心理健康的开放性笔记:对利益相关者的经验和临床实践的影响进行全面审查
Michela Monaci1, Setareh Javaher1, Serena Barello1,2
1WHYpsy Lab, Department of Brain and Behavioural Sciences, University of Pavia, 27100 Pavia, Italy.
Healthcare (Basel, Switzerland)
|November 13, 2025
概括
在心理健康 (MH) 中的开放笔记,当仔细实施时,可以提高患者的理解和信任. 临床医生适应文档,患者门户需要隐私保护措施,以确保安全透明度.
科学领域:
- 医疗信息学 医疗信息学
- 心理健康服务研究 心理健康服务研究
- 患者参与 患者参与
背景情况:
- 开放注释,允许患者在EHR中访问临床文档,越来越常规.
- 心理健康 (MH) 透明度涉及敏感的语言,影响基于文档和支持的结果.
- 本综述考察了MH环境中的开放性注释,重点关注利益相关者的经验和实施.
研究的目的:
- 在MH的开放笔记上绘制实证证据.
- 分析利益相关者的经验和感知影响.
- 导出对实践,培训和政策的影响.
主要方法:
- 根据PRISMA-ScR指南进行范围审查,并采用预先注册的协议.
- 包括报告有关 MH 环境中利益相关者的观点的研究.
- 数据由两位评论员提取,并通过感应叙事主题合成进行分析.
主要成果:
- 包括来自不同国际环境的22项研究 (2012-2025年).
- 患者报告说,他们的理解,记忆,赋权和信任有所改善;一些患者表示担心.
- 临床医生调整了文档;工作负载的影响是温和的;准备,培训和隐私是关键的推动因素.
结论:
- 在MH中开放注释增强了沟通,伙伴关系,理解和安全.
- 实施需要注意风险敏感的文档和隐私保护措施.
- 有效使用将开放笔记转化为一个有价值的参与工具.
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