ArticlePatient education and counseling2015
How physician electronic health record screen sharing affects patient and doctor non-verbal communication in primary care.
Article in Patient education and counseling, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 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
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.
- Promoting patient participation in healthcare interactions through communication skills training: A systematic review.Patient education and counseling · 2017Pooled it
- Artificial intelligence and person-centred practice: a critical reflection.NPJ digital medicine · 2026Review
- Communicative Justice in Later Life: A Critical Discourse Study and Bioethics-of-Vulnerability Analysis of Older Adults' Primary Care in Spain.Nursing inquiry · 2026Article
- Advancements in Electronic Medical Records for Clinical Trials: Enhancing Data Management and Research Efficiency.Cancers · 2025Review
- Quantitative analysis of communication dynamics in agile software teams through multimodal analytics.Scientific reports · 2025Article
- Consumer perspectives on the national electronic health record and barriers to its adoption in Germany: does health policy require a change in communication?BMC health services research · 2025Observational
- Impact of acoustic and informational noise on AI-generated clinical summaries.BMJ digital health & AI · 2025Article
- Clinical AI Scribes in primary care: accuracy, error severity and implications for clinical practice.BMJ digital health & AI · 2025Article
- Physicians' and Patients' Expectations From Digital Agents for Consultations: Interview Study Among Physicians and 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
- Improving Surgical Excellence: Can Coaching Surgeons Improve Patient Engagement?World journal of surgery · 2023Article
- The Influence of Face Gaze by Physicians on Patient Trust: an Observational Study.Journal of general internal medicine · 2022Observational
- 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
- Clinically Excellent Use of the Electronic Health Record: Review.JMIR human factors · 2018Review
- The electronic health record as a patient engagement tool: mirroring clinicians' screen to create a shared mental model.JAMIA open · 2018Article
- Patient Acceptance of Remote Scribing Powered by Google Glass in Outpatient Dermatology: Cross-Sectional Study.Journal of medical Internet research · 2018Article
- What factors influence the use of electronic health records during the first 10 minutes of the clinical encounter?International journal of general medicine · 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
- Capturing the patients' voices: Planning for patient-centered electronic health record use.International journal of medical informatics · 2016Article
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 4 institutions in 1 country.
Funding
Abstract
objectiveUse of electronic health records (EHRs) in primary-care exam rooms changes the dynamics of patient-physician interaction. This study examines and compares doctor-patient non-verbal communication (eye-gaze patterns) during primary care encounters for three different screen/information sharing groups: (1) active information sharing, (2) passive information sharing, and (3) technology withdrawal.
methodsResearchers video recorded 100 primary-care visits and coded the direction and duration of doctor and patient gaze. Descriptive statistics compared the length of gaze patterns as a percentage of visit length. Lag sequential analysis determined whether physician eye-gaze influenced patient eye gaze, and vice versa, and examined variations across groups.
resultsSignificant differences were found in duration of gaze across groups. Lag sequential analysis found significant associations between several gaze patterns. Some, such as DGP-PGD ("doctor gaze patient" followed by "patient gaze doctor") were significant for all groups. Others, such DGT-PGU ("doctor gaze technology" followed by "patient gaze unknown") were unique to one group.
conclusionSome technology use styles (active information sharing) seem to create more patient engagement, while others (passive information sharing) lead to patient disengagement. PRACTICE IMPLICATIONS: Doctors can engage patients in communication by using EHRs in the visits. EHR training and design should facilitate this.
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What OpenQuestion holds
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.