Document Detail

Health information technology and physician-patient interactions: impact of computers on communication during outpatient primary care visits.
MedLine Citation:
PMID:  15802484     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The aim of this study was to evaluate the impact of introducing health information technology (HIT) on physician-patient interactions during outpatient visits.
DESIGN: This was a longitudinal pre-post study: two months before and one and seven months after introduction of examination room computers. Patient questionnaires (n = 313) after primary care visits with physicians (n = 8) within an integrated delivery system. There were three patient satisfaction domains: (1) satisfaction with visit components, (2) comprehension of the visit, and (3) perceptions of the physician's use of the computer.
RESULTS: Patients reported that physicians used computers in 82.3% of visits. Compared with baseline, overall patient satisfaction with visits increased seven months after the introduction of computers (odds ratio [OR] = 1.50; 95% confidence interval [CI]: 1.01-2.22), as did satisfaction with physicians' familiarity with patients (OR = 1.60, 95% CI: 1.01-2.52), communication about medical issues (OR = 1.61; 95% CI: 1.05-2.47), and comprehension of decisions made during the visit (OR = 1.63; 95% CI: 1.06-2.50). In contrast, there were no significant changes in patient satisfaction with comprehension of self-care responsibilities, communication about psychosocial issues, or available visit time. Seven months post-introduction, patients were more likely to report that the computer helped the visit run in a more timely manner (OR = 1.76; 95% CI: 1.28-2.42) compared with the first month after introduction. There were no other significant changes in patient perceptions of the computer use over time.
CONCLUSION: The examination room computers appeared to have positive effects on physician-patient interactions related to medical communication without significant negative effects on other areas such as time available for patient concerns. Further study is needed to better understand HIT use during outpatient visits.
John Hsu; Jie Huang; Vicki Fung; Nan Robertson; Holly Jimison; Richard Frankel
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2005-03-31
Journal Detail:
Title:  Journal of the American Medical Informatics Association : JAMIA     Volume:  12     ISSN:  1067-5027     ISO Abbreviation:  J Am Med Inform Assoc     Publication Date:    2005 Jul-Aug
Date Detail:
Created Date:  2005-07-11     Completed Date:  2005-08-16     Revised Date:  2013-06-09    
Medline Journal Info:
Nlm Unique ID:  9430800     Medline TA:  J Am Med Inform Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  474-80     Citation Subset:  IM    
Kaiser Permanente Medical Care Program, Division of Research, Oakland, CA, USA.
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MeSH Terms
Ambulatory Care
Attitude to Computers*
Longitudinal Studies
Medical Informatics Applications*
Middle Aged
Patient Satisfaction*
Physician-Patient Relations*
Primary Health Care
Comment In:
J Am Med Inform Assoc. 2006 Mar-Apr;13(2):236; author reply 237   [PMID:  16357349 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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