Experiences of Transgender People Reviewing Their Electronic Health Records, a Qualitative Study.

electronic health records patient-clinician communication qualitative research social stigma transgender persons

Journal

Journal of general internal medicine
ISSN: 1525-1497
Titre abrégé: J Gen Intern Med
Pays: United States
ID NLM: 8605834

Informations de publication

Date de publication:
03 2023
Historique:
received: 01 04 2022
accepted: 06 05 2022
medline: 28 3 2023
pubmed: 1 6 2022
entrez: 31 5 2022
Statut: ppublish

Résumé

The 21st Century Cures Act and the OpenNotes movement have brought patients immediate access to their electronic health records (EHRs). The experiences of marginalized people, including transgender people, accessing and reviewing their EHRs could inform documentation guidelines to improve patient-clinician rapport and reduce harm. To investigate the experiences of transgender people reviewing EHRs. Qualitative study using community-engaged research and an interpretive description methodology. Participants were recruited via social media, snowball sampling was employed, and purposive sampling was used to ensure diversity in terms of age, race/ethnicity, and other factors. In focus groups, participants were asked to discuss their experiences reviewing their EHRs and, for those participants who were clinicians, their experiences reviewing other clinicians' documentation. Thirty transgender adults aged 20 to 67 years, including 10 clinicians. Digital audio-recordings of focus groups were transcribed verbatim. Content was analyzed to identify emerging essential elements and analysis was continued until no new themes emerged (i.e., saturation). Four themes were noted. (1) Using the wrong name, pronoun, or gender marker for patients is common in the EHR, erodes trust, and causes trauma. (2) Various aspects of clinicians' notes contradict, blame, or stigmatize patients, across multiple axes of oppression. (3) Limitations of EHR capabilities create barriers to quality care. (4) Certain medical customs set the stage for marginalizing, objectifying, and pathologizing transgender people. Transgender people experience harm via various aspects of EHR documentation, suggesting that changes must be made to improve patient-clinician relationships and reduce ill-effects for patients.

Sections du résumé

BACKGROUND
The 21st Century Cures Act and the OpenNotes movement have brought patients immediate access to their electronic health records (EHRs). The experiences of marginalized people, including transgender people, accessing and reviewing their EHRs could inform documentation guidelines to improve patient-clinician rapport and reduce harm.
OBJECTIVE
To investigate the experiences of transgender people reviewing EHRs.
DESIGN
Qualitative study using community-engaged research and an interpretive description methodology. Participants were recruited via social media, snowball sampling was employed, and purposive sampling was used to ensure diversity in terms of age, race/ethnicity, and other factors. In focus groups, participants were asked to discuss their experiences reviewing their EHRs and, for those participants who were clinicians, their experiences reviewing other clinicians' documentation.
PARTICIPANTS
Thirty transgender adults aged 20 to 67 years, including 10 clinicians.
APPROACH
Digital audio-recordings of focus groups were transcribed verbatim. Content was analyzed to identify emerging essential elements and analysis was continued until no new themes emerged (i.e., saturation).
KEY RESULTS
Four themes were noted. (1) Using the wrong name, pronoun, or gender marker for patients is common in the EHR, erodes trust, and causes trauma. (2) Various aspects of clinicians' notes contradict, blame, or stigmatize patients, across multiple axes of oppression. (3) Limitations of EHR capabilities create barriers to quality care. (4) Certain medical customs set the stage for marginalizing, objectifying, and pathologizing transgender people.
CONCLUSIONS
Transgender people experience harm via various aspects of EHR documentation, suggesting that changes must be made to improve patient-clinician relationships and reduce ill-effects for patients.

Identifiants

pubmed: 35641720
doi: 10.1007/s11606-022-07671-6
pii: 10.1007/s11606-022-07671-6
pmc: PMC10039220
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

970-977

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2022. The Author(s).

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Auteurs

Ash B Alpert (AB)

Department of Health Services, Policy & Practice, Center for Gerontology and Healthcare Research, Brown University School of Public Health, Box G-S121-6, Providence, RI, 02903, USA. ash_alpert@brown.edu.
Department of Public Health Sciences, University of Rochester Medical Center, Rochester, NY, USA. ash_alpert@brown.edu.

Jamie E Mehringer (JE)

Department of Pediatrics, University of Rochester Medical Center, Rochester, NY, USA.

Sunshine J Orta (SJ)

Trillium Health, Rochester, NY, USA.

Emile Redwood (E)

Department of Obstetrics and Gynecology, New York University Langone Health, New York, NY, USA.

Tresne Hernandez (T)

School of Medicine and Dentistry, University of Rochester, Rochester, NY, USA.

Lexis Rivers (L)

Transgender Cancer Patient Project, Ashland, OR, USA.

Charlie Manzano (C)

Transgender Cancer Patient Project, Ashland, OR, USA.

Roman Ruddick (R)

Transgender Cancer Patient Project, Ashland, OR, USA.

Spencer Adams (S)

Western Michigan University, Kalamazoo, MI, USA.

Catherine Cerulli (C)

Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA.
The Susan B. Anthony Center, Rochester, NY, USA.

Don Operario (D)

Department of Behavior and Social Sciences, Brown University School of Public Health, Providence, RI, USA.

Jennifer J Griggs (JJ)

Division of Hematology and Oncology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA.

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