Patients' Positive and Negative Responses to Reading Mental Health Clinical Notes Online

Psychiatric Services : a Journal of the American Psychiatric Association
Lauren M DennesonSteven K Dobscha

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.

Citations

Nov 18, 2018·Journal of the American Medical Informatics Association : JAMIA·Lauren M DennesonSteven K Dobscha
Mar 21, 2019·Psychiatric Services : a Journal of the American Psychiatric Association·Steven K DobschaLauren M Denneson
Dec 9, 2020·Journal of Medical Internet Research·Melita AvdagovskaTania Stafinski
Jan 12, 2021·Journal of Medical Internet Research·Janine BenjaminsEmely de Vet
Apr 23, 2021·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Carolyn L TurveyEmily E Chasco
May 12, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Steve O'NeillTom Delbanco
Nov 9, 2021·Journal of Medical Internet Research·Jan WalkerTom Delbanco
Jan 18, 2022·International Journal of Circumpolar Health·Asbjørn Johansen FagerlundRenathe Aspeli Simonsen

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