ArticleInternational journal of medical informatics2015
Work system factors influencing physicians' screen sharing behaviors in primary care encounters.
Article in International journal of medical informatics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Article
- Clinically Excellent Use of the Electronic Health Record: Review.JMIR human factors · 2018Review
- Going Mobile: Resident Physicians' Assessment of the Impact of Tablet Computers on Clinical Tasks, Job Satisfaction, and Quality of Care.Applied clinical informatics · 2018Article
- The electronic health record as a patient engagement tool: mirroring clinicians' screen to create a shared mental model.JAMIA open · 2018Article
- Ambulatory Clinic Exam Room Design with respect to Computing Devices: A Laboratory Simulation Study.IISE transactions on occupational ergonomics and human factors · 2018Article
- Residents' Insights and Ideas about Screen-Sharing in Primary Care Clinics.Applied clinical informatics · 2017Article
- Trust Me, I'm a Doctor: Examining Changes in How Privacy Concerns Affect Patient Withholding Behavior.Journal of medical Internet research · 2017Article
- Usability and Workflow Evaluation of "RhEumAtic Disease activitY" (READY). A Mobile Application for Rheumatology Patients and Providers.Applied clinical informatics · 2016Article
- Capturing the patients' voices: Planning for patient-centered electronic health record use.International journal of medical informatics · 2016Article
- Designing Patient-facing Health Information Technologies for the Outpatient Settings: A Literature Review.Journal of innovation in health informatics · 2016Review
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveWhile the use of electronic health records (EHRs) in primary care has increased dramatically, its potential benefits need to be considered in light of potential negative impacts on physician-patient interactions and the increase in physician cognitive workload. This study aims to understand work system factors contributing to physicians' use of the EHR as a communication tool during primary-care encounters.
methodsWe interviewed 14 primary care physicians on their use of EHRs as a communication tool in patient visits. A qualitative content analysis guided by the work system model identified factors influencing physicians' decisions to share or not share the computer screen with their patients.
resultsThe analysis revealed 26 factors that influenced physicians' decisions to share the screen, most related to the "task" (reviewing lab records), "tools and technology" (using algorithm calculators for risk prediction), or "individual" (patient interest) elements of the work system. The analysis revealed 15 factors that influenced physicians' decisions not to share the screen, most related to the "individual" (patient's acute pain), "organization" (insufficient time), or "task" (documenting embarrassing information) elements of the work system.
conclusionEleven physicians made individual decisions to share or not to share the screen in a particular visit based on work-system related factors. Three doctors always shared the screen, based on the idea that it is polite and builds trust. However, several physicians also reported that it was time consuming and caused unnecessary distractions. Understanding these factors is essential to effective EHR redesign and training for improving physician-patient communication.
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