J Am Med Inform Assoc - VA OpenNotes: exploring the experiences of early patient adopters with access to clinical notes.

Tópicos

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{ monitor(1329) mobil(1314) devic(1160) }
{ use(2086) technolog(871) perceiv(783) }
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{ surgeri(1148) surgic(1085) robot(1054) }
{ care(1570) inform(1187) nurs(1089) }
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{ can(981) present(881) function(850) }
{ health(1844) social(1437) communiti(874) }
{ use(1733) differ(960) four(931) }
{ decis(3086) make(1611) patient(1517) }
{ method(2212) result(1239) propos(1039) }
{ measur(2081) correl(1212) valu(896) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
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{ research(1085) discuss(1038) issu(1018) }
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{ compound(1573) activ(1297) structur(1058) }
{ studi(1119) effect(1106) posit(819) }
{ spatial(1525) area(1432) region(1030) }
{ model(3480) simul(1196) paramet(876) }
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{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ use(976) code(926) identifi(902) }
{ drug(1928) target(777) effect(648) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

JECTIVE: To explore the experience of early patient adopters who accessed their clinical notes online using the Blue Button feature of the My HealtheVet portal.METHODS: A web-based survey of VA patient portal users from June 22 to September 15, 2013.RESULTS: 33.5% of respondents knew that clinical notes could be viewed, and nearly one in four (23.5%) said that they had viewed their notes at least once. The majority of VA Notes users agreed that accessing their notes will help them to do a better job of taking medications as prescribed (80.1%) and be better prepared for clinic visits (88.6%). Nine out of 10 users agreed that use of visit notes will help them understand their conditions better (91.8%), and better remember the plan for their care (91.9%). In contrast, 87% disagreed that VA Notes will make them worry more, and 88.4% disagreed that access to VA Notes will be more confusing than helpful. Users who had either contacted their provider or healthcare team (11.9%) or planned to (13.5%) primarily wanted to learn more about a health issue, medication, or test results (53.7%).CONCLUSIONS: Initial assessment of the patient experience within the first 9months of availability provides evidence that patients both value and benefit from online access to clinical notes. These findings are congruent with OpenNotes study findings on a broader scale. Additional outreach and education is needed to enhance patient awareness. Healthcare professionals should author notes keeping in mind the opportunity patient access presents for enhanced communication.

Resumo Limpo

jectiv explor experi earli patient adopt access clinic note onlin use blue button featur healthevet portalmethod webbas survey va patient portal user june septemb result respond knew clinic note view near one four said view note least major va note user agre access note will help better job take medic prescrib better prepar clinic visit nine user agre use visit note will help understand condit better better rememb plan care contrast disagre va note will make worri disagre access va note will confus help user either contact provid healthcar team plan primarili want learn health issu medic test result conclus initi assess patient experi within first month avail provid evid patient valu benefit onlin access clinic note find congruent opennot studi find broader scale addit outreach educ need enhanc patient awar healthcar profession author note keep mind opportun patient access present enhanc communic

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