ArticleJournal of evaluation in clinical practice2014
More screen time, less face time - implications for EHR design.
Article in Journal of evaluation in clinical practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 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
37 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Promoting patient participation in healthcare interactions through communication skills training: A systematic review.Patient education and counseling · 2017Pooled it
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- National survey of user-reported usability of electronic medical record software in ophthalmology in Germany.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023Article
- Economic Evaluation of Novel Models of Care for Patients With Acute Medical Problems.JAMA network open · 2023Article
- Quantifying the Electronic Health Record Burden in Head and Neck Cancer Care.Applied clinical informatics · 2022Article
- The Influence of Face Gaze by Physicians on Patient Trust: an Observational Study.Journal of general internal medicine · 2022Observational
- Roadmap to a more useful and usable electronic health record.Cardiovascular digital health journal · 2021Article
- Evaluating Electronic Health Record Limitations and Time Expenditure in a German Medical Center.Applied clinical informatics · 2021Article
- The Use of Medical Scribes in Primary Care Settings: A Literature Synthesis.Medical care · 2021Review
- Emergency medicine residents spend over 7.5 months of their 3-year residency on the electronic health record.AEM education and training · 2021Article
- How Do Patients Want Us to Use the Computer During Medical Encounters?-A Discrete Choice Experiment Study.Journal of general internal medicine · 2021Article
- Systematic Quality Improvement and Metabolic Monitoring for Individuals Taking Antipsychotic Drugs.Psychiatric services (Washington, D.C.) · 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
- How Physicians Spend Their Work Time: an Ecological Momentary Assessment.Journal of general internal medicine · 2020Article
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3 authors.
Funding
Abstract
RATIONALE, AIMS AND
objectivesUnderstanding the impact of health information technology on doctor-patient interaction is vital to designing better electronic health records (EHRs). This article quantitatively examines and compares clinically experienced physicians' interactions with patients using paper or EHRs in ambulatory primary care settings.
methodsClinical encounters using paper or EHRs were recorded with high-resolution video cameras to capture physicians' interactions with the health records and patients. All videos were coded using quantified video coding methodology to understand how physicians interacted with EHRs and patients through measuring eye gaze durations. Statistical analysis was conducted to compare the results of the paper and EHR visits.
resultsEight experienced family medicine physicians and 80 patients participated in the study. A total of 80 visits, 40 with paper and 40 with EHRs were recorded. The proportion of time physicians spent gazing at medical records during EHR visits was significantly more than in paper chart visits (35.2 versus 22.1%, P = 0.001). A significantly smaller proportion of physician time was spent gazing at the patient when using an EHR compared with when using a paper chart (52.6 versus 45.6%, P = 0.041).
conclusionsFor this group of family medicine physicians, more time was spent looking at the EHR screen than paper records and a little less time looking at the patient. These findings may negatively affect the patient perception of the visit with the physician and have implications for the design of future EHRs.
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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.