Preparing Patients and Clinicians for Open Notes in Mental Health: Qualitative Inquiry of International Experts

Background In a growing number of countries worldwide, clinicians are sharing mental health notes, including psychiatry and psychotherapy with patients. Objective The aim this study is to solicit the views experts on provider policies patient clinician training or guidance in relation open notes care. Methods August 2020, we conducted web-based survey international practice notes. Experts were identified as informaticians, clinicians, chief medical information officers, patients, advocates who have extensive research knowledge about experience providing access having This undertook qualitative descriptive analysis experts’ written responses opinions (comments) open-ended questions guidance, suggested policy regulations. Results A total 70 92 (76%) from 6 responded. We four major themes related opening patients: need for clarity exemptions, patients basic writing managing patient-clinician disagreement Conclusions provides timely recommendations derived wide range how prepare health. results point further refinement exemption curricular changes students well improvements aimed at enhancing clinician-friendly portal design.