Patients’Participation on Their On-Site Review of Doctors’Notes:Physicians’OpenNotes Experiences in a Pain Clinic

• 作者: Aimaiti Bomaliyamu Alan Sheydwasser Andrew Pisansky Ashish Bhandari Christopher Gilligan Divya Chirumamilla Edgar L.Ross Ji Hong Lee Manasi Parikh Victor C.Wang
• 来源期刊: 心理学研究:英文版
• 学科: 教育
• 关键词: OpenNotes chronic PAIN PAIN CLINIC INTERVENTION physician’s PERCEPTION
• 年，卷（期）: psyresearch_2018,（12）
• 页码范围: 603-613
• 页数: 11页
• 分类号: G633.41

摘要

Inviting patients with chronic pain to read their doctors’visit notes via secure electronic portals may empower them and improve their understanding of their health condition.However,sharing the clinician’s perspective on the psychosocial contributors to a patient’s pain via transparent medical records could potentially lead to conflicts between patients and providers.Mirroring the OpenNotes study,we investigate and describe here the effects of increased clinic visit note transparency on physician experience in a large outpatient pain medicine clinic.We analyzed pre-and post-intervention questionnaire data from nine chronic pain medicine physicians over a six-month period.During this period,patients were given full access to their clinic visit notes that were not previously available to patients.In this study,we found that previous concerns of the potential risks and workload concerns of OpenNotes were not realized to the degree that the pain medicine providers had predicted but were more prevalent when compared to data from primary care physicians.