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Determining implementation issues of open notes in primary care: a focus group study.

Marianne Dees¹, Sevde Alkir-Yurt¹, Gert Olthuis¹

¹Radboud University Medical Centre, Radboud Institute for Health Sciences, IQ healthcare, Nijmegen, The Netherlands.

BMC Primary Care

|April 23, 2025

Summary

This summary is machine-generated.

Open notes improve patient engagement but face low usage. Addressing factors like data ownership and professional-patient relationships is key for successful implementation in general practices.

Keywords:

Capability approach Focus group Implementation Open notes Patient engagement Primary care

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Area of Science:

Health Informatics
Patient Engagement
General Practice

Background:

Online access to medical records (open notes) is growing but underutilized.
Healthcare professionals' perspectives on open notes are not well-represented.
A systematic framework for open notes implementation is lacking.

Purpose of the Study:

To evaluate the value of open notes using the capability approach.
To examine factors influencing open notes' usability in general practices.
To understand patient and staff capabilities, opportunities, and challenges related to open notes.

Main Methods:

Qualitative research in 10 Dutch general practices.
Focus groups with 19 healthcare professionals and 29 patients.
Content analysis of transcripts using ATLAS.ti by two independent researchers.

Main Results:

Personal, social, and environmental factors (e.g., literacy, support, legislation) influence open notes usage.
Four implementation themes emerged: data ownership/integrity, organizational support, managing unintended consequences, and enhanced professional skills.
Both patients and professionals identified similar factors, with nuanced differences in their experiences.

Conclusions:

Open notes offer insights into patient and professional experiences.
Addressing practical barriers and four key implementation themes is crucial for successful open notes adoption.
Further implementation guided by these themes can enhance patient engagement and health outcomes.