Computers in the consulting room: A case study of clinician and patient perspectives

被引：21
作者：
Aydin C.E. [1 ]
Anderson J.G. [2 ]
Rosen P.N. [3 ,4 ]
Felitti V.J. [3 ]
Weng H.-C. [2 ]
机构：
[1] Cedars-Sinai Medical Center, Burns and Allen Research Institute, Los Angeles
[2] Department of Sociology and Anthropology, Purdue University, W. Lafayette
[3] Kaiser-Permanente Medical Care Program, San Diego, CA
[4] Department of Family Practice and Preventive Medicine, University of California, San Diego
来源：
Health Care Management Science | 1998年 / 1卷 / 1期
关键词：
Social Network Analysis; Nurse Practitioner; Physician Assistant; Annual Symposium; Global Satisfaction;
D O I：
10.1023/A:1019021913951
中图分类号：
学科分类号：
摘要：
Few clinicians in the United States use computers during patient encounters and many still worry that computers will depersonalize their interactions with patients. This case study describes patient and clinician reactions to a computer-based health appraisal system. Findings showed no difference in any aspect of patient satisfaction between computer and non-computer groups. Use of a computer in the consulting room neither depersonalized nor enhanced patient satisfaction. Clinicians (in this case, nurse practitioners and physician assistants) were willing to use the system, which they perceived as having benefits for patient care, but were concerned about the increased time required for exams, effort required to learn the system while still interacting appropriately with the patient, increased monitoring of their performance, and other organizational issues. Clinicians who used the system showed a higher tolerance for uncertainty and communicated more frequently with each other and with others throughout the department. Implementation was slowed by the need to demonstrate the monetary value of the system. © Baltzer Science Publishers BV.
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页码：61 / 74
页数：13
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