ArticleJournal of the American Medical Informatics Association : JAMIA2016
Computers in the clinical encounter: a scoping review and thematic analysis.
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 50 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
50 citing papers in PubMed, 4 syntheses or guidelines pooled it, 157 citations in OpenAlex.
- Measurement Properties of Instruments Assessing Digital Competence in Nursing: A Systematic Review.Applied clinical informatics · 2026Pooled it
- Training medical students and residents in the use of electronic health records: a systematic review of the literature.Journal of the American Medical Informatics Association : JAMIA · 2020Pooled 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
- Developing an evidence base of best practices for integrating computerized systems into the exam room: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2017Pooled it
- Improving Patient-Provider Communication and Therapeutic Practice Through Better Integration of Electronic Health Records in the Exam Room: A Pilot Study.Health education & behavior : the official publication of the Society for Public Health Education · 2019Trial
- A tool supporting person-centred communication among people with cognitive complaints, care partners, and clinicians: a feasibility study.PEC innovation · 2026Article
- Speaker Role Identification in Clinical Conversations.Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing · 2026Article
- Artificial Intelligence for Management of Major Depression: Initial Design, Progress, and Research Plans.Alpha psychiatry · 2025Article
- From Clicks to Care: Enhancing Clinical Decision Making Through Structured Electronic Health Records Navigation Training.Journal of clinical medicine · 2025Article
- A Roadmap for Disaster Risk Reduction and Management in Kidney Care: A Scoping Review and Content Analysis.Journal of the American Society of Nephrology : JASN · 2025Article
- Examining nurses' awareness level and compliance between defined and required access levels to core functionalities of hospital information system : an observational and survey study.BMC health services research · 2024Observational
- Attention Among Health Care Professionals : A Scoping Review.Annals of internal medicine · 2024Article
- Incorporating verbal and nonverbal aspects to enhance a model of patient communication in cancer care: A grounded theory study.Cancer medicine · 2024Article
- When rules turn into tools: An activity theory-based perspective on implementation processes and unintended consequences.Healthcare management forum · 2024Article
- Perspective of Health Care Professionals and Cancer Survivors on the Usage of Technology in Consultations.International journal of environmental research and public health · 2024Article
- 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
- Associations of perceived changes in work due to digitalization and the amount of digital work with job strain among physicians: a national representative sample.BMC medical informatics and decision making · 2023Article
- The impact of eHealth on relationships and trust in primary care: a review of reviews.BMC primary care · 2023Review
- Underestimated Factors Regarding the Use of Technology in Daily Practice of Long-Term Care: Qualitative Study Among Health Care Professionals.JMIR nursing · 2023Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivePatient-clinician communication has been associated with increased patient satisfaction, trust in the clinician, adherence to prescribed therapy, and various health outcomes. The impact of health information technology (HIT) on the clinical encounter in general and patient-clinician communication in particular is a growing concern. The purpose of this study was to review the current literature on HIT use during the clinical encounter to update best practices and inform the continuous development of HIT policies and educational interventions.
methodsWe conducted a literature search of four databases. After removing duplicates, reviewing titles and abstracts, performing a full-text review, and snowballing from references and citations, 51 articles were included in the analysis. We employed a qualitative thematic analysis to compare and contrast the findings across studies.
resultsOur analysis revealed that the use of HIT affects consultations in complex ways, impacting eye contact and gaze, information sharing, building relationships, and pauses in the conversation. Whether these impacts are positive or negative largely depends on the combination of consultation room layout, patient and clinician styles of interaction with HIT as well as each other, and the strategies and techniques employed by clinicians to integrate HIT into consultations. DISCUSSION: The in-depth insights into the impact of HIT on the clinical encounter, especially the strategies and techniques employed by clinicians to adapt to using HIT in consultations, can inform policies, educational interventions, and research.
conclusionIn contrast to the common negative views of HIT, it affects the clinical encounter in multiple ways. By applying identified strategies and best practices, HIT can support patient-clinician interactions rather than interfering with them.
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Identifiers
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.