| 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 |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
John Hsu; Jie Huang; Vicki Fung; Nan Robertson; Holly Jimison; Richard Frankel |
Related Documents
:
|
8469164 - Information exchange in a patient-physician encounter. a quantitative approach. 17238444 - Proposed criteria for reimbursing evisits: content analysis of secure patient messages ... 15666254 - The accuracy of visual estimation of body weight in the ed. 8900334 - Lifestyle modification: weight control, exercise, and smoking cessation. 2741614 - Laboratory tests in patients with suspected acute appendicitis. 8469164 - Information exchange in a patient-physician encounter. a quantitative approach. |
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: 2011-08-01 |
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 |
Affiliation:
|
Kaiser Permanente Medical Care Program, Division of Research, Oakland, CA, USA. jth@dor.kaiser.org |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Ambulatory Care Attitude to Computers* Communication Computers Female Humans Longitudinal Studies Male Medical Informatics Applications* Middle Aged Patient Satisfaction* Physician-Patient Relations* Primary Health Care Questionnaires |
| Comments/Corrections | |
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
Previous Document: Integrating SNOMED CT into the UMLS: an exploration of different views of synonymy and quality of ed...
Next Document: Comprehensive analysis of a medication dosing error related to CPOE.