Evidence map›Paper›PMID 34501730›Full record

ArticleInternational journal of environmental research and public health2021

Patients' Access to Their Psychiatric Notes: Current Policies and Practices in Sweden.

Annika Bärkås, Isabella Scandurra, Hanife Rexhepi, Charlotte Blease, Åsa Cajander, Maria Hägglund

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

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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

6 authors.

Annika BärkåsDepartment of Women's and Children's Health, Uppsala University, SE-75237 Uppsala, Sweden.
Isabella ScandurraSchool of Business, Örebro University, SE-70182 Örebro, Sweden.ORCID 0000-0002-2597-1079
Hanife RexhepiSchool of Informatics, Skövde University, SE-54128 Skövde, Sweden.ORCID 0000-0001-8957-9853
Charlotte BleaseGeneral Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.ORCID 0000-0002-0205-1165
Åsa CajanderDepartment of Information Technology, Uppsala University, SE-75105 Uppsala, Sweden.ORCID 0000-0001-7472-2215
Maria HägglundDepartment of Women's and Children's Health, Uppsala University, SE-75237 Uppsala, Sweden.ORCID 0000-0002-6839-3651

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients' access to electronic health records (EHRs) is debated worldwide, and access to psychiatry records is even more criticized. There is a nationwide service in Sweden which offers all citizens the opportunity to read their EHR, including clinical notes. This study aims to explore Swedish national and local policy regulations regarding patients' access to their psychiatric notes and describe to what extent patients currently are offered access to them. The rationale behind the study is that current policies and current practices may differ between the 21 self-governing regions, although there is a national regulation. We gathered web-based information from policy documents and regulations from each region's website. We also conducted key stakeholder interviews with respondents from the regions and cross-regional private care providers, using a qualitative approach. The results show that 17 of 21 regions share psychiatric notes with patients, where forensic psychiatric care was the most excluded psychiatric care setting. All private care providers reported that they mainly follow the regions' guidelines. Our findings show that regional differences concerning sharing psychiatric notes persist, despite Swedish regulations and a national policy that stipulates equal care for everyone. The differences, however, appear to have decreased over time, and we report evidence that the regions are moving toward increased transparency for psychiatry patients.

Indexed as

Electronic Health RecordsPsychiatryHumansPolicyPsychotherapySwedenmental healthopen notesPAEHRpatient accessible electronic health recordpoliciespsychiatric notespsychiatric recordpsychiatry

Identifiers

PMID34501730
PMCPMC8431356

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Registered trials

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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.