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Changes in Clinician Attitudes Toward Sharing Visit Notes: Surveys Pre-and Post-Implementation

BACKGROUND: Clinician perceptions before and after inviting patients to read office notes (open notes) are unknown. OBJECTIVE: To describe changes in clinicians’ attitudes about sharing notes with patients. DESIGN, PARTICIPANTS, AND MAIN MEASURE: Survey of outpatient primary and specialty care clini...

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Autores principales: Ralston, James D., Yu, Onchee, Penfold, Robert B., Gundersen, Gabrielle, Ramaprasan, Arvind, Schartz, Ellen M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8061150/
https://www.ncbi.nlm.nih.gov/pubmed/33886028
http://dx.doi.org/10.1007/s11606-021-06729-1
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author Ralston, James D.
Yu, Onchee
Penfold, Robert B.
Gundersen, Gabrielle
Ramaprasan, Arvind
Schartz, Ellen M.
author_facet Ralston, James D.
Yu, Onchee
Penfold, Robert B.
Gundersen, Gabrielle
Ramaprasan, Arvind
Schartz, Ellen M.
author_sort Ralston, James D.
collection PubMed
description BACKGROUND: Clinician perceptions before and after inviting patients to read office notes (open notes) are unknown. OBJECTIVE: To describe changes in clinicians’ attitudes about sharing notes with patients. DESIGN, PARTICIPANTS, AND MAIN MEASURE: Survey of outpatient primary and specialty care clinicians who were from a large group practice and had one or more patients who accessed notes. The main outcome was percent change (before vs. after implementation) in clinician perception that online visit notes are beneficial overall. KEY RESULTS: Of the 563 invited clinicians, 400 (71%) took the baseline survey; 295 were eligible for a follow-up survey with 192 (65%) responding (119 primary care, 47 medical specialties, 26 surgical specialties). Before implementation, 29% agreed or somewhat agreed that visit notes online are beneficial overall, increasing to 71% following implementation (p<0.001); 44% switched beliefs from bad to good idea; and 2% reported the opposite change (p<0.001). This post-implementation change was observed in all clinician categories. Compared to pre-implementation, fewer clinicians had concerns about office visits taking longer (47% pre vs. 15% post) or requiring more time for questions (71% vs. 16%), or producing notes (57% vs. 28%). Before and after implementation, most clinicians reported being less candid in documentation (65% vs. 52%) and that patients would have more control of their care (72% vs. 78%) and worry more (72% vs. 65%). CONCLUSIONS: Following implementation, more primary and specialty care clinicians agreed that sharing notes with patients online was beneficial overall. Fewer had concerns about more time needed for office visits or documentation. Most thought patients would worry more and reported being less candid in documentation. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11606-021-06729-1.
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spelling pubmed-80611502021-04-23 Changes in Clinician Attitudes Toward Sharing Visit Notes: Surveys Pre-and Post-Implementation Ralston, James D. Yu, Onchee Penfold, Robert B. Gundersen, Gabrielle Ramaprasan, Arvind Schartz, Ellen M. J Gen Intern Med Original Research BACKGROUND: Clinician perceptions before and after inviting patients to read office notes (open notes) are unknown. OBJECTIVE: To describe changes in clinicians’ attitudes about sharing notes with patients. DESIGN, PARTICIPANTS, AND MAIN MEASURE: Survey of outpatient primary and specialty care clinicians who were from a large group practice and had one or more patients who accessed notes. The main outcome was percent change (before vs. after implementation) in clinician perception that online visit notes are beneficial overall. KEY RESULTS: Of the 563 invited clinicians, 400 (71%) took the baseline survey; 295 were eligible for a follow-up survey with 192 (65%) responding (119 primary care, 47 medical specialties, 26 surgical specialties). Before implementation, 29% agreed or somewhat agreed that visit notes online are beneficial overall, increasing to 71% following implementation (p<0.001); 44% switched beliefs from bad to good idea; and 2% reported the opposite change (p<0.001). This post-implementation change was observed in all clinician categories. Compared to pre-implementation, fewer clinicians had concerns about office visits taking longer (47% pre vs. 15% post) or requiring more time for questions (71% vs. 16%), or producing notes (57% vs. 28%). Before and after implementation, most clinicians reported being less candid in documentation (65% vs. 52%) and that patients would have more control of their care (72% vs. 78%) and worry more (72% vs. 65%). CONCLUSIONS: Following implementation, more primary and specialty care clinicians agreed that sharing notes with patients online was beneficial overall. Fewer had concerns about more time needed for office visits or documentation. Most thought patients would worry more and reported being less candid in documentation. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11606-021-06729-1. Springer International Publishing 2021-04-22 2021-11 /pmc/articles/PMC8061150/ /pubmed/33886028 http://dx.doi.org/10.1007/s11606-021-06729-1 Text en © Society of General Internal Medicine 2021
spellingShingle Original Research
Ralston, James D.
Yu, Onchee
Penfold, Robert B.
Gundersen, Gabrielle
Ramaprasan, Arvind
Schartz, Ellen M.
Changes in Clinician Attitudes Toward Sharing Visit Notes: Surveys Pre-and Post-Implementation
title Changes in Clinician Attitudes Toward Sharing Visit Notes: Surveys Pre-and Post-Implementation
title_full Changes in Clinician Attitudes Toward Sharing Visit Notes: Surveys Pre-and Post-Implementation
title_fullStr Changes in Clinician Attitudes Toward Sharing Visit Notes: Surveys Pre-and Post-Implementation
title_full_unstemmed Changes in Clinician Attitudes Toward Sharing Visit Notes: Surveys Pre-and Post-Implementation
title_short Changes in Clinician Attitudes Toward Sharing Visit Notes: Surveys Pre-and Post-Implementation
title_sort changes in clinician attitudes toward sharing visit notes: surveys pre-and post-implementation
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8061150/
https://www.ncbi.nlm.nih.gov/pubmed/33886028
http://dx.doi.org/10.1007/s11606-021-06729-1
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