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Psychiatr Prax
DOI: 10.1055/a-2320-8929
Originalarbeit

Einstellungen und Erwartungen von psychologischen und ärztlichen Psychotherapeut*innen gegenüber Open Notes: Analyse qualitativer Survey-Antworten

Attitudes and Expectations of Psychological and Medical Psychotherapists Towards Open Notes: Analysis of Qualitative Survey Responses
Eva Meier-Diedrich 
1   Klinik für Psychiatrie und Psychotherapie, Zentrum für Seelische Gesundheit, Immanuel Klinik Rüdersdorf, Medizinische Hochschule Brandenburg, Rüdersdorf
2   Fakultät für Gesundheitswissenschaften Brandenburg, Medizinische Hochschule Brandenburg Theodor Fontane, Neuruppin
,
Katharina Neumann 
3   Abteilung für Suchterkrankungen, salus Klinik Lindow, Lindow
,
Martin Heinze 
1   Klinik für Psychiatrie und Psychotherapie, Zentrum für Seelische Gesundheit, Immanuel Klinik Rüdersdorf, Medizinische Hochschule Brandenburg, Rüdersdorf
2   Fakultät für Gesundheitswissenschaften Brandenburg, Medizinische Hochschule Brandenburg Theodor Fontane, Neuruppin
4   Zentrum für Versorgungsforschung Brandenburg, Medizinische Hochschule Brandenburg Theodor Fontane, Rüdersdorf
,
Julian Schwarz 
1   Klinik für Psychiatrie und Psychotherapie, Zentrum für Seelische Gesundheit, Immanuel Klinik Rüdersdorf, Medizinische Hochschule Brandenburg, Rüdersdorf
2   Fakultät für Gesundheitswissenschaften Brandenburg, Medizinische Hochschule Brandenburg Theodor Fontane, Neuruppin
4   Zentrum für Versorgungsforschung Brandenburg, Medizinische Hochschule Brandenburg Theodor Fontane, Rüdersdorf
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Zusammenfassung

Ziel Erforschung der Einstellungen und Erwartungen von Psychotherapeut*innen (PT) gegenüber eines digitalen, patientenseitigen Zugangs zu klinischen Verlaufsnotizen (engl. “Open Notes”; kurz: ON), einschließlich potentieller Vor- und Nachteile in der psychotherapeutischen Praxis.

Methodik Im Rahmen der PEPPPSY-Studie wurde ein Online-Survey zu dem o.g. Thema durchgeführt. Es wurden Freitextantworten (n = 107) qualitativ mittels thematischer Analyse ausgewertet.

Ergebnisse 129 Psychologische und ärztliche PT nahmen an der Befragung teil. PT sahen Vorteile wie Transparenz und patientenorientierte Dokumentation, befürchten aber auch Nachteile für die therapeutische Beziehung und einen erhöhten Workload durch die Einführung von ON. Es wurden Bedenken hinsichtlich Datensicherheit und negativer Auswirkungen auf die Behandlung geäußert. Empfehlungen zur Implementierung beinhalten patientenspezifische Anpassungen des Zugangs und begleitete Einsichtnahme der ON.

Schlussfolgerung PT zeigen eine ambivalente Haltung gegenüber ON. Weitere Forschung und Leitlinien zur Anwendung von ON in der Psychotherapie sind nötig.

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.

Schlüsselwörter

Elektronische Patientenakte - Patientenportal - Persönliche Gesundheitsakte - Open Notes - Psychotherapie

Key words

electronic health record - patient portal - personal health record - open notes - psychotherapy

Zusätzliches Material



Publication History

Received: 15 December 2023

Accepted: 06 May 2024

Article published online:
29 May 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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