{"id":17077,"date":"2015-02-12T16:42:54","date_gmt":"2015-02-12T21:42:54","guid":{"rendered":"http:\/\/pmedicine.org\/epatients\/?p=17077"},"modified":"2015-02-12T17:06:50","modified_gmt":"2015-02-12T22:06:50","slug":"opennotes-in-the-bmj-the-message-goes-global-adoption-is-international","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2015\/02\/opennotes-in-the-bmj-the-message-goes-global-adoption-is-international.html","title":{"rendered":"OpenNotes in the BMJ: the message goes global, adoption is international"},"content":{"rendered":"<div id=\"attachment_17081\" style=\"width: 460px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.g7785\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-17081\" class=\" wp-image-17081\" src=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2015\/02\/BMJ-OpenNotes-screen-grab.jpg\" alt=\"Screen capture of BMJ OpenNotes article\" width=\"450\" height=\"176\" srcset=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2015\/02\/BMJ-OpenNotes-screen-grab.jpg 681w, https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2015\/02\/BMJ-OpenNotes-screen-grab-300x117.jpg 300w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><\/a><p id=\"caption-attachment-17081\" class=\"wp-caption-text\">Click to go to the BMJ article<\/p><\/div>\n<p><a href=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2012\/01\/OpenNotes.png\" data-rel=\"lightbox-image-0\" data-rl_title=\"\" data-rl_caption=\"\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-11293 alignright\" style=\"padding-left: 10px;\" src=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2012\/01\/OpenNotes.png\" alt=\"OpenNotes logo\" width=\"258\" height=\"119\" \/><\/a>Our Society for Participatory Medicine is all about effective patient-clinician partnerships, and to us that simply\u00a0<em>requires\u00a0<\/em>patient access to all information about the case. As SPM co-founder Dr. Danny Sands often says in his speeches, &#8220;How can patients participate if they can&#8217;t see what I see??&#8221;<\/p>\n<p>So, naturally, this blog has been one of the biggest, loudest boosters of the OpenNotes project. (Our many posts are listed <a href=\"http:\/\/www.e-patients.net\/?s=opennotes\" target=\"_blank\">here<\/a>, especially the first one and the <a href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2012\/10\/opennotes-the-results-are-in-great-news-for-patient-engagement.html\" target=\"_blank\">results<\/a> post.) There are many, many stories of how healthcare works better &#8211; happier patients, better outcomes &#8211; when patients are empowered to collaborate by not being kept apart from what their &#8220;hired experts&#8221; (docs) have written.<\/p>\n<p>But in my travels I&#8217;ve often heard people talk about the cultural and policy differences between US healthcare and other countries, so I&#8217;m\u00a0<em>thrilled\u00a0<\/em>that in the big Patient Centred Care supplement that the BMJ published yesterday (see our post with the list of articles), they included a major (2300 word) article on the US experience.<\/p>\n<div id=\"attachment_17085\" style=\"width: 470px\" class=\"wp-caption alignright\"><a href=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2015\/02\/OpenNotes-adoption-map-feb-2015.jpg\" data-rel=\"lightbox-image-1\" data-rl_title=\"\" data-rl_caption=\"\" title=\"\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-17085\" class=\" wp-image-17085\" src=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2015\/02\/OpenNotes-adoption-map-feb-2015.jpg\" alt=\"OpenNotes adoption map feb 2015\" width=\"460\" height=\"389\" srcset=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2015\/02\/OpenNotes-adoption-map-feb-2015.jpg 745w, https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2015\/02\/OpenNotes-adoption-map-feb-2015-300x254.jpg 300w, https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2015\/02\/OpenNotes-adoption-map-feb-2015-600x507.jpg 600w\" sizes=\"auto, (max-width: 460px) 100vw, 460px\" \/><\/a><p id=\"caption-attachment-17085\" class=\"wp-caption-text\">Click to visit OpenNotes adoption map page<\/p><\/div>\n<p>Prepping for this post, lead author Jan Walker told me, &#8220;Transparency is a worldwide concept&#8221; &#8211; the article adds to previous OpenNotes publications, citing similar initiatives in other countries! Estonia, Sweden, and even parts of the UK. (While in London to record the podcast that&#8217;s in the issue, I got to meet Dr. Amir Hannan, who&#8217;s been sharing notes with his patients for years. He too was in the podcast.)<\/p>\n<p>So when you tell friends about OpenNotes &#8211; or when you ask your care providers to\u00a0<em>give you\u00a0<\/em>OpenNotes &#8211; let them know:<\/p>\n<ul>\n<li>It&#8217;s no longer a fringe thing &#8211; over 4.8 million Americans in many health systems have access to their records<\/li>\n<li>It&#8217;s no longer just in America.<\/li>\n<li>Now it&#8217;s got the endorsement of the editors of the BMJ<\/li>\n<li><strong>It works.<\/strong>\u00a0<em>Nobody\u00a0<\/em>who&#8217;s implemented it has said &#8220;Those findings in the articles are not happening here.&#8221;<\/li>\n<\/ul>\n<p>The founder of our movement, &#8220;Doc Tom&#8221; Ferguson, was fond of citing futurist and science fiction author William Gibson, who famously said &#8220;The future is already here &#8211; it&#8217;s just not evenly distributed yet.&#8221; Be bold &#8211; change the world &#8211; ask for it, and point to the evidence.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Our Society for Participatory Medicine is all about effective patient-clinician partnerships, and to us that simply\u00a0requires\u00a0patient access to all information about the case. As SPM co-founder Dr. Danny Sands often [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"give_campaign_id":0,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[367,5,59,7,62],"tags":[2032,7709,7566],"coauthors":[],"class_list":["post-17077","post","type-post","status-publish","format-standard","hentry","category-medical-records","category-ptdoc-co-care","category-policy-issues","category-positive-patterns","category-reforming-healthcare","tag-bmj","tag-medical-records","tag-opennotes"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>OpenNotes in the BMJ: the message goes global, adoption is international - SPM Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/participatorymedicine.org\/epatients\/2015\/02\/opennotes-in-the-bmj-the-message-goes-global-adoption-is-international.html\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"OpenNotes in the BMJ: the message goes global, adoption is international - SPM Blog\" \/>\n<meta property=\"og:description\" content=\"Our Society for Participatory Medicine is all about effective patient-clinician partnerships, and to us that simply\u00a0requires\u00a0patient access to all information about the case. 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