Impact on patient-provider relationship and documentation practices when mental health patients access their electronic health records online: a qualitative study among health professionals in an outpatient setting
Background - Patient accessible electronic health records (PAEHR) hold the potential to increase patient empowerment, especially for patients with complex, long-term or chronic conditions. However, evidence of its benefits for patients who undergo mental health treatment is unclear and inconsistent,...
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ftunivtroemsoe:oai:munin.uit.no:10037/26489 2023-05-15T17:43:38+02:00 Impact on patient-provider relationship and documentation practices when mental health patients access their electronic health records online: a qualitative study among health professionals in an outpatient setting Zanaboni, Paolo Kristiansen, Eli Lintvedt, Ove Wynn, Rolf Johansen, Monika Alise Sørensen, Tove Fagerlund, Asbjørn Johansen 2022-07-28 https://hdl.handle.net/10037/26489 https://doi.org/10.1186/s12888-022-04123-7 eng eng BMC BMC Psychiatry Zanaboni P, Kristiansen E, Lintvedt OK, Wynn R, Johansen MA, Sørensen T, Fagerlund AJ. Impact on patient-provider relationship and documentation practices when mental health patients access their electronic health records online: a qualitative study among health professionals in an outpatient setting. BMC Psychiatry. 2022 FRIDAID 2037682 https://doi.org/10.1186/s12888-022-04123-7 1471-244X https://hdl.handle.net/10037/26489 openAccess Copyright 2022 The Author(s) Journal article Tidsskriftartikkel Peer reviewed publishedVersion 2022 ftunivtroemsoe https://doi.org/10.1186/s12888-022-04123-7 2022-08-31T23:00:12Z Background - Patient accessible electronic health records (PAEHR) hold the potential to increase patient empowerment, especially for patients with complex, long-term or chronic conditions. However, evidence of its benefits for patients who undergo mental health treatment is unclear and inconsistent, and several concerns towards use of PAEHR emerged among health professionals. This study aimed at exploring the impact of PAEHR among mental health professionals in terms of patient-provider relationship, changes in the way of writing in the electronic health records and reasons for denying access to information. Methods - In-depth qualitative interviews with health professionals working in two mental health outpatient clinics at Helgelandssykehuset in Northern Norway, one of the first hospitals in Norway to implement the PAEHR in 2015. The interviews were conducted by phone or videoconferencing, audio recorded and transcribed verbatim. Data were analyzed by a multidisciplinary research team using the Framework Method. Results - A total of 16 in-depth qualitative interviews were conducted in April and May 2020. The PAEHR implemented in Norway was seen as a tool to increase transparency and improve the patient-provider relationship. The PAEHR was seen to have negative consequences only in limited situations, such as for patients with severe mental conditions, for child protective services when parents access their children’s journal, or for patients with abusive partners. The functionality to deny access to the journal was used rarely. A more common practice for making information not immediately available was to delay the final approval of the notes. The documentation practices changed over the years, but it was not clear to what extent the changes were attributable to the introduction of the PAEHR. Health professionals write their notes keeping in mind that patients might read them, and they try to avoid unclear language, information about third parties, and hypotheses that might create confusion. Conclusions - The ... Article in Journal/Newspaper Northern Norway University of Tromsø: Munin Open Research Archive Norway BMC Psychiatry 22 1 |
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University of Tromsø: Munin Open Research Archive |
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ftunivtroemsoe |
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English |
description |
Background - Patient accessible electronic health records (PAEHR) hold the potential to increase patient empowerment, especially for patients with complex, long-term or chronic conditions. However, evidence of its benefits for patients who undergo mental health treatment is unclear and inconsistent, and several concerns towards use of PAEHR emerged among health professionals. This study aimed at exploring the impact of PAEHR among mental health professionals in terms of patient-provider relationship, changes in the way of writing in the electronic health records and reasons for denying access to information. Methods - In-depth qualitative interviews with health professionals working in two mental health outpatient clinics at Helgelandssykehuset in Northern Norway, one of the first hospitals in Norway to implement the PAEHR in 2015. The interviews were conducted by phone or videoconferencing, audio recorded and transcribed verbatim. Data were analyzed by a multidisciplinary research team using the Framework Method. Results - A total of 16 in-depth qualitative interviews were conducted in April and May 2020. The PAEHR implemented in Norway was seen as a tool to increase transparency and improve the patient-provider relationship. The PAEHR was seen to have negative consequences only in limited situations, such as for patients with severe mental conditions, for child protective services when parents access their children’s journal, or for patients with abusive partners. The functionality to deny access to the journal was used rarely. A more common practice for making information not immediately available was to delay the final approval of the notes. The documentation practices changed over the years, but it was not clear to what extent the changes were attributable to the introduction of the PAEHR. Health professionals write their notes keeping in mind that patients might read them, and they try to avoid unclear language, information about third parties, and hypotheses that might create confusion. Conclusions - The ... |
format |
Article in Journal/Newspaper |
author |
Zanaboni, Paolo Kristiansen, Eli Lintvedt, Ove Wynn, Rolf Johansen, Monika Alise Sørensen, Tove Fagerlund, Asbjørn Johansen |
spellingShingle |
Zanaboni, Paolo Kristiansen, Eli Lintvedt, Ove Wynn, Rolf Johansen, Monika Alise Sørensen, Tove Fagerlund, Asbjørn Johansen Impact on patient-provider relationship and documentation practices when mental health patients access their electronic health records online: a qualitative study among health professionals in an outpatient setting |
author_facet |
Zanaboni, Paolo Kristiansen, Eli Lintvedt, Ove Wynn, Rolf Johansen, Monika Alise Sørensen, Tove Fagerlund, Asbjørn Johansen |
author_sort |
Zanaboni, Paolo |
title |
Impact on patient-provider relationship and documentation practices when mental health patients access their electronic health records online: a qualitative study among health professionals in an outpatient setting |
title_short |
Impact on patient-provider relationship and documentation practices when mental health patients access their electronic health records online: a qualitative study among health professionals in an outpatient setting |
title_full |
Impact on patient-provider relationship and documentation practices when mental health patients access their electronic health records online: a qualitative study among health professionals in an outpatient setting |
title_fullStr |
Impact on patient-provider relationship and documentation practices when mental health patients access their electronic health records online: a qualitative study among health professionals in an outpatient setting |
title_full_unstemmed |
Impact on patient-provider relationship and documentation practices when mental health patients access their electronic health records online: a qualitative study among health professionals in an outpatient setting |
title_sort |
impact on patient-provider relationship and documentation practices when mental health patients access their electronic health records online: a qualitative study among health professionals in an outpatient setting |
publisher |
BMC |
publishDate |
2022 |
url |
https://hdl.handle.net/10037/26489 https://doi.org/10.1186/s12888-022-04123-7 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_relation |
BMC Psychiatry Zanaboni P, Kristiansen E, Lintvedt OK, Wynn R, Johansen MA, Sørensen T, Fagerlund AJ. Impact on patient-provider relationship and documentation practices when mental health patients access their electronic health records online: a qualitative study among health professionals in an outpatient setting. BMC Psychiatry. 2022 FRIDAID 2037682 https://doi.org/10.1186/s12888-022-04123-7 1471-244X https://hdl.handle.net/10037/26489 |
op_rights |
openAccess Copyright 2022 The Author(s) |
op_doi |
https://doi.org/10.1186/s12888-022-04123-7 |
container_title |
BMC Psychiatry |
container_volume |
22 |
container_issue |
1 |
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1766145756825124864 |