Patients’ Positive and Negative Responses to Reading Mental Health Clinical Notes Online
- 1 March 2018
- journal article
- research article
- Published by American Psychiatric Association Publishing in Psychiatric Services
- Vol. 69 (5), 593-596
- https://doi.org/10.1176/appi.ps.201700353
Abstract
This study describes responses to OpenNotes, clinical notes available online, among patients receiving mental health care and explores whether responses vary by patient demographic or clinical characteristics. 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. 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 disorder was associated with increased patient-clinician alliance (p=.046) but also with negative emotional responses (p<.01). Patients receiving mental health care frequently reported benefits from reading OpenNotes, yet some experienced negative responses.This publication has 11 references indexed in Scilit:
- Trust in Mental Health Clinicians Among Patients Who Access Clinical Notes OnlinePsychiatric Services, 2017
- Interest in technology-based therapies hampered by access: A survey of veterans with serious mental illnesses.Psychiatric Rehabilitation Journal, 2016
- VA mental health clinician experiences and attitudes toward OpenNotesGeneral Hospital Psychiatry, 2016
- VA OpenNotes: exploring the experiences of early patient adopters with access to clinical notesJournal of the American Medical Informatics Association, 2014
- Patient Experiences With Full Electronic Access to Health Records and Clinical Notes Through the My HealtheVet Personal Health Record Pilot: Qualitative StudyJournal of Medical Internet Research, 2013
- Inviting Patients to Read Their Doctors' Notes: A Quasi-experimental Study and a Look AheadAnnals of Internal Medicine, 2012
- Correlates of Anger and Hostility in Iraq and Afghanistan War VeteransAmerican Journal of Psychiatry, 2010
- Mechanisms of anger and treatment outcome in combat veterans with posttraumatic stress disorderJournal of Traumatic Stress, 2008
- Anger, hostility, and aggression among Iraq and Afghanistan war veterans reporting PTSD and subthreshold PTSDJournal of Traumatic Stress, 2007
- Regional Variation and Other Correlates of Department of Veterans Affairs Disability Awards for Patients With Posttraumatic Stress DisorderMedical Care, 2005