Patients Evaluate Visit Notes Written by Their Clinicians: a Mixed Methods Investigation.

Journal of General Internal Medicine
Suzanne LeveilleJan Walker

Abstract

Patients actively involved in their care demonstrate better health outcomes. Using secure internet portals, clinicians are increasingly offering patients access to their narrative visit notes (open notes), but we know little about their understanding of notes written by clinicians. We examined patients' views on the clarity, accuracy, and thoroughness of notes, their suggestions for improvement, and associations between their perceptions and willingness to recommend clinicians to others. We conducted an online survey of patients in 3 large health systems, June-October 2017. We performed a mixed methods analysis of survey responses regarding a self-selected note. Respondents were 21,664 patients aged 18 years or older who had read at least 1 open note in the previous 12 months. We asked to what degree the patient recalled understanding the note, whether it described the visit accurately, whether anything important was missing, for suggestions to improve the note, and whether they would recommend the authoring clinician to others. Nearly all patients (96%) reported they understood all or nearly all of the self-selected note, with few differences by clinician type or specialty. Overall, 93% agreed or somewhat agreed the note accur...Continue Reading

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Citations

Mar 9, 2021·Joint Commission Journal on Quality and Patient Safety·Tom Delbanco, Deborah Wachenheim
Mar 12, 2021·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Lois McCloskeyChloe E Bird
Mar 13, 2021·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Lois McCloskeyChristina Lachance
Nov 20, 2020·Seminars in Dialysis·Catherine M DesRoches
Jul 18, 2021·Epilepsy & Behavior : E&B·Mary FitzsimonsColin P Doherty

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