ArticleBMC psychiatry2010
Do electronic health records affect the patient-psychiatrist relationship? A before & after study of psychiatric outpatients.
Article in BMC psychiatry, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.
- Impact of Electronic Medical Record Use on the Patient-Doctor Relationship and Communication: A Systematic Review.Journal of general internal medicine · 2016Pooled it
- eHealth interventions for psychiatry in Switzerland and Russia: a comparative study.Frontiers in digital health · 2023Article
- Impact of Electronic Health Records on Information Practices in Mental Health Contexts: Scoping Review.Journal of medical Internet research · 2022Article
- Article
- Are Certain Health Centers Better Patient-Centered Medical Homes for People with Severe Mental Illness?The Psychiatric quarterly · 2021Article
- Whose System is it Anyway? How Clients and Providers Evaluate the Impact of Session EHR Use on Communication in Mental Health Treatment.Community mental health journal · 2020Article
- Hospital Characteristics Associated with Certified EHR Adoption among US Psychiatric Hospitals.Risk management and healthcare policy · 2020Article
- Exploring association between certified EHRs adoption and patient experience in U.S. psychiatric hospitals.PloS one · 2020Article
- Association of Electronic Health Record Design and Use Factors With Clinician Stress and Burnout.JAMA network open · 2019Article
- Patient Satisfaction and Healthcare Utilization Using Telemedicine in Liver Transplant Recipients.Digestive diseases and sciences · 2019Article
- Connecting Professional Practice and Technology at the Bedside: Nurses' Beliefs about Using an Electronic Health Record and Their Ability to Incorporate Professional and Patient-Centered Nursing Activities in Patient Care.Computers, informatics, nursing : CIN · 2016Article
- Computers in the clinical encounter: a scoping review and thematic analysis.Journal of the American Medical Informatics Association : JAMIA · 2016Article
- Strategizing EHR use to achieve patient-centered care in exam rooms: a qualitative study on primary care providers.Journal of the American Medical Informatics Association : JAMIA · 2016Article
- Patient experiences with electronic medical records: lessons learned.Journal of the American Association of Nurse Practitioners · 2014Article
- Article
- Telemonitoring with respect to mood disorders and information and communication technologies: overview and presentation of the PSYCHE project.BioMed research international · 2014Review
- Separate may not be equal: a preliminary investigation of clinical correlates of electronic psychiatric record accessibility in academic medical centers.International journal of medical informatics · 2013Article
- We are bitter, but we are better off: case study of the implementation of an electronic health record system into a mental health hospital in England.BMC health services research · 2012Article
- Users' satisfaction with the primary health care information system in Croatia: a cross-sectional study.Croatian medical journal · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundA growing body of literature shows that patients accept the use of computers in clinical care. Nonetheless, studies have shown that computers unequivocally change both verbal and non-verbal communication style and increase patients' concerns about the privacy of their records. We found no studies which evaluated the use of Electronic Health Records (EHRs) specifically on psychiatric patient satisfaction, nor any that took place exclusively in a psychiatric treatment setting. Due to the special reliance on communication for psychiatric diagnosis and evaluation, and the emphasis on confidentiality of psychiatric records, the results of previous studies may not apply equally to psychiatric patients.
methodWe examined the association between EHR use and changes to the patient-psychiatrist relationship. A patient satisfaction survey was administered to psychiatric patient volunteers prior to and following implementation of an EHR. All subjects were adult outpatients with chronic mental illness.
resultsSurvey responses were grouped into categories of "Overall," "Technical," "Interpersonal," "Communication & Education,," "Time," "Confidentiality," "Anxiety," and "Computer Use." Multiple, unpaired, two-tailed t-tests comparing pre- and post-implementation groups showed no significant differences (at the 0.05 level) to any questionnaire category for all subjects combined or when subjects were stratified by primary diagnosis category.
conclusionsWhile many barriers to the adoption of electronic health records do exist, concerns about disruption to the patient-psychiatrist relationship need not be a prominent focus. Attention to communication style, interpersonal manner, and computer proficiency may help maintain the quality of the patient-psychiatrist relationship following EHR implementation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.