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Perceptions of Oncologists About Sharing Clinic Notes with Patients
Nadine J McCleary1,2,3, Michael J Healey2,3, Shicheng Weng4
1Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA nj_mccleary@dfci.harvard.edu.
The Oncologist
|September 27, 2018
Summary
Oncologists are less likely than other physicians to believe sharing patient visit notes improves safety or that patients will be offended. However, both groups worry about candid documentation.
Area of Science:
- Medical Informatics
- Oncology
- Patient Communication
Background:
- Sharing electronic health records (EHR) visit notes with patients is an emerging practice.
- Understanding physician perspectives on this practice is crucial for successful implementation, especially in specialized fields like oncology.
Purpose of the Study:
- To compare the attitudes of oncologists and non-oncologists regarding the routine sharing of clinical visit notes with patients.
- To identify specific concerns and potential barriers to note sharing in cancer care.
Main Methods:
- A survey was administered to 809 physicians, including oncologists and non-oncologists.
- Statistical analysis was used to compare agreement levels on various aspects of note sharing between the two groups.
Main Results:
- Oncologists were significantly less likely than non-oncologists to agree that sharing notes would improve patient safety (p = .03).
- Oncologists were also less likely to believe patients would be offended by reading notes (p = .01).
- Both groups showed high agreement that sharing notes could lead to less candid documentation (69% vs. 73%; p = .39).
Conclusions:
- Oncologists express significant concerns about the potential impact of patient note sharing on documentation candor.
- Addressing these concerns is essential as the practice of sharing visit notes becomes more widespread in oncology settings.
- Further research is needed to explore strategies for mitigating these documentation concerns.
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