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A patient engagement or information overload : patient and physician views on sharing the medical record in the acute setting
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Fritz, Z., Schlindwein, A. S. and Slowther, Anne (2019) A patient engagement or information overload : patient and physician views on sharing the medical record in the acute setting. Clinical Medicine Journal, 19 (5). pp. 386-391. doi:10.7861/clinmed.2019-0079 ISSN 1470-2118.
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Official URL: https://doi.org/10.7861/clinmed.2019-0079
Abstract
Background: Patient and professional views about the impact of providing full real-time access to the medical record in the in-hospital setting are unknown.
Methods: Likert-scale and free-text validated questionnaire survey of physicians and patients from acute medical units in two hospitals. The questionnaire explored recent experiences; views on the formation of trust, and views on sharing either the entire medical record or a summary.
Results: Two-hundred and forty-eight patient questionnaires (62% response rate) and 32 physician questionnaires (21% response rate) were returned. Twenty-seven per cent of patients did not recall being told their diagnosis. Doctors and patients differed on what practices that they believed built trust.
Eighty-one per cent of patients supported the idea of having access to the full medical record (for empowerment; the right to information about oneself; as an aide-memoire for discussion). Doctors feared it might provoke anxiety and change the nature of what was written. A written lay summary record was preferred by doctors and patients.
Conclusions: The current system of providing information verbally to patients is inadequate. Patients want more information and are less concerned than physicians about potential negative effects of real-time access to their records. Patient access to medical records (in both full and summary forms) should be evaluated.
| Item Type: | Journal Article | ||||||
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| Subjects: | R Medicine > RA Public aspects of medicine | ||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Patients -- Attitudes, Medical records, Physician and patient -- Great Britain, Physicians -- Attitudes | ||||||
| Journal or Publication Title: | Clinical Medicine Journal | ||||||
| Publisher: | Royal College of Physicians | ||||||
| ISSN: | 1470-2118 | ||||||
| Official Date: | 17 September 2019 | ||||||
| Dates: |
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| Volume: | 19 | ||||||
| Number: | 5 | ||||||
| Page Range: | pp. 386-391 | ||||||
| DOI: | 10.7861/clinmed.2019-0079 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Reuse Statement (publisher, data, author rights): | © Clinical Medicine, 2019. The definitive, peer-reviewed and edited version of this article is published in Clin Med 2019;19-09-17. | ||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||
| Copyright Holders: | © 2019 Royal College of Physicians | ||||||
| Date of first compliant deposit: | 27 June 2019 | ||||||
| Date of first compliant Open Access: | 17 September 2020 | ||||||
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