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Patients, clinician...
Patients, clinicians and open notes : information blocking as a case of epistemic injustice
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- Blease, Charlotte (author)
- General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
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- Salmi, Liz (author)
- General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
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- Rexhepi, Hanife, 1984- (author)
- Högskolan i Skövde,Institutionen för informationsteknologi,Forskningsmiljön Informationsteknologi,Informationssystem (IS), Information Systems
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- Hägglund, Maria, Lektor, 1975- (author)
- Karolinska Institutet,Uppsala universitet,Institutionen för kvinnors och barns hälsa,Department of Women's and Children's Studies, Uppsala Universitet, Sweden
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- DesRoches, Catherine M. (author)
- General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA ; Harvard Medical School, Boston, Massachusetts, USA
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(creator_code:org_t)
- 2021-05-14
- 2022
- English.
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In: Journal of Medical Ethics. - : BMJ Publishing Group Ltd. - 0306-6800 .- 1473-4257. ; 48:10, s. 785-793
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Abstract
Subject headings
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- In many countries, including patients are legally entitled to request copies of their clinical notes. However, this process remains time-consuming and burdensome, and it remains unclear how much of the medical record must be made available. Online access to notes offers a way to overcome these challenges and in around 10 countries worldwide, via secure web-based portals, many patients are now able to read at least some of the narrative reports written by clinicians (’open notes’). However, even in countries that have implemented the practice many clinicians have resisted the idea remaining doubtful of the value of opening notes, and anticipating patients will be confused or anxious by what they read. Against this scepticism, a growing body of qualitative and quantitative research reveals that patients derive multiple benefits from reading their notes. We address the contrasting perceptions of this practice innovation, and claim that the divergent views of patients and clinicians can be explained as a case of epistemic injustice. Using a range of evidence, we argue that patients are vulnerable to (oftentimes, non-intentional) epistemic injustice. Nonetheless, we conclude that the marginalisation of patients’ access to their health information exemplifies a form of epistemic exclusion, one with practical and ethical consequences including for patient safety.
Subject headings
- HUMANIORA -- Filosofi, etik och religion -- Etik (hsv//swe)
- HUMANITIES -- Philosophy, Ethics and Religion -- Ethics (hsv//eng)
- NATURVETENSKAP -- Data- och informationsvetenskap -- Systemvetenskap, informationssystem och informatik (hsv//swe)
- NATURAL SCIENCES -- Computer and Information Sciences -- Information Systems (hsv//eng)
- HUMANIORA -- Filosofi, etik och religion -- Filosofi (hsv//swe)
- HUMANITIES -- Philosophy, Ethics and Religion -- Philosophy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Övrig annan medicin och hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Other Medical and Health Sciences not elsewhere specified (hsv//eng)
Keyword
- open notes
- patients
- EHR
- Information Systems
- Informationssystem (IS)
- INF301 Data Science
- INF301 Data Science
Publication and Content Type
- ref (subject category)
- art (subject category)
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