ArticleJournal of the American Medical Informatics Association : JAMIA2016
Strategizing EHR use to achieve patient-centered care in exam rooms: a qualitative study on primary care providers.
Article in Journal of the American Medical Informatics Association : JAMIA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses 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
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The impact of eHealth use on general practice workload in the pre-COVID-19 era: a systematic review.BMC health services research · 2024Pooled it
- Primary care physicians' attitudes to the adoption of electronic medical records: a systematic review and evidence synthesis using the clinical adoption framework.BMC medical informatics and decision making · 2018Pooled it
- Electronic health records and clinical documentation in medical residency programs: preparing residents to become master clinicians.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- People-centred primary health care: a scoping review.BMC primary care · 2023Article
- Physicians' and pharmacists' use of My Health Record in the emergency department: results from a mixed-methods study.Health information science and systems · 2021Article
- Feasibility and Acceptability of a Digital Patient-Reported Outcome Tool in Routine Outpatient Diabetes Care: Mixed Methods Formative Pilot Study.JMIR formative research · 2021Article
- Teaching Telemedicine: The Next Frontier for Medical Educators.JMIR medical education · 2021Article
- Provider Preference in Exam Room Layout Design and Computing.Applied clinical informatics · 2019Article
- The electronic health record as a patient engagement tool: mirroring clinicians' screen to create a shared mental model.JAMIA open · 2018Article
- The Business, Ethics, and Quality Cases for Consumer Engagement in Nursing.The Journal of nursing administration · 2018Article
- Time Requirements for Electronic Health Record Use in an Academic Ophthalmology Center.JAMA ophthalmology · 2017Article
- What Patients Value About Reading Visit Notes: A Qualitative Inquiry of Patient Experiences With Their Health Information.Journal of medical Internet research · 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
- Nurses' perceptions of a novel health information technology: A qualitative study in the pediatric intensive care unit.International journal of human-computer interaction · 2017Article
- Capturing the patients' voices: Planning for patient-centered electronic health record use.International journal of medical informatics · 2016Article
- Interactive systems for patient-centered care to enhance patient engagement.Journal of the American Medical Informatics Association : JAMIA · 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
14 authors.
Funding
Abstract
objectiveElectronic health records (EHRs) have great potential to improve quality of care. However, their use may diminish "patient-centeredness" in exam rooms by distracting the healthcare provider from focusing on direct patient interaction. The authors conducted a qualitative interview study to understand the magnitude of this issue, and the strategies that primary care providers devised to mitigate the unintended adverse effect associated with EHR use. METHODS AND MATERIALS: Semi-structured interviews were conducted with 21 healthcare providers at 4 Veterans Affairs (VAs) outpatient primary care clinics in San Diego County. Data analysis was performed using the grounded theory approach.
resultsThe results show that providers face demands from both patients and the EHR system. To cope with these demands, and to provide patient-centered care, providers attempt to perform EHR work outside of patient encounters and create templates to streamline documentation work. Providers also attempt to use the EHR to engage patients, establish patient buy-in for EHR use, and multitask between communicating with patients and using the EHR. DISCUSSION AND
conclusionThis study has uncovered the challenges that primary care providers face in integrating the EHR into their work practice, and the strategies they use to overcome these challenges in order to maintain patient-centered care. These findings illuminate the importance of developing "best" practices to improve patient-centered care in today's highly "wired" health environment. These findings also show that more user-centered EHR design is needed to improve system usability.
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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.