How physician electronic health record screen sharing affects patient and doctor non-verbal communication in primary care

被引：50

作者：

Asan, Onur ^{[1
]}

Young, Henry N. ^{[2
]}

Chewning, Betty ^{[3
]}

Montague, Enid ^{[4
]}

机构：

[1] Med Coll Wisconsin, Dept Med, Ctr Patient Care & Outcomes Res, Div Gen Internal Med, Milwaukee, WI 53226 USA

[2] Univ Georgia, Coll Pharm, Athens, GA 30602 USA

[3] Univ Wisconsin, Sch Pharm, Madison, WI 53706 USA

[4] Northwestern Univ, Div Gen Internal Med, Feinberg Sch Med, Chicago, IL 60611 USA

来源：

PATIENT EDUCATION AND COUNSELING | 2015年 / 98卷 / 03期

基金：

美国国家卫生研究院;

关键词：

EHRs; Physician-patient communication; Physician-EHR interaction; Primary care; CENTERED COMMUNICATION; MEDICAL-RECORDS; EYE GAZE; CONSULTATION; OUTCOMES; IMPACT; SKILLS;

D O I：

10.1016/j.pec.2014.11.024

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: Use of electronic health records (EHRs) in primary-care exam rooms changes the dynamics of patient-physician interaction. This study examines and compares doctor-patient non-verbal communication (eye-gaze patterns) during primary care encounters for three different screen/ information sharing groups: (1) active information sharing, (2) passive information sharing, and (3) technology withdrawal. Methods: Researchers video recorded 100 primary-care visits and coded the direction and duration of doctor and patient gaze. Descriptive statistics compared the length of gaze patterns as a percentage of visit length. Lag sequential analysis determined whether physician eye-gaze influenced patient eye gaze, and vice versa, and examined variations across groups. Results: Significant differences were found in duration of gaze across groups. Lag sequential analysis found significant associations between several gaze patterns. Some, such as DGP-PGD ("doctor gaze patient" followed by "patient gaze doctor") were significant for all groups. Others, such DGT-PGU ("doctor gaze technology" followed by "patient gaze unknown") were unique to one group. Conclusion: Some technology use styles (active information sharing) seem to create more patient engagement, while others (passive information sharing) lead to patient disengagement. Practice implications: Doctors can engage patients in communication by using EHRs in the visits. EHR training and design should facilitate this. (C) 2014 Elsevier Ireland Ltd. All rights reserved.

引用

页码：310 / 316

页数：7

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