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« The OpenNotes Project - Introduction | Main | Perceived Problems with Open Notes »

August 11, 2010


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I can think of another reason why we need the study: employer-based health insurance. Every time you change jobs or your employer changes insurers, everyone in an HMO or PPO plan has to change doctors. If your complete medical records are not forwarded each time, you start losing your own medical history. After 3 or 4 switches, sizable chunks of your medical history can be missing, even if you tried to have your records forwarded each time. If you can't see them yourself, you have no way of knowing if the forwarded record is complete or merely a summary, which could mean unnecessary repetition of tests, failure to address risk factors, or missed or delayed diagnoses.

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