Journal
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
Volume 95, Issue -, Pages 1-7Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.ijmedinf.2016.08.002
Keywords
Doctor-patient relationships; Electronic health records; Health communication; Patient education; Patient engagement
Categories
Funding
- Clinical and Translational Science Award (CTSA) program of the National Center for Research Resources
- National Center for Advancing Translational Sciences [8UL1TR000055]
- Clinical & Translational Science Institute of Southeast Wisconsin through the Medical College Physicians Group
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Objectives: To understand (1) the perceptions of patients regarding use of EHR during clinic visits, (2) the impact of the presence of EHR on patient interactions with physicians, and (3) the ways in which EHR usage might increase patient engagement. Methods: We conducted semi-structured interviews of a convenience sample of patients of internal medicine resident doctors from three primary care clinics. Interviews were audio-recorded and transcribed verbatim. We used thematic analysis to identify themes from the transcripts. Informed consent was obtained from each participant. Results: We interviewed 32 patients; 37.5% male. Our analysis revealed three primary themes: (1) the views and beliefs of patients on the use of EHR in clinics, (2) patients' perception of the communication skills of residents, and (3) patients' perceptions about information sharing, patient engagement, and health education related to the EHR. An invitation to patients to view the screen as the physician interprets its content increases patient satisfaction and understanding. Residents' possessed skills in communication is not impeded when using EHR. Conclusion: Patients generally express a positive or neutral perception of EHR use during clinic visits. Using information voiced by patients, we can teach health providers EHR strategies that are likely to engage patients in the visit and engender their trust. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
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