http://www.jmir.org/2013/3/e65/
Patients with full EHR seem to be encouraged to particpate more in healthcare delivery. The EHR access triggers some behaviour to improve health literacy and active participation to cope with and handle zhe information contained in EHR. This is all in line with the concepts of the Patients Centered Process which i will document in a follow-up post
Especially this is important: 
Concern about workload is likely more complex. Patients’ accounts suggest that sharing all records reduce workload in some areas, for example, fewer visits or decreasing requests for copies of records. At the same time, participants’ experiences also challenge traditional roles for patients and physicians.
This references a change in culture and is related to the effort done in healthcare delivery. Patients claim a different role in an active position.
