Patients Managing Medications and Reading Their Visit Notes: A Survey of OpenNotes Participants
Authors: Catherine M. DesRoches, Sigall K. Bell, Zhiyong Dong, Joann Elmore, Leonor Fernandez, Patricia Fitzgerald, Joshua M. Liao, Thomas H. Payne, Tom Delbanco, Jan Walker
Journal: Annals of Internal Medicine (2019)

Letters2 July 2019Patients Managing Medications and Reading Their Visit Notes: A Survey of OpenNotes ParticipantsCatherine M. DesRoches, DrPH, Sigall K. Bell, MD, Zhiyong Dong, MS, Joann Elmore, MD, Leonor Fernandez, MD, Patricia Fitzgerald, MS, Joshua M. Liao, MD, MSc, Thomas H. Payne, MD, Tom Delbanco, MD*, and Jan Walker, RN, MBA*Catherine M. DesRoches, DrPHHarvard Medical School and Beth Israel Deaconess Medical Center, Boston, Massachusetts (C.M.D., S.K.B., L.F., T.D., J.W.), Sigall K. Bell, MDHarvard Medical School and Beth Israel Deaconess Medical Center, Boston, Massachusetts (C.M.D., S.K.B., L.F., T.D., J.W.), Zhiyong Dong, MSBeth Israel Deaconess Medical Center, Boston, Massachusetts (Z.D.), Joann Elmore, MDDavid Geffen School of Medicine at UCLA, Los Angeles, California (J.E.), Leonor Fernandez, MDHarvard Medical School and Beth Israel Deaconess Medical Center, Boston, Massachusetts (C.M.D., S.K.B., L.F., T.D., J.W.), Patricia Fitzgerald, MSBeth Israel Deaconess Medical School, Boston, Massachusetts (P.F.), Joshua M. Liao, MD, MScUniversity of Washington School of Medicine, Seattle, Washington (J.M.L., T.H.P.), Thomas H. Payne, MDUniversity of Washington School of Medicine, Seattle, Washington (J.M.L., T.H.P.), Tom Delbanco, MD*Harvard Medical School and Beth Israel Deaconess Medical Center, Boston, Massachusetts (C.M.D., S.K.B., L.F., T.D., J.W.), and Jan Walker, RN, MBA*Harvard Medical School and Beth Israel Deaconess Medical Center, Boston, Massachusetts (C.M.D., S.K.B., L.F., T.D., J.W.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M18-3197 Annals Author Insight Video - Catherine M. DesRoches, DrPH, and Tom Delbanco, MD In this video, Catherine M. DesRoches, DrPH, and Tom Delbanco, MD, offer additional insight into the article, "Patients Managing Medications and Reading Their Visit Notes: A Survey of OpenNotes Participants." SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: As many as half of Americans with chronic illness do not take their medications as prescribed, which contributes to poorer health outcomes and up to $300 billion annually in avoidable health care costs (1). As patients increasingly read their visit notes through online portals (www.opennotes.org), reports from primary care practices have suggested that patient access to notes may improve adherence to medications (2).Objective: We examined patients' perceptions of how note reading affects factors related to medication adherence. In addition, we sought to understand their engagement with online medication lists and their willingness to participate in keeping those lists ...References1. Iuga AO, McGuire MJ. Adherence and health care costs. Risk Manag Healthc Policy. 2014;7:35-44. [PMID: 24591853] doi:10.2147/RMHP.S19801 CrossrefMedlineGoogle Scholar2. Wright E, Darer J, Tang X, Thompson J, Tusing L, Fossa A, et al. Sharing physician notes through an electronic portal is associated with improved medication adherence: quasi-experimental study. J Med Internet Res. 2015;17:e226. [PMID: 26449757] doi:10.2196/jmir.4872 CrossrefMedlineGoogle Scholar3. Delbanco T, Walker J, Bell SK, Darer JD, Elmore JG, Farag N, et al. Inviting patients to read their doctors' notes: a quasi-experimental study and a look ahead. Ann Intern Med. 2012;157:461-70. [PMID: 23027317]. doi:10.7326/0003-4819-157-7-201210020-00002 LinkGoogle Scholar4. Kessels RP. Patients' memory for medical information. J R Soc Med. 2003;96:219-22. [PMID: 12724430] MedlineGoogle Scholar5. Kwan JL, Lo L, Sampson M, Shojania KG. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158:397-403. [PMID: 23460096]. doi:10.7326/0003-4819-158-5-201303051-00006 LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Harvard Medical School and Beth Israel Deaconess Medical Center, Boston, Massachusetts (C.M.D., S.K.B., L.F., T.D., J.W.)Beth Israel Deaconess Medical Center, Boston, Massachusetts (Z.D.)David Geffen School of Medicine at UCLA, Los Angeles, California (J.E.)Beth Israel Deaconess Medical School, Boston, Massachusetts (P.F.)University of Washington School of Medicine, Seattle, Washington (J.M.L., T.H.P.)Grant Support: By the Robert Wood Johnson Foundation, the Gordon and Betty Moore Foundation, the Cambia Foundation, and the Peterson Center on Healthcare.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-3197.Reproducible Research Statement: Study protocol and statistical code: Available on request from Dr. DesRoches (e-mail, [email protected]harvard.edu). Data set: Not available.* Dr. Delbanco and Ms. Walker share senior authorship.This article was published at Annals.org on 28 May 2019. PreviousarticleNextarticle Advertisement Annals Author Insight Video - Catherine M. DesRoches, DrPH, and Tom Delbanco, MD In this video, Catherine M. DesRoches, DrPH, and Tom Delbanco, MD, offer additional insight into the article, "Patients Managing Medications and Reading Their Visit Notes: A Survey of OpenNotes Participants." FiguresReferencesRelatedDetailsSee AlsoReady or Not, We Live in an Age of Health Information Transparency David Blumenthal and Melinda K. Abrams Patients Managing Medications and Reading Their Visit Notes Stephen B. Strum Patients Managing Medications and Reading Their Visit Notes Catherine M. DesRoches , Tom Delbanco , and Sigall K. 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Strum, MDPatients' access to health recordsReady or Not, We Live in an Age of Health Information TransparencyDavid Blumenthal, MD and Melinda K. Abrams, MS 2 July 2019Volume 171, Issue 1Page: 69-71KeywordsDisclosureGraduate medical educationHealth careHealth surveysMotivationPerceptionSafety ePublished: 28 May 2019 Issue Published: 2 July 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...