Open notes: Doctors and patients signing on

Tom Delbanco, Jan Walker, Jonathan D. Darer, Joann G. Elmore, Henry J. Feldman, Suzanne G. Leveille, James D. Ralston, Stephen E. Ross, Elisabeth Vodicka, Valerie D. Weber

Research output: Contribution to journalReview article

Abstract

Few patients read their doctors' notes, despite having the legal right to do so. As information technology makes medical records more accessible and society calls for greater transparency, patients' interest in reading their doctors' notes may increase. Inviting patients to review these notes could improve understanding of their health, foster productive communication, stimulate shared decision making, and ultimately lead to better outcomes. Yet, easy access to doctors' notes could have negative consequences, such as confusing or worrying patients and complicating rather than improving patient-doctor communication. To gain evidence about the feasibility, benefits, and harms of providing patients ready access to electronic doctors' notes, a team of physicians and nurses have embarked on a demonstration and evaluation of a project called OpenNotes. The authors describe the intervention and share what they learned from conversations with doctors and patients during the planning stages. The team anticipates that "open notes" will spread and suggests that over time, if drafted collaboratively and signed by both doctors and patients, they might evolve to become contracts for care.

Original languageEnglish (US)
Pages (from-to)121-125
Number of pages5
JournalAnnals of internal medicine
Volume153
Issue number2
DOIs
StatePublished - Jul 20 2010
Externally publishedYes

ASJC Scopus subject areas

  • Internal Medicine

Fingerprint Dive into the research topics of 'Open notes: Doctors and patients signing on'. Together they form a unique fingerprint.

  • Cite this

    Delbanco, T., Walker, J., Darer, J. D., Elmore, J. G., Feldman, H. J., Leveille, S. G., Ralston, J. D., Ross, S. E., Vodicka, E., & Weber, V. D. (2010). Open notes: Doctors and patients signing on. Annals of internal medicine, 153(2), 121-125. https://doi.org/10.7326/0003-4819-153-2-201007200-00008