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Clinical documentation as a source of information for patients- possibilities and limitations
KTH, School of Technology and Health (STH), Health Systems Engineering, Systems Safety and Management.
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2013 (English)In: Studies in Health Technology and Informatics, IOS Press, 2013, no 1-2, 793-797 p.Conference paper (Refereed)
Abstract [en]

Recent legislation in many countries has given patients the right to access their own patient records. Making health-care professionals' assessments and decisions more transparent by giving patients access to their records is expected to provide patients with useful health information and reduce the power imbalance between patient and provider. We conducted both a mail survey and a face-to-face interview study, including patients who had requested a paper copy of their patient records (EPR), to explore their experiences. For many study participants, a view of their records filled in holes in the oral information they previously received. They had problems understanding parts of what they read, but rarely asked for help. Instead they searched for explanations on the Internet or attempted to understand based on the context. Patients are still afraid of seeming suspicious or displeased if they indicate that they would like to read their records. Health-care organizations should consider actively offering patients the chance to view their clinical documentation to a larger extent than what has been done so far.

Place, publisher, year, edition, pages
IOS Press, 2013. no 1-2, 793-797 p.
, Studies in Health Technology and Informatics, ISSN 0926-9630 ; 192
Keyword [en]
communication, EPR, interview study, medical records, patient access to records, patient information, patient involvement, survey
National Category
Medical and Health Sciences
URN: urn:nbn:se:kth:diva-147476DOI: 10.3233/978-1-61499-289-9-793ISI: 000341021700162ScopusID: 2-s2.0-84894332228ISBN: 978-161499288-2OAI: diva2:730417
14th World Congress on Medical and Health Informatics, MEDINFO 2013, 20 August 2013 through 23 August 2013, Copenhagen, Denmark

QC 20140627

Available from: 2014-06-27 Created: 2014-06-27 Last updated: 2015-10-06Bibliographically approved

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Ekstedt, Mirjam
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Systems Safety and Management
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