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the aim of the study was to investigate the unattended consequences of patients having online access to their medical records in terms of the intended consequences something you did find a more convenient way to access information about the healthcare but there were some some unintended consequences which were quite negative as well so the first one is that it could impact on patients understanding of their health care and this could be they could discover surprising information we had a participants that um found out there was suspected breast cancer in their notes which they knew nothing about also the way the information has been written or the way that the results are presented may not be in a format for patients to understand so that can cause misunderstanding as well also theres theres issues around practitioners being able to write theyve got feelings in the notes I think what our paper demonstrates is rolling this out is a lot more complex than the policy actually provides