Journal
GENERAL HOSPITAL PSYCHIATRY
Volume 38, Issue 1, Pages 89-93Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.genhosppsych.2015.08.001
Keywords
Electronic health records; Veterans; Mental health; Attitude of health personnel; Health services research
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Funding
- Department of Veterans Affairs, Veterans Health Administration and Health Services Research and Development Service Project [IIR 13-347]
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Objective: To describe Department of Veterans Affairs (VA) mental health clinician attitudes toward and experiences with OpenNotes (also known as Blue Button), which provides patients direct access to clinical notes online. Method: A 35-item online survey was administered to 263 mental health clinicians and nurses from one VA Medical Center. Results: Seventy-nine percent of eligible subjects participated. Most respondents agreed or somewhat agreed that OpenNotes is a good idea in general, but only half agreed that making mental health notes available online is a good idea. Most believed that patients will better remember plans of care and be better prepared for visits. Most also felt that patients will worry more and request changes in notes. Many clinicians reported being less detailed and changing the tone of their notes. Conclusion: As a group, mental health clinicians are positive about OpenNotes in general but ambivalent about the use of OpenNotes in mental health care. The results call for research on outcomes of OpenNotes use in mental health and to develop education and support to help clinicians adapt to OpenNotes. Published by Elsevier Inc.
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