Thomas Kristie A, Bailey Courtney
Simmons University, Boston, MA, USA.
Violence Against Women. 2025 Nov;31(14):3780-3792. doi: 10.1177/10778012241280053. Epub 2024 Sep 17.
The 21st Century Cures Act requires that health organizations make all medical records rapidly available to patients through secure online portals. Referred to as "open notes," this approach is intended to improve health outcomes by facilitating easier and more transparent communication between patients and providers. For patients experiencing intimate partner violence (IPV), however, open notes can create serious safety risks to their physical and mental health when not handled carefully. This clinical note aims to raise awareness of how open notes can be harmful in IPV situations, provide a set of evidence-informed recommendations on how healthcare providers and institutions can help to mitigate this harm, and outline areas for future research.
《21世纪治愈法案》要求医疗机构通过安全的在线门户，迅速向患者提供所有医疗记录。这种方法被称为“开放病历”，旨在通过促进患者与医疗服务提供者之间更便捷、更透明的沟通来改善健康状况。然而，对于遭受亲密伴侣暴力（IPV）的患者而言，如果处理不当，开放病历可能会对他们的身心健康造成严重的安全风险。本临床报告旨在提高人们对开放病历在亲密伴侣暴力情况下可能产生危害的认识，提供一系列基于证据的建议，说明医疗服务提供者和机构如何帮助减轻这种危害，并概述未来的研究领域。
