[Should patients in general practice be offered a copy of their medical record?]

Tidsskr Nor Laegeforen. 2006 Feb 23;126(5):603-4.
[Article in Norwegian]

Abstract

Background: Is it useful for patients in general practice to have a copy of their medical record, and will this increase the quality of the record? What do patients and their doctors think about such a practice?

Material and methods: Eight general practitioners participated in a study where they should ask their patients if they wanted at copy of their medical record after the consultation. The doctors were asked about what they felt about such a practice. 181 patients participated.

Results: 126 patients (70%) wanted to read their medical record. Among these, 118 (94%) reported that the record covered the problem they came for, 104 (83%) that it was useful to read what the doctor had written, and 96 (76%) that this practice should be more common. The doctors answered that the records became somewhat changed and longer and were more time-consuming. Most of the doctors thought that the quality of the medical record improved and that the procedure could well be standardised.

Interpretation: The results indicate that many patients in general practice will find it useful to read their medical record. The study may indicate a better quality of the record when doctors are aware that the patients will have a copy.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Copying Processes
  • Electronic Mail
  • Family Practice*
  • Female
  • Humans
  • Male
  • Medical Records Systems, Computerized / standards
  • Medical Records* / standards
  • Middle Aged
  • Norway
  • Patient Rights
  • Practice Patterns, Physicians'
  • Surveys and Questionnaires