VA mental health clinician experiences and attitudes toward OpenNotes

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• 作者：Steven K. Dobscha ; M.D.^a ; ^b ; ^c ; ^{Steven.Dobscha@va.gov" class="auth_mail" title="E-mail the corresponding author} ; Lauren M. Denneson ; Ph.D.^a ; ^b ; ^c ; ^{Lauren.Denneson@va.gov" class="auth_mail" title="E-mail the corresponding author} ; Laura E. Jacobson ; M.P.H.^a ; ^{Laura.Jacobson1@va.gov" class="auth_mail" title="E-mail the corresponding author} ; Holly B. Williams ; B.A.^a ; ^{Holly.Williams1@va.gov" class="auth_mail" title="E-mail the corresponding author} ; Risa Cromer ; M.Phil.^a ; ^{Risa.Cromer@va.gov" class="auth_mail" title="E-mail the corresponding author} ; Susan Woods ; M.D. ; M.P.H.^a ; ¹ ; ^{Susan.Woods@va.gov" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Electronic health records ; Veterans ; Mental health ; Attitude of health personnel ; Health services research
• 刊名：General Hospital Psychiatry
• 出版年：2016
• 出版时间：January-February 2016
• 年：2016
• 卷：38
• 期：Complete
• 页码：89-93
• 全文大小：1060 K

文摘

To describe Department of Veterans Affairs (VA) mental health clinician attitudes toward and experiences with OpenNotes (also known as Blue Button), which provides patients direct access to clinical notes online.

Method

A 35-item online survey was administered to 263 mental health clinicians and nurses from one VA Medical Center.

Results

Seventy-nine percent of eligible subjects participated. Most respondents agreed or somewhat agreed that OpenNotes is a good idea in general, but only half agreed that making mental health notes available online is a good idea. Most believed that patients will better remember plans of care and be better prepared for visits. Most also felt that patients will worry more and request changes in notes. Many clinicians reported being less detailed and changing the tone of their notes.

Conclusion

As a group, mental health clinicians are positive about OpenNotes in general but ambivalent about the use of OpenNotes in mental health care. The results call for research on outcomes of OpenNotes use in mental health and to develop education and support to help clinicians adapt to OpenNotes.