Britten N, Bartholomew J, Morris R, Zander L
Department of General Practice, United Medical School, Guy's Hospital, London.
J R Soc Med. 1991 May;84(5):284-7. doi: 10.1177/014107689108400513.
Semi-structured interviews were conducted with 24 hospital consultants and 47 general practice patients, asking for their opinions about a proposed policy of partial access to records in one general practice. Eleven consultants were opposed to the policy, 10 were in favour and three were classified as ambivalent. Arguments against access were couched largely in terms of consultants' own interests whereas arguments in favour of access were couched in terms of patients' interests. Although 81% of patients interviewed said that they should in principle be allowed to see their own records, only 51% wanted access to their own records. Fears expressed by consultants on patients' behalf are not necessarily well founded.
对24名医院顾问和47名全科患者进行了半结构化访谈,询问他们对一项在某一全科诊所部分开放病历的拟议政策的看法。11名顾问反对该政策,10名支持,3名态度模糊。反对开放病历的论点主要基于顾问自身的利益,而支持开放病历的论点则基于患者的利益。尽管81%接受访谈的患者表示原则上应允许他们查看自己的病历,但只有51%的患者希望查看自己的病历。顾问代表患者表达的担忧不一定有充分依据。