Document Type


Degree Name



Department of Medical Informatics & Clinical Epidemiology


Oregon Health & Science University


In many countries allowing patients access to physician progress notes regarding their care is not only considered important for improving patient engagement but is a legal requirement. While most efforts and analysis have been focused on providing such access in the outpatient setting comparatively little is known about the impacts in the inpatient setting.. Furthermore, in a country like Argentina with its own healthcare model where no such access, in either inpatient or outpatient settings, has ever been given before, at any level, implementing open progress notes will require a systematic approach that considers providers fears and expectations.

This qualitative study explores Internists’ general perceptions on opening progress notes to patients during inpatient hospitalization.

Three focus group sessions with a total of twenty participating Hospital Italiano internists’ were conducted. Grounded theory approach was use to analyze the data. The themes that emerged were: (1) Increase workload; (2) effect on patient-physician relationships; (3) Communication between providers; (4) Security and information privacy; and (5) Usefulness. I found that Internists’ are not in favor of giving patient access to the progress notes. They perceive the progress notes primarly as tools for communicating between providers and therefore see little use in allowing patients to read them and see this as an extra burden for providers




School of Medicine



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