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Great point. To add to that, a patient is often not the only reader on the "patient" side: their close family (spouse, parents etc.) will also be reading them,
by makeitdouble 3y ago
Great point. To add to that, a patient is often not the only reader on the "patient" side: their close family (spouse, parents etc.) will also be reading them, especially if they're helping with the therapy, and they'll also have their own sensibility to how it's presented.
I think in most open record systems there's provision for retaining info from the patient in case it could objectively lead to negative consequences, but this is indeed a complicated choice that arises patient by patient.
- em-bee 3y agotherapy notes should be confidential. the patient, and only the patient or a person explicitly authorized by them should have access after the therapy concluded
- makeitdouble 3y ago> or a person explicitly authorized by them That's what I had in mind, with potentially legal representants in specific cases (small kids and/or the patient is diagnosed as needing them to step in) Therapy notes will have a high chance of including observations about these authorized persons and how they affect the patient.
- cheese_van 3y agoIt is complicated. I was working in a state psychiatric ward during university, and the ward psychiatrist had noted in the patient's chart that after meeting the patient's mother, he suspected a genetic etiology of the patient's condition. In other words, the patient's mother was also crazy. The patient's mother, having received legal access to the chart, read that, and was now suing the state. The earlier comments in the thread about the target audience was spot on. Radical record transparency may perhaps not always benefit health professionals, unless of course, some things are just not recorded - and that may not benefit the patient.
- Bran_son 3y ago> and was now suing the state. On what grounds? This sounds like a problem with the legal system, not medical transparency. Though I can empathize with medical professionals having to work in the legal system that we have, not a hypothetical perfect one, I'm very apprehensive of restricting transparency on the grounds that, if people saw what was going on, they may take legal action. It may have been frivolous in this case, but...
- paradox242 3y agoThis reaction on the mother's part seems to at least superficially confirm the diagnosis.