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The patient perspective on the effects of medical record accessibility : a systematic review

Peter Vermeir (UGent) , Sophie Degroote (UGent) , Dominique Vandijck (UGent) , Hanne Van Tiggelen (UGent) , Renaat Peleman (UGent) , Rik Verhaeghe (UGent) , An Mariman (UGent) and Dirk Vogelaers (UGent)
(2017) ACTA CLINICA BELGICA. 72(3). p.186-194
Author
Organization
Abstract
Background: Health care is shifting from a paternalistic to a participatory model, with increasing patient involvement. Medical record accessibility to patients may contribute significantly to patient comanagement. Objectives: To systematically review the literature on the patient perspective of effects of personal medical record accessibility on the individual patient, patient-physician relationship and quality of medical care. Methods: Screening of PubMed, Web of Science, Cinahl, and Cochrane Library on the keywords medical record', patient record', communication', patient participation', doctor-patient relationship', physician-patient relationship' between 1 January 2002 and 31 January 2016; systematic review after assessment for methodological quality. Results: Out of 557 papers screened, only 12 studies qualified for the systematic review. Only a minority of patients spontaneously request access to their medical file, in contrast to frequent awareness of this patient right and the fact that patients in general have a positive view on open visit notes. The majority of those who have actually consulted their file are positive about this experience. Access to personal files improves adequacy and efficiency of communication between physician and patient, in turn facilitating decision-making and self-management. Increased documentation through patient involvement and feedback on the medical file reduces medical errors, in turn increasing satisfaction and quality of care. Information improvement through personal medical file accessibility increased reassurance and a sense of involvement and responsibility. Conclusion: From the patient perspective medical record accessibility contributes to co-management of personal health care.
Keywords
Medical record, Patient record, Communication, Patient, Participation, Doctor-patient relationship, Physician-patient relationship, DECISION-MAKING, INVITING PATIENTS, DOCTORS NOTES, PHYSICIANS, ACCESS, HEALTH, COMMUNICATION, EXPERIENCES, PREFERENCES, READ

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Chicago
Vermeir, Peter, SOPHIE DEGROOTE, Dominique Vandijck, Hanne Van Tiggelen, Renaat Peleman, Rik Verhaeghe, An Mariman, and Dirk Vogelaers. 2017. “The Patient Perspective on the Effects of Medical Record Accessibility : a Systematic Review.” Acta Clinica Belgica 72 (3): 186–194.
APA
Vermeir, Peter, DEGROOTE, S., Vandijck, D., Van Tiggelen, H., Peleman, R., Verhaeghe, R., Mariman, A., et al. (2017). The patient perspective on the effects of medical record accessibility : a systematic review. ACTA CLINICA BELGICA, 72(3), 186–194.
Vancouver
1.
Vermeir P, DEGROOTE S, Vandijck D, Van Tiggelen H, Peleman R, Verhaeghe R, et al. The patient perspective on the effects of medical record accessibility : a systematic review. ACTA CLINICA BELGICA. 2017;72(3):186–94.
MLA
Vermeir, Peter, SOPHIE DEGROOTE, Dominique Vandijck, et al. “The Patient Perspective on the Effects of Medical Record Accessibility : a Systematic Review.” ACTA CLINICA BELGICA 72.3 (2017): 186–194. Print.
@article{8500617,
  abstract     = {Background: Health care is shifting from a paternalistic to a participatory model, with increasing patient involvement. Medical record accessibility to patients may contribute significantly to patient comanagement. 
Objectives: To systematically review the literature on the patient perspective of effects of personal medical record accessibility on the individual patient, patient-physician relationship and quality of medical care. 
Methods: Screening of PubMed, Web of Science, Cinahl, and Cochrane Library on the keywords medical record', patient record', communication', patient participation', doctor-patient relationship', physician-patient relationship' between 1 January 2002 and 31 January 2016; systematic review after assessment for methodological quality. 
Results: Out of 557 papers screened, only 12 studies qualified for the systematic review. Only a minority of patients spontaneously request access to their medical file, in contrast to frequent awareness of this patient right and the fact that patients in general have a positive view on open visit notes. The majority of those who have actually consulted their file are positive about this experience. Access to personal files improves adequacy and efficiency of communication between physician and patient, in turn facilitating decision-making and self-management. Increased documentation through patient involvement and feedback on the medical file reduces medical errors, in turn increasing satisfaction and quality of care. Information improvement through personal medical file accessibility increased reassurance and a sense of involvement and responsibility. 
Conclusion: From the patient perspective medical record accessibility contributes to co-management of personal health care.},
  author       = {Vermeir, Peter and Degroote, Sophie and Vandijck, Dominique and Van Tiggelen, Hanne and Peleman, Renaat and Verhaeghe, Rik and Mariman, An and Vogelaers, Dirk},
  issn         = {1784-3286},
  journal      = {ACTA CLINICA BELGICA},
  keyword      = {Medical record,Patient record,Communication,Patient,Participation,Doctor-patient relationship,Physician-patient relationship,DECISION-MAKING,INVITING PATIENTS,DOCTORS NOTES,PHYSICIANS,ACCESS,HEALTH,COMMUNICATION,EXPERIENCES,PREFERENCES,READ},
  language     = {eng},
  number       = {3},
  pages        = {186--194},
  title        = {The patient perspective on the effects of medical record accessibility : a systematic review},
  url          = {http://dx.doi.org/10.1080/17843286.2016.1275375},
  volume       = {72},
  year         = {2017},
}

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