Abstract
Detrimental effects on physician-patient rapport are an often-voiced concern regarding the impacts of implementing an EMR in busy outpatient healthcare environments. Our objectives in this study were to: 1) identify significant concerns of physicians regarding implementation of an EMR in an outpatient clinic, both prior to implementation and after 6 months of use, and 2) assess patients' satisfaction with their outpatient encounters in this clinic, including general and EMR-specific factors. For physicians, physician-patient rapport was a concern prior to EMR implementation and increased with use of the system. In contrast, patients did not indicate a sense of loss of rapport with their physicians when an EMR was used during their outpatient visits. However, physicians and patients shared a concern about the privacy of medical information contained in an EMR.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Aydin C. E., Forsythe D. E. Implementing computers in ambulatory care: implications of physician practice patterns for system design. Proc AMIA Annu Fall Symp. 1997:677–681. [PMC free article] [PubMed] [Google Scholar]
- Aydin C. E., Rosen P. N., Felitti V. J. Transforming information use in preventive medicine: learning to balance technology with the art of caring. Proc Annu Symp Comput Appl Med Care. 1994:563–567. [PMC free article] [PubMed] [Google Scholar]
- Aydin C. E., Rosen P. N., Jewell S. M., Felitti V. J. Computers in the examining room: the patient's perspective. Proc Annu Symp Comput Appl Med Care. 1995:824–828. [PMC free article] [PubMed] [Google Scholar]
- Chin H. L., McClure P. Evaluating a comprehensive outpatient clinical information system: a case study and model for system evaluation. Proc Annu Symp Comput Appl Med Care. 1995:717–721. [PMC free article] [PubMed] [Google Scholar]
- Cork R. D., Detmer W. M., Friedman C. P. Development and initial validation of an instrument to measure physicians' use of, knowledge about, and attitudes toward computers. J Am Med Inform Assoc. 1998 Mar-Apr;5(2):164–176. doi: 10.1136/jamia.1998.0050164. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cruickshank P. J. Patient rating of doctors using computers. Soc Sci Med. 1985;21(6):615–622. doi: 10.1016/0277-9536(85)90200-x. [DOI] [PubMed] [Google Scholar]
- Cruickshank P. J. Patient stress and the computer in the consulting room. Soc Sci Med. 1982;16(14):1371–1376. doi: 10.1016/0277-9536(82)90034-x. [DOI] [PubMed] [Google Scholar]
- Dworkin L. A., Krall M., Chin H., Robertson N., Harris J., Hughes J. Experience using radio frequency laptops to access the electronic medical record in exam rooms. Proc AMIA Symp. 1999:741–744. [PMC free article] [PubMed] [Google Scholar]
- Folz-Murphy N., Partin M., Williams L., Harris C. M., Lauer M. S. Physician use of an ambulatory medical record system: matching form and function. Proc AMIA Symp. 1998:260–264. [PMC free article] [PubMed] [Google Scholar]
- Gamm L. D., Barsukiewicz C. K., Dansky K. H., Vasey J. J., Bisordi J. E., Thompson P. C. Pre- and post-control model research on end-users' satisfaction with an electronic medical record: preliminary results. Proc AMIA Symp. 1998:225–229. [PMC free article] [PubMed] [Google Scholar]
- Marshall P. D., Chin H. L. The effects of an Electronic Medical Record on patient care: clinician attitudes in a large HMO. Proc AMIA Symp. 1998:150–154. [PMC free article] [PubMed] [Google Scholar]
- Rethans J. J., Höppener P., Wolfs G., Diederiks J. Do personal computers make doctors less personal? Br Med J (Clin Res Ed) 1988 May 21;296(6634):1446–1448. doi: 10.1136/bmj.296.6634.1446. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Solomon G. L., Dechter M. Are patients pleased with computer use in the examination room? J Fam Pract. 1995 Sep;41(3):241–244. [PubMed] [Google Scholar]
- Teach R. L., Shortliffe E. H. An analysis of physician attitudes regarding computer-based clinical consultation systems. Comput Biomed Res. 1981 Dec;14(6):542–558. doi: 10.1016/0010-4809(81)90012-4. [DOI] [PubMed] [Google Scholar]