Computers in the exam room: Differences in physician-patient interaction may be due to physician experience

Journal of General Internal Medicine

Volumn 22, Issue 1, 2007, Pages 43-48

  Rouf, Emran ^a   Whittle, Jeff ^b,c   Lu, Na ^c   Schwartz, Mark D ^d,e  

^a UNIVERSITY OF MISSOURI KANSAS CITY SCHOOL OF MEDICINE   (United States)

^b CLEMENT J ZABLOCKI VETERANS AFFAIRS MEDICAL CENTER   (United States)

^c MEDICAL COLLEGE OF WISCONSIN   (United States)

^d NEW YORK UNIVERSITY SCHOOL OF MEDICINE   (United States)

^e DEPARTMENT OF VETERANS AFFAIRS   (United States)

Author keywords

Computers; Electronic medical record; Physician patient relations

Indexed keywords

ADULT; ARTICLE; COMPUTER; CONTROLLED STUDY; DOCTOR PATIENT RELATION; EXPERIENCE; FEMALE; HUMAN; MALE; PATIENT ASSESSMENT; PERSONAL EXPERIENCE; PHYSICIAN; RESIDENT; STATISTICAL SIGNIFICANCE; TIME; ATTITUDE TO COMPUTERS; CROSS-SECTIONAL STUDY; INTERPERSONAL COMMUNICATION; MEDICAL EDUCATION; MEDICAL RECORD; MEDICAL SCHOOL; PRIMARY HEALTH CARE; QUESTIONNAIRE; UNITED STATES;

ADULT; ATTITUDE TO COMPUTERS; COMMUNICATION; CROSS-SECTIONAL STUDIES; FACULTY, MEDICAL; FEMALE; HUMANS; INTERNSHIP AND RESIDENCY; MALE; MEDICAL RECORDS SYSTEMS, COMPUTERIZED; PHYSICIAN-PATIENT RELATIONS; PRIMARY HEALTH CARE; QUESTIONNAIRES; TIME FACTORS; VIRGINIA;

EID: 34248532316     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-007-0112-9     Document Type: Article

References (37)

1. Inui TS, Carter WB. Problems and prospects for health services research on provider-patient communication. Med Care. 1985;23(5): 521-38.
2. Stewart MA. Effective physician-patient communication and health outcomes: a review. CMAJ. 1995;152:1423-33.
3. Hall JA, Horgan TJ, Stein TS, Roter DL. Liking in the physician-patient relationship. Patient Educ Couns. 2002 Sep;48(1):69-77.
4. Kaplan SH, Greenfield S, Ware JE, J. Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Med Care.1989;27:S110-S127.
5. Schneider J, Kaplan SH, Greenfield S, Li W, Wilson IB. Better physician-patient relationships are associated with higher reported adherence to antiretroviral therapy in patients with HIV infection. J Gen Intern Med. 2004 Nov;19(11):1096-103.
6. Roter DL, Hall JA, Katz NR. Relations between physicians' behaviors and analogue patients' satisfaction, recall, and impressions. Med Care.1987;25:437-51.
7. Beckman HB, Markakis KM, Suchman AL, Frankel RM. The doctor-patient relationship and malpractice. Lessons from plaintiff depositions. Arch Intern Med. 1994;154(12):1365-70.
8. Lester GW, Smith SG. Listening and talking to patients. A remedy for malpractice suits? West J Med. 1993;158:268-72
9. Blendon RJ, Schoen C, Desroches C, Osborn R, Zapert K. Common concerns amid diverse systems: health care experiences in five countries. Health Aff (Millwood). 2003 May-Jun;22(3):106-21.
10. Woolf SH, Kuzel AJ, Dovey SM, Philips RL, Jr. A String of mistakes: the importance of cascade analysis in describing, counting, and preventing medical errors. Ann Fam Med. 2004 Jul-Aug;2(4):292-93
11. Greenfield S, Kaplan S, Ware, JE, Jr. Expanding patient involvement in care. Effects on patient outcomes. Ann Intern Med. 1985 Apr;102(4): 520-28.
12. Hulka BS, Cassel JC, Kupper LL, Burdette JA. Communication, compliance, and concordance between physicians and patients with prescribed medications. Am J Public Health. 1976;66:847-53.
13. Bates DW, Teich JM, Lee J, et al. The impact of computerized physician order entry on medication error prevention. J Am Med Inform Assoc. Jul-Aug 1999;6(4):313-21.
14. Versel, N. One in five group practices now use EHRs. Health IT World News Newsletter 2. 1-25-2005. Health-IT World. 11-15-2005
15. Institute of Medicine, Committee on improving the patient record. The computer-based patient record: An essential technology for health care. Washington, DC: National Academy Press, 1997.
16. Rollman BL, Hanusa BH, Lowe HJ, Gilbert T, Kapoor WN, Schulberg HC. A randomized trial using computerized decision support to improve treatment of major depression in primary care. J Gen Intern Med. 2002; 17:493-503.
17. Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. Arch Intern Med. 2003;163:1409-16.
18. Hunt DL, Haynes RB, Hanna SE, Smith K. Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. JAMA. 1998;280:1339-46.
19. Roter DL, Frankel RM, Hall JA, Sluyter D. The expression of emotion through nonverbal behavior in medical visits. Mechanisms and Outcomes. J Gen Intern Med. 2006 Jan;21(Suppl 1):S28-S34.
20. Waitzkin H. Doctor-patient communication. Clinical implications of social scientific research. JAMA. 1984 Nov 2;252(17):2441-46.
21. Mitchell E, Sullivan F. A descriptive feast but an evaluative famine: systematic review of published articles on primary care computing during 1980-97. BMJ. 2001;322:279-82.
22. Frankel R, Altschuler A, George S, et al. Effects of exam-room computing on clinician-patient communication: a longitudinal qualitative study. J Gen Intern Med. 2005;20:677-82.
23. Rubin HR, Gadnek B, Rogers WH, Kosinsky M. Patients' ratings of outpatients visits in different practice settings: results from the Medical Outcome Study. JAMA. 1993:270:835-40.
24. Liang KY, Zeger SL. Longitudinal data analysis using generalized linear models. Biometrika. 1986;73:13-22.
25. Makoul G, Curry RH, Tang PC. The use of electronic medical records: communication patterns in outpatient encounters. J Am Med Inform Assoc. 2001;8:610-5.
26. Ridsdale L, Hudd S. Computers in the consultation: the patient's view. Br J Gen Pract. 1994;44:367-9.
27. Solomon GL, Dechter M. Are patients pleased with computer use in the examination room? J Fam Pract. 1995;41:241-4.
28. Ornstein S, Bearden A. Patient perspectives on computer-based medical records. J Fam Pract. 1994;38:606-10.
29. Gadd CS, Penrod LE. Dichotomy between physicians' and patients' attitudes regarding EMR use during outpatient encounters. Proc AMIA Symp. 2000;275-9.
30. Legler JD, Oates R. Patients' reactions to physician use of a computerized medical record system during clinical encounters. J Fam Pract. 1993;37:241-4.
31. Aydin CE, Rosen PN, Jewell SM, Felitti VJ. Computers in the examining room: the patient's perspective. Proc Annu Symp Comput Appl Med Care. 1995;824-8.
32. Herzmark G, Brownbridge G, Fitter M, Evans A. Consultation use of a computer by general practitioners. J R Coll Gen Pract. 1984;34:649-54.
33. Warshawsky SS, Pliskin JS, Urkin J, et al. Physician use of a computerized medical record system during the patient encounter: a descriptive study. Comput Methods Programs Biomed. 1994;43:269-73.
34. Als AB. The desktop computer as a magic box: patterns of behaviour connected with the desktop computer; GPs' and patients' perceptions. Fam Pract. 1997;14:17-23.
35. Rowe BH, Ryan DT, Therrien S, Mulloy JV. First-year family medicine residents' use of computers: knowledge, skills and attitudes. CMAJ. 1995;153:267-72.
36. Aaronson JW, Murphy-Cullen CL, Chop WM, Frey RD. Electronic medical records: the family practice resident perspective. Fam Med. 2001; 33:128-32.
37. Embi PJ, Yackel TR, Logan JR, Bowen JL, Cooney TG, Gorman PN. Impacts of computerized physician documentation in a teaching hospital: perceptions of faculty and resident physicians. J Am Med Inform Assoc. 2004;11:300-9.