Evidence map›Paper›PMID 28710055›Full record

ArticleJournal of medical Internet research2017

What Patients Value About Reading Visit Notes: A Qualitative Inquiry of Patient Experiences With Their Health Information.

Macda Gerard, Alan Fossa, Patricia H Folcarelli, Jan Walker, Sigall K Bell

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety.Health expectations : an international journal of public participation in health care and health policy · 2021
    Pooled it
  2. Pooled it
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  4. The Use of Biased Language in the Care of Seriously Ill Children: A Pilot Study.The American journal of hospice & palliative care · 2026
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  14. [Patient's Clinical User Experience in Gastroenterology].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2022
    Review
  15. Tablet distribution to veterans: an opportunity to increase patient portal adoption and use.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Macda GerardDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, United States.ORCID 0000-0003-2743-1241
Alan FossaDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, United States.ORCID 0000-0001-9537-5304
Patricia H FolcarelliDepartment of Health Care Quality, Beth Israel Deaconess Medical Center, Boston, MA, United States.ORCID 0000-0001-8802-8531
Jan WalkerDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, United States.ORCID 0000-0001-9366-1200
Sigall K BellDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, United States.ORCID 0000-0002-9359-6450

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients are increasingly asking for their health data. Yet, little is known about what motivates patients to engage with the electronic health record (EHR). Furthermore, quality-focused mechanisms for patients to comment about their records are lacking.

objectiveWe aimed to learn more about patient experiences with reading and providing feedback on their visit notes.

methodsWe developed a patient feedback tool linked to OpenNotes as part of a pilot quality improvement initiative focused on patient engagement. Patients who had appointments with members of 2 primary care teams piloting the program between August 2014-2015 were eligible to participate. We asked patients what they liked about reading notes and about using a feedback tool and analyzed all patient reports submitted during the pilot period. Two researchers coded the qualitative responses (κ=.74).

resultsPatients and care partners submitted 260 reports. Among these, 98.5% (256/260) of reports indicated that the reporting tool was valuable, and 68.8% (179/260) highlighted what patients liked about reading notes and the OpenNotes patient reporting tool process. We identified 4 themes describing what patients value about note content: confirm and remember next steps, quicker access and results, positive emotions, and sharing information with care partners; and 4 themes about both patients' use of notes and the feedback tool: accuracy and correcting mistakes, partnership and engagement, bidirectional communication and enhanced education, and importance of feedback.

conclusionsPatients and care partners who read notes and submitted feedback reported greater engagement and the desire to help clinicians improve note accuracy. Aspects of what patients like about using both notes as well as a feedback tool highlight personal, relational, and safety benefits. Future efforts to engage patients through the EHR may be guided by what patients value, offering opportunities to strengthen care partnerships between patients and clinicians.

Indexed as

Electronic Health RecordsHumansMaleMiddle AgedPatient Access to RecordsQualitative ResearchQuality Improvementelectronic health recordspatient participationpatient portalsquality improvement

Identifiers

PMID28710055
PMCPMC5533943

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.