JAMA Network
About The Study: The 21st Century Cures Act mandated that patients have immediate access to clinical notes and other health information (i.e., open notes). At a large, integrated health system, open notes engagement increased rapidly following implementation and plateaued at 55% within 2 months, with substantial sociodemographic disparities in engagement. These disparities may be attributed to the digital divide. Language may be another barrier, as notes are not routinely translated despite multilingual portal interfaces.
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