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J Am Med Inform Assoc 10:129-138 doi:10.1197/jamia.M1147
  • The Practice of Informatics

The Effects of Promoting Patient Access to Medical Records: A Review

Table 2

Issues Regarding Patient-accessible Medical Records Not Addressed in Cited Studies

  • Helping patients improve coordination of care

  • Revealing serious diagnoses (for instance, via pathology reports demonstrating malignancy) before the doctor-patient encounter

  • Leakage of private patient information to others, such as family members who may look at the records

  • Lost confidentiality of “third party” information about the patient from family members, social workers, and other interested parties with sensitive information

  • Effects on patient litigiousness

This Article

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