Every clinical psychologist an electronic patient record: a step forward or a necessary evil?

This article, written in Dutch, critically examines the introduction of electronic patient records (EPR) in clinical psychology, reflecting on the advantages and disadvantages for psychologists and patients and on the policy context.

Abstract

With the introduction of the Belgian Law on Mental Health Professions in 2016, clinical psychologists were formally recognised as autonomous healthcare providers and became legally obliged to maintain a carefully compiled and securely stored patient record for each client. At the same time, broader healthcare policy has increasingly promoted digitalisation and the use of electronic patient records (EPRs). While psychologists working in larger organisations are often already somewhat familiar with EPRs, many self-employed clinical psychologists still face considerable uncertainty about their meaning, requirements, and implementation. This paper aims to help fill that gap by offering a general introductory framework for the electronic patient record in ambulatory clinical psychology practice. It addresses the nature and function of the patient record, the diversity and specific characteristics of the psychology profession, and the relevant ethical and legal frameworks. In addition, it discusses key considerations and challenges related to the software-related basic requirements of an EPR. The aim is not to turn clinical psychologists into technical experts, but to provide them with enough insight to understand what EPR implementation entails and to encourage thoughtful adoption in practice.

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Reference

Vranken, E., Verhaegen, D., Excelmans, E., Cobbaert, J., & Van Daele, T. (2018). Elke klinisch psycholoog een elektronisch patiëntendossier: een stap vooruit of een noodzakelijk kwaad? Tijdschrift Klinische Psychologie, 48(1), 52-61.