J Am Med Inform Assoc - Patient access to medical records and healthcare outcomes: a systematic review.

Tópicos

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{ method(2212) result(1239) propos(1039) }
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Resumo

JECTIVES: We conducted a systematic review to determine the effect of providing patients access to their medical records (electronic or paper-based) on healthcare quality, as defined by measures of safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity.METHODS: Articles indexed in PubMed from January 1970 to January 2012 were reviewed. Twenty-seven English-language controlled studies were included. Outcomes were categorized as measures of effectiveness (n=19), patient-centeredness (n=16), and efficiency (n=2); no study addressed safety, timeliness, or equity.RESULTS: Outcomes were equivocal with respect to several aspects of effectiveness and patient-centeredness. Efficiency outcomes in terms of frequency of in-person and telephone encounters were mixed. Access to health records appeared to enhance patients' perceptions of control and reduced or had no effect on patient anxiety.CONCLUSION: Although few positive findings generally favored patient access, the literature is unclear on whether providing patients access to their medical records improves quality.

Resumo Limpo

jectiv conduct systemat review determin effect provid patient access medic record electron paperbas healthcar qualiti defin measur safeti effect patientcentered timeli effici equitymethod articl index pubm januari januari review twentyseven englishlanguag control studi includ outcom categor measur effect n patientcentered n effici n studi address safeti timeli equityresult outcom equivoc respect sever aspect effect patientcentered effici outcom term frequenc inperson telephon encount mix access health record appear enhanc patient percept control reduc effect patient anxietyconclus although posit find general favor patient access literatur unclear whether provid patient access medic record improv qualiti

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