Abstract
The relationship of multiply-disadvantaged patients with their health professionals is often characterized by a lack of transparency on both sides. In order to allow the kind of communication that builds trust, increases patient adherence, lowers healthcare costs, and improves the care experience and the health of the patient, increasing transparency is important. Transparency in doctor-patient relationships generally has taken a big step forward with the wide implementation of “OpenNotes,” software that allows patients to read their doctors’ notes about their care. For multiply-disadvantaged patients, i.e., patients for whom trust and adherence have tended to be more difficult, open notes has been particularly effective and appreciated. When notes are available to patients, researchers in the field suggest that doctors should adjust their language a bit to make the notes more engaging. These same adjustments can be used to allow clinical conversations between team members about patients to occur in the presence of the patient, enabling much more meaningful patient participation in their care. The practice of speaking about the patient in the patient’s presence can allow a much more effective transfer of positive relationship with the patient from one team member to other members of the team.
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Notes
- 1.
Hospital systems commonly have a compliance office made up of staff members, some of whom are lawyers, who do internal monitoring of records and practices so that when external reviewers or auditors arrive, the institution will not have to give back payments that are judged to have been inappropriately obtained because the existing documentation doesn’t support them.
- 2.
The ideas about passing the relationship were first published in Blount, A. (2018). It takes a team. S. Gold and L. Green (Eds.) Your Patients are Waiting: Integrating Behavioral Health for the Primary Care Physician. Springer Publishing, New York.
References
Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001.
Mautner DB, Pang H, Brenner JC, Shea JA, Gross KS, Frasso R, Cannuscio CC. Generating hypotheses about care needs of high utilizers: lessons from patient interviews. Popul Health Manag. 2013;16:S26–33.
Pollack KI, Alexander SC, Grambow SC, Sulsky JA. Oncologist patient-centered communication with patient with advanced cancer: exploring whether race and socioeconomic status matter. Palliat Med. 2010;24:96–8.
Willems S, De Maesschalck S, Deveugele M, Derese A, De Maeseneer J. Socioeconomic status of the patient and doctor-patient communication: does it make a difference? Patient Educ Couns. 2005;56:139–46.
Shenkin BN, Warner DC. Sounding board: giving the patient his medical record: a proposal to improve the system. N Engl J Med. 1973;289:688–92.
Tollast O. Transparency and medical records. Salzburg Global Seminar. March 12, 2017. https://www.salzburgglobal.org//calendar/2010-2019/2017/session-553.html
Delbanco T, Berwick DM, Boufford JI, et al. Healthcare in the land called PeoplePower: nothing about me without me. Health Expect. 2001;4:144–50.
Delbanco T, Walker J, Darer J, et al. Open notes: doctors and patients signing up. Ann Intern Med. 2010;153:121–5.
Walker J, Leveille SG, Ngo L, et al. Inviting patients to read their doctors’ notes: patients and doctors look ahead: patient and physician surveys. Ann Intern Med. 2011;155:811–9.
Delbanco T, Walker J, Bell SK, et al. Inviting patients to read their doctors’ notes: a quasi-experimental study and look ahead. Ann Intern Med. 2012;157:461–70.
Walker J, Meltsner M, Delbanco T. US experience with doctors and patients sharing clinical notes. BMJ. 2015;350:g7785.
Gerard M, Chimowitz H, Fossa A, Bourgeois F, Fernandez L, Bell S. The importance of visit notes on patient portals for engaging less educated or nonwhite patients: survey study. J Med Internet Res. 2018;20:e191.
Rathert C, Porter TH, Mittler JN, Fleig-Palmer M. Seven years after meaningful use: Physicians’ and nurses’ experiences with electronic health records. Health Care Manag Rev. 2017:1–11.
Makoul G, Curry R, Tang P. The use of electronic medical records. J Am Med Inform Assoc. 2001;8:610–5.
Ratanawongsa N, Barton JL, Schillinger D, et al. Ethnically diverse patients’ perceptions of clinician computer use in a safety-net clinic. J Health Care Poor Underserved. 2013;24:1542–51.
Schutzbank A. V.P. of Iora Health. Personal communication, 29 Sep 2018.
deBronkhart, D. Let patients help. Richard Davies deBronkhart Jr.;2013.
Ventres W, Kooienga S, Vuckovic N, et al. Physicians, patients and the electronic health record: an ethnographic analysis. Ann Fam Med. 2006;4:124–31.
Rollnick S, Miller WR, Butler CC. Motivational interviewing in health care. New York: Guilford Press; 2008.
Gerbert B, Danley DW, Herzig K, Clanon K, Ciccarone D, Gilbert P, Allerton M. Reframing “prevention with positives”: incorporating counseling techniques that improve the health of HIV-positive patients. AIDS Patient Care STDs. 2006;20:19–29.
Stanhope V, Ingoglia C, Schmelter B, Marcus SC. Impact of person-centered planning and collaborative documentation on treatment adherence. Psychiatr Serv. 2013;64:76–9.
Jain N, Okanlawon T, Meisinger K, Feeley TW. Leveraging IPU principles in primary care. NEJM Catalyst. June 27, 2018.
Apostoleris NH, DeGirolamo S, McConarty P, Mazyk B. Overcoming barriers to mental health utilization: examining the referral process in a community health center-based family medicine residency. Presented at the Annual Conference of the Society of Teachers of Family Medicine. 2005.
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Blount, A. (2019). “T” Is for Transparent. In: Patient-Centered Primary Care. Springer, Cham. https://doi.org/10.1007/978-3-030-17645-7_7
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