Patient Access to Online Visit Notes: Perceptions of Doctors and Patients at an Urban HIV/AIDS Clinic

J Int Assoc Provid AIDS Care. Jul-Aug 2015;14(4):306-12. doi: 10.1177/2325957414526783. Epub 2014 Apr 11.

Abstract

Patients living with HIV/AIDS face large societal and medical challenges. Inviting patients to read their doctors' visit notes via secure electronic portals may empower patients and improve health. We investigated whether utilization and perceptions about access to doctors' notes differed among doctors and patients in an HIV/AIDS clinic versus primary care setting. We analyzed pre- and 1-year postintervention data from 99 doctors and 3819 patients. HIV clinic patients did not report differences in perceived risks and benefits compared to primary care clinic patients, however, they were more likely to share notes with friends (33% versus 9%, P=.002), other health professionals (24% versus 8%, P=.03), or another doctor (38% versus 9%, P<.0001). HIV clinic doctors were less likely than primary care doctors to change the level of candor in visit notes (P<.04). Our findings suggest that HIV clinic patients and doctors are ready to share visit notes online.

Keywords: electronic health records; health information technology; human immunodeficiency virus (HIV); personal health records; visit notes.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Ambulatory Care Facilities
  • Confidentiality
  • Electronic Health Records*
  • Female
  • HIV Infections / psychology*
  • HIV Infections / therapy*
  • Humans
  • Internet*
  • Male
  • Middle Aged
  • Physician-Patient Relations*
  • Urban Health Services
  • Young Adult