ArticleJournal of the American Medical Informatics Association : JAMIA
Health information technology and physician-patient interactions: impact of computers on communication during outpatient primary care visits.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.
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Who cites it
50 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of Electronic Medical Record Use on the Patient-Doctor Relationship and Communication: A Systematic Review.Journal of general internal medicine · 2016Pooled it
- Improving Self-Care in Patients With Coexisting Type 2 Diabetes and Hypertension by Technological Surrogate Nursing: Randomized Controlled Trial.Journal of medical Internet research · 2020Trial
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- Effects of electronic health record use on the exam room communication skills of resident physicians: a randomized within-subjects study.Journal of the American Medical Informatics Association : JAMIA · 2015Trial
- Evaluation of Eye Gaze Dynamics During Physician-Patient-Computer Interaction in Federally Qualified Health Centers: Systematic Analysis.JMIR human factors · 2023Article
- Spontaneous Officinal Plants in the Cilento, Vallo di Diano and Alburni National Park: Tradition, Protection, Enhancement, and Recovery.Plants (Basel, Switzerland) · 2023Article
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- Is a switch to a different electronic health record associated with a change in patient satisfaction?Journal of the American Medical Informatics Association : JAMIA · 2020Article
- The Impact of Electronic Health Records on the Duration of Patients' Visits: Time and Motion Study.JMIR medical informatics · 2020Article
- Predictors of Patients' Intention to Interact With Doctors in Web-Based Health Communities in China: Cross-Sectional Study.Journal of medical Internet research · 2019Article
- Effect on VA Patient Satisfaction of Provider's Use of an Integrated Viewer of Multiple Electronic Health Records.Journal of general internal medicine · 2019Article
- Simulated Clinical Encounters Using Patient-Operated mHealth: Experimental Study to Investigate Patient-Provider Communication.JMIR mHealth and uHealth · 2018Article
- Keystrokes, Mouse Clicks, and Gazing at the Computer: How Physician Interaction with the EHR Affects Patient Participation.Journal of general internal medicine · 2018Observational
- Health information technology in ambulatory care in a developing country.Electronic physician · 2018Article
- Using a Bedside Interactive Technology to Solicit and Record Pediatric Pain Reassessments: Parent and Nursing Perspectives on a Novel Workflow.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2018Article
- The impact of a diagnostic decision support system on the consultation: perceptions of GPs and patients.BMC medical informatics and decision making · 2017Article
- Learning to use electronic health records: can we stay patient-centered? A pre-post intervention study with family medicine residents.BMC family practice · 2017Article
- Computer use in primary care practices in Canada.Canadian family physician Medecin de famille canadien · 2017Article
- Perspectives of healthcare practitioners: An exploration of interprofessional communication using electronic medical records.Journal of interprofessional care · 2017Article
- Impact of Longitudinal Electronic Health Record Training for Residents Preparing for Practice in Patient-Centered Medical Homes.The Permanente journal · 2017Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of this study was to evaluate the impact of introducing health information technology (HIT) on physician-patient interactions during outpatient visits.
designThis was a longitudinal pre-post study: two months before and one and seven months after introduction of examination room computers. Patient questionnaires (n = 313) after primary care visits with physicians (n = 8) within an integrated delivery system. There were three patient satisfaction domains: (1) satisfaction with visit components, (2) comprehension of the visit, and (3) perceptions of the physician's use of the computer.
resultsPatients reported that physicians used computers in 82.3% of visits. Compared with baseline, overall patient satisfaction with visits increased seven months after the introduction of computers (odds ratio [OR] = 1.50; 95% confidence interval [CI]: 1.01-2.22), as did satisfaction with physicians' familiarity with patients (OR = 1.60, 95% CI: 1.01-2.52), communication about medical issues (OR = 1.61; 95% CI: 1.05-2.47), and comprehension of decisions made during the visit (OR = 1.63; 95% CI: 1.06-2.50). In contrast, there were no significant changes in patient satisfaction with comprehension of self-care responsibilities, communication about psychosocial issues, or available visit time. Seven months post-introduction, patients were more likely to report that the computer helped the visit run in a more timely manner (OR = 1.76; 95% CI: 1.28-2.42) compared with the first month after introduction. There were no other significant changes in patient perceptions of the computer use over time.
conclusionThe examination room computers appeared to have positive effects on physician-patient interactions related to medical communication without significant negative effects on other areas such as time available for patient concerns. Further study is needed to better understand HIT use during outpatient visits.
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