Review Paper: The Effects of Promoting Patient Access to Medical Records: A Review
Review Paper: The Effects of Promoting Patient Access to Medical Records: A Review
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评论论文：促进患者获取医疗记录的效果：评论
DOI：
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发表时间：
2003
期刊：
影响因子：
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通讯作者：
Chen
中科院分区：
文献类型：
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作者：
S. Ross;Chen
健康保险隐私和可携带性法案（HIPPA）规定，必须允许患者查看和修改他们的医疗记录。随着信息技术使患者更容易获得医疗记录，患者定期查看他们的记录可能会变得更加普遍。本文通过回顾以前发表的研究，分析了促进患者访问医疗记录的潜在好处和缺点。以前的研究包括临床笔记的分析，患者和从业者的调查，以及患者可访问的医疗记录的研究。总的来说，研究表明有可能带来适度的好处（例如，在加强医患沟通方面）。风险（例如，增加患者的担忧或困惑）在内科患者中似乎很小。然而，这些研究的质量有限，统计能力较低，无法检测到患者可访问病历的实施可能导致的各种结局。这些研究的数据为未来的研究奠定了基础。
The Health Insurance Privacy and Portability Act (HIPPA) stipulates that patients must be permitted to review and amend their medical records. As information technology makes medical records more accessible to patients, it may become more commonplace for patients to review their records routinely. This article analyzes the potential benefits and drawbacks of facilitating patient access to the medical record by reviewing previously published research. Previous research includes analysis of clinical notes, surveys of patients and practitioners, and studies of patient-accessible medical records. Overall, studies suggest the potential for modest benefits (for instance, in enhancing doctor-patient communication). Risks (for instance, increasing patient worry or confusion) appear to be minimal in medical patients. The studies, however, were of limited quality and low statistical power to detect the variety of outcomes that may result from implementation of a patient-accessible medical record. The data from these studies lay the foundation for future research.