Trust in Mental Health Clinicians Among Patients Who Access Clinical Notes Online

被引：54

作者：

Cromer, Risa ^{[1
]}

Denneson, Lauren M. ^{[1
,2
]}

Pisciotta, Maura ^{[1
]}

Williams, Holly ^{[1
]}

Woods, Susan ^{[3
]}

Dobscha, Steven K. ^{[1
,2
]}

机构：

[1] Vet Affairs Portland Hlth Care Syst, Ctr Improve Veteran Involvement Care, Portland, OR 97239 USA

[2] Oregon Hlth & Sci Univ, Dept Psychiat, Portland, OR 97201 USA

[3] Vet Affairs Maine Healthcare Syst, VA Connected Hlth Off, Augusta, ME USA

来源：

PSYCHIATRIC SERVICES | 2017年 / 68卷 / 05期

关键词：

THERAPEUTIC ALLIANCE; RECORDS; DOCTORS; PSYCHOTHERAPY; EXPERIENCES;

D O I：

10.1176/appi.ps.201600168

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objective: This study explored patient perspectives of how online access to clinical notes (OpenNotes) within the Veterans Affairs (VA) health care system may affect patients' relationships with their mental health clinicians. Methods: Semistructured qualitative interviews were conducted with 28 patients receiving VA mental health care who had accessed OpenNotes. Transcripts were coded and analyzed with a constant comparative approach. Results: Respondents consistently reported that patient-clinician relationships-feelings of trust in particular-are critical to the therapeutic process and that reading clinical notes strengthens or strains patients' trust in mental health clinicians. Perceptions of transparency and respect as conveyed in notes were central to maintaining trust. Conclusions: Findings suggest that ensuring consistency between what occurs during appointments and what appears in clinical notes, as well as highlighting patient individuality and strengths in notes, may help engender patient trust and avoid negative consequences of OpenNotes in mental health care.

引用

页码：520 / 523

页数：4

共 14 条

[1] A review of therapist characteristics and techniques positively impacting the therapeutic alliance [J].

Ackerman, SJ ;

Hilsenroth, MJ .

CLINICAL PSYCHOLOGY REVIEW, 2003, 23 (01) :1-33

[2]

[Anonymous], 2014, ATLASTI718

[3] Therapeutic alliance and outcome of psychotherapy: historical excursus, measurements, and prospects for research [J].

Ardito, Rita B. ;

Rebellino, Daniela .

FRONTIERS IN PSYCHOLOGY, 2011, 2

[4] Inviting Patients to Read Their Doctors' Notes: A Quasi-experimental Study and a Look Ahead [J].

Delbanco, Tom ;

Walker, Jan ;

Bell, Sigall K. ;

Darer, Jonathan D. ;

Elmore, Joann G. ;

Farag, Nadine ;

Feldman, Henry J. ;

Mejilla, Roanne ;

Ngo, Long ;

Ralston, James D. ;

Ross, Stephen E. ;

Trivedi, Neha ;

Vodicka, Elisabeth ;

Leveille, Suzanne G. .

ANNALS OF INTERNAL MEDICINE, 2012, 157 (07) :461-U36

[5] Open Notes: Doctors and Patients Signing On [J].

Delbanco, Tom ;

Walker, Jan ;

Darer, Jonathan D. ;

Elmore, Joann G. ;

Feldman, Henry J. ;

Leveille, Suzanne G. ;

Ralston, James D. ;

Ross, Stephen E. ;

Vodicka, Elisabeth ;

Weber, Valerie D. .

ANNALS OF INTERNAL MEDICINE, 2010, 153 (02) :121-W45

[6] VA mental health clinician experiences and attitudes toward OpenNotes [J].

Dobscha, Steven K. ;

Denneson, Lauren M. ;

Jacobson, Laura E. ;

Williams, Holly B. ;

Cromer, Risa ;

Woods, Susan .

GENERAL HOSPITAL PSYCHIATRY, 2016, 38 (01) :89-93

[7] CAN PATIENTS BENEFIT FROM READING COPIES OF THEIR DOCTORS LETTERS ABOUT THEM [J].

GILL, MW ;

SCOTT, DL .

BRITISH MEDICAL JOURNAL, 1986, 293 (6557) :1278-1279

[8] THE CONSTANT COMPARATIVE METHOD OF QUALITATIVE-ANALYSIS [J].

GLASER, BG .

SOCIAL PROBLEMS, 1965, 12 (04) :436-445

[9] THE ROLE OF THE THERAPEUTIC ALLIANCE IN PSYCHOTHERAPY [J].

HORVATH, AO ;

LUBORSKY, L .

JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1993, 61 (04) :561-573

[10]

Luborsky L., 1976, SUCCESSFUL PSYCHOTHE

← 1 2 →