ArticleInternational journal of medical informatics2014
Dynamic modeling of patient and physician eye gaze to understand the effects of electronic health records on doctor-patient communication and attention.
Article in International journal of medical informatics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 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
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 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
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- Observer: Creation of a Novel Multimodal Dataset for Outpatient Care Research.medRxiv : the preprint server for health sciences · 2025Article
- Differences in physician electronic health record use by telemedicine intensity: evidence from 2 academic medical centers.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Telemedicine use in Primary Care Associated with More Timely Access Without Unintended Subsequent Utilization for People with Dementia.Journal of general internal medicine · 2025Article
- Patients' Expectations of Doctors' Clinical Competencies in the Digital Health Care Era: Qualitative Semistructured Interview Study Among Patients.JMIR human factors · 2024Article
- Evaluation of Eye Gaze Dynamics During Physician-Patient-Computer Interaction in Federally Qualified Health Centers: Systematic Analysis.JMIR human factors · 2023Article
- The Influence of Face Gaze by Physicians on Patient Trust: an Observational Study.Journal of general internal medicine · 2022Observational
- Evaluating Electronic Health Record Limitations and Time Expenditure in a German Medical Center.Applied clinical informatics · 2021Article
- Optimising Seniors' Metabolism of Medications and Avoiding Adverse Drug Events Using Data on How Metabolism by Their P450 Enzymes Varies with Ancestry and Drug-Drug and Drug-Drug-Gene Interactions.Journal of personalized medicine · 2020Article
- Rethinking the electronic health record through the quadruple aim: time to align its value with the health system.BMC medical informatics and decision making · 2020Article
- Protecting healing relationships in the age of electronic health records: report from an international conference.JAMIA open · 2019Article
- Utilizing a Physician Scribe in a Pediatric Plastic Surgical Practice: A Time-driven Activity-based Costing Study.Plastic and reconstructive surgery. Global open · 2019Article
- A Pilot Study on the Effects of Physician Gaze on Patient Satisfaction in the Setting of Electronic Health Records.Journal of academic ophthalmology (2017) · 2019Article
- Electronic Health Record Interactions through Voice: A Review.Applied clinical informatics · 2018Review
- Ambulatory Clinic Exam Room Design with respect to Computing Devices: A Laboratory Simulation Study.IISE transactions on occupational ergonomics and human factors · 2018Article
- Tethered to the EHR: Primary Care Physician Workload Assessment Using EHR Event Log Data and Time-Motion Observations.Annals of family medicine · 2017Article
- Electronic Health Records and the Disappearing Patient.Medical anthropology quarterly · 2017Article
- Two-year longitudinal assessment of physicians' perceptions after replacement of a longstanding homegrown electronic health record: does a J-curve of satisfaction really exist?Journal of the American Medical Informatics Association : JAMIA · 2017Article
- Incorporating the human touch: piloting a curriculum for patient-centered electronic health record use.Medical education online · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveThe aim of this study was to examine eye gaze patterns between patients and physicians while electronic health records were used to support patient care.
backgroundEye gaze provides an indication of physician attention to patient, patient/physician interaction, and physician behaviors such as searching for information and documenting information.
methodsA field study was conducted where 100 patient visits were observed and video recorded in a primary care clinic. Videos were then coded for gaze behaviors where patients' and physicians' gaze at each other and artifacts such as electronic health records were coded using a pre-established objective coding scheme. Gaze data were then analyzed using lag sequential methods.
resultsResults showed that there are several eye gaze patterns significantly dependent to each other. All doctor-initiated gaze patterns were followed by patient gaze patterns. Some patient-initiated gaze patterns were also followed by doctor gaze patterns significantly unlike the findings in previous studies. Health information technology appears to contribute to some of the new significant patterns that have emerged. Differences were also found in gaze patterns related to technology that differ from patterns identified in studies with paper charts. Several sequences related to patient-doctor-technology were also significant. Electronic health records affect the patient-physician eye contact dynamic differently than paper charts.
conclusionThis study identified several patterns of patient-physician interaction with electronic health record systems. Consistent with previous studies, physician initiated gaze is an important driver of the interactions between patient and physician and patient and technology.
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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.