Helpfulness of Clinical Visit Summary Content From Multi-Specialty Care: A Mixed-Methods Assessment

Abstract

Objective: We surveyed patients who visited multiple outpatient specialty practices to understand what summary content was most helpful with the goal of optimizing meaningful outpatient clinical visit summary content. Materials and Methods: We constructed a survey instrument to measure delivery, use, and contents of clinical visit summaries. We surveyed patients who visited with at least 2 different outpatient medical specialties to understand preferences. Results: Most patients in our sample valued the summary information they received, and retained it as healthcare documentation (84%) and/or quick reference in supporting self-care (70%). Patients most commonly reported that information on results of completed tests (91%) and treatment plan instructions (89%) were very helpful. Additionally, patients expressed the importance of online access to clinical visit summary information. Discussion: Most patients used the clinical visit summary as healthcare documentation, and valued online availability of their summary information. Patients most often reported that information on results of recently completed tests and specific instructions on treatment plan were very helpful. Patients who sought further information after their visit most often looked to a provider and/or online. Conclusions: Patients valued clinical visit summary accessibility and as a reference tool to summarize care and provide next steps. Optimal clinical visit summaries might collate and integrate assessments and recommendations from multiple specialties into coherent care plans for patients.

Factors associated with consenting to receive an automated email summary following a sexual health clinic visit

“…6 Studies have found that emails are cost-effective and improve a client's understanding, recall and engagement. 7,8 The Australian government has introduced a national EHRs (i.e., My Health Record, or formally known as the Personally Controlled Electronic Health Record), which allows health care providers to access and share patient's health information (e.g., general practitioner records, pathology tests, diagnosing imaging, and prescribed medications); however, the uptake of using EHR is low (~17%), and there has been a concern about some sensitive medical history (e.g., HIV/AIDS or mental illness) may lead to stigmatization and discrimination. 9,10 In March 2021, the Melbourne Sexual Health Centre (MSHC) offered all clients the opportunity to receive an email summary of their clinical visit to the service, which we termed "Sexual Health Automated Visit Email" (SHAVE).…”

“…In this way, emails provide the opportunity for a more detailed summary of a patients visit including other health information that may be relevant to specific patients group 6 . Studies have found that emails are cost-effective and improve a client's understanding, recall and engagement 7,8 …”