results, medications, and other selected parts of the medical record on line. But few patients are offered full access to their records; clinicians' notes are rarely visible. After a demonstration project showed the acceptability of OpenNotes in the U.S., several prominent healthcare providers decided to make clinicians' notes available to patients online before further formal evaluation. The authors describe the OpenNotes movement in the U.S. and how sharing notes with patients is spreading. The authors also underline the case for research to assess the long term effect of sharing notes and the potential to foster improved and truly collaborative care.
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