Eva Meier-Diedrich, Katharina Neumann, Martin Heinze, Julian Schwarz
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引用次数: 0
Abstract
Objective: This study explores attitudes and expectations of psychotherapists (PT) towards the introduction of digital patient access to clinical notes ("Open Notes"; ON)), including the advantages and disadvantages in psychotherapeutic practice.
Methods: As part of the PEPPPSY study, an online survey was conducted. Free text responses (n = 107) were qualitatively analysed using thematic analysis.
Results: 129 psychological and medical PT took part in the survey. PT saw advantages such as transparency and patient-centred documentation, but feared disadvantages for the therapeutic relationship and an increased workload through the implementation of ON. Concerns were raised about data security and negative effects on treatment. Recommendations for implementation include patient-specific access adaptations and guided access.
Conclusion: PT are ambivalent about ON. Further research and guidelines for the use of ON in psychotherapy are needed.
研究目的本研究探讨了心理治疗师（PT）对引入数字化患者访问临床笔记（"Open Notes"；ON）的态度和期望，包括在心理治疗实践中的利弊：作为 PEPPPSY 研究的一部分，我们进行了一项在线调查。方法：作为 PEPPPSY 研究的一部分，进行了一次在线调查，并使用主题分析法对自由文本回复（n+=+107）进行了定性分析：结果：129 名心理医生和医护人员参与了调查。心理医生看到了透明度和以患者为中心的文件记录等优势，但也担心实施 ON 后会对治疗关系造成不利影响并增加工作量。他们还对数据安全和对治疗的负面影响表示担忧。实施建议包括针对患者的访问调整和引导访问：PT 对 ON 持矛盾态度。在心理治疗中使用 ON 需要进一步的研究和指导。
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