ArticleHealth systems (Basingstoke, England)2012
Physician Interactions with Electronic Health Records in Primary Care.
Article in Health systems (Basingstoke, England), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Developing an evidence base of best practices for integrating computerized systems into the exam room: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2017Pooled it
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- Leveraging LLM to identify missed information in patient-physician communication: improving healthcare service quality.Frontiers in medicine · 2025Article
- The biopsychosociotechnical model: a systems-based framework for human-centered health improvement.Health systems (Basingstoke, England) · 2023Article
- Burnout in clinicians.Current problems in pediatric and adolescent health care · 2021Article
- How Do Patients Want Us to Use the Computer During Medical Encounters?-A Discrete Choice Experiment Study.Journal of general internal medicine · 2021Article
- Automatic Classification of Screen Gaze and Dialogue in Doctor-Patient-Computer Interactions: Computational Ethnography Algorithm Development and Validation.Journal of medical Internet research · 2021Article
- A qualitative study of physician perspectives on adaptation to electronic health records.BMC medical informatics and decision making · 2020Article
- The impact of personal and cultural beliefs on medication adherence of patients with chronic illnesses: a systematic review.Patient preference and adherence · 2019Review
- The electronic health record as a patient engagement tool: mirroring clinicians' screen to create a shared mental model.JAMIA open · 2018Article
- Learning to use electronic health records: can we stay patient-centered? A pre-post intervention study with family medicine residents.BMC family practice · 2017Article
- Designing Patient-facing Health Information Technologies for the Outpatient Settings: A Literature Review.Journal of innovation in health informatics · 2016Review
- 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
- Exploring Residents' Interactions With Electronic Health Records in Primary Care Encounters.Family medicine · 2015Article
- Work system factors influencing physicians' screen sharing behaviors in primary care encounters.International journal of medical informatics · 2015Article
- All eyes on the patient: the influence of oncologists' nonverbal communication on breast cancer patients' trust.Breast cancer research and treatment · 2015Article
- How physician electronic health record screen sharing affects patient and doctor non-verbal communication in primary care.Patient education and counseling · 2015Article
- More screen time, less face time - implications for EHR design.Journal of evaluation in clinical practice · 2014Article
- Using video-based observation research methods in primary care health encounters to evaluate complex interactions.Informatics in primary care · 2014Review
- Patient-physician racial/ethnic concordance and blood pressure control: the role of trust and medication adherence.Ethnicity & health · 2014Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
objectiveIt is essential to design technologies and systems that promote appropriate interactions between physicians and patients. This study explored how physicians interact with Electronic Health Records (EHRs) to understand the qualities of the interaction between the physician and the EHR that may contribute to positive physician-patient interactions. STUDY
designVideo-taped observations of 100 medical consultations were used to evaluate interaction patterns between physicians and EHRs. Quantified observational methods were used to contribute to ecological validity.
methodsTen primary care physicians and 100 patients from five clinics participated in the study. Clinical encounters were recorded with video cameras and coded using a validated objective coding methodology in order to examine how physicians interact with electronic health records.
resultsThree distinct styles were identified that characterize physician interactions with the EHR: technology-centered, human-centered, and mixed. Physicians who used a technology-centered style spent more time typing and gazing at the computer during the visit. Physicians who used a mixed style shifted their attention and body language between their patients and the technology throughout the visit. Physicians who used the human-centered style spent the least amount of time typing and focused more on the patient.
conclusionA variety of EHR interaction styles may be effective in facilitating patient-centered care. However, potential drawbacks of each style exist and are discussed. Future research on this topic and design strategies for effective health information technology in primary care are also discussed.
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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.