[心理治疗师和医学心理治疗师对开放式病历的态度与期望：定性调查回复分析]
[Attitudes and Expectations of Psychological and Medical Psychotherapists Towards Open Notes: Analysis of Qualitative Survey Responses].
作者信息
Meier-Diedrich Eva, Neumann Katharina, Heinze Martin, Schwarz Julian
机构信息
Klinik für Psychiatrie und Psychotherapie, Zentrum für Seelische Gesundheit, Immanuel Klinik Rüdersdorf, Medizinische Hochschule Brandenburg, Rüdersdorf.
Fakultät für Gesundheitswissenschaften Brandenburg, Medizinische Hochschule Brandenburg Theodor Fontane, Neuruppin.
出版信息
Psychiatr Prax. 2024 Oct;51(7):376-384. doi: 10.1055/a-2320-8929. Epub 2024 May 29.
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.
目的
本研究探讨心理治疗师（PT）对引入患者数字访问临床记录（“开放笔记”；ON）的态度和期望，包括心理治疗实践中的优点和缺点。
方法
作为PEPPPSY研究的一部分，进行了一项在线调查。使用主题分析对自由文本回复（n = 107）进行了定性分析。
结果
129名心理和医学PT参与了调查。PT认为有透明度和以患者为中心的记录等优点，但担心对治疗关系有不利影响，以及实施ON会增加工作量。有人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式访问。
结论
PT对ON持矛盾态度。需要进一步研究以及关于在心理治疗中使用ON的指南。
Zotero 插件