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Some doctors are taking an unusual new approach to communicate better with patients—they are letting (31) read the notes that physicians normally share only with each other. After meeting with patients, doctors typically jot (32) notes on a range of topics, from musings about possible diagnoses to observations about (33) a patient is getting along with a spouse. The notes are used to justify the bill, and may be audited. But the main idea is to have a written record (34) insights into the patient’s condition for the next visit or for (35) doctors to see. A study currently under way, (36) the OpenNotes project, is looking at what happens (37) doctors’ notes become available for a patient to read, usually (38) electronic medical records. In a report on the early (39) of the study, published Tuesday in the Annals of internal Medicine, researchers say that inviting patients to review the (40) can improve patients understanding of their own health and (41) them to stick to their treatment regimens (42) closely. But researchers (43) point to possible downsides: Patients may panic if their doctor speculates (44) writing about cancer or heart disease, (45) to a flood of follow-up calls and emails. And doctors say they worry that some medical terms can be taken the (46) way by patients. For instance, (47) phrase "the patient appears SOB" (48) to shortness of breath, not a derogatory designation. And OD is short for oculus dexter, or right eye, (49) for overdose. Medical providers have been stepping up efforts to improve doctor-patient communication, in part (50) studies show it can result in better patient outcomes. The introduction of electronic medical records in recent years has helped to achieve that.
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