Table.
Patient, clinician, and encounter characteristics in a study of electronic health record use in safety net primary and specialty care
| Characteristic | Value |
|---|---|
|
| |
| Patients (n=25) | |
| Mean age, y (SD) | 56.8 (11.0) |
| Women, n (%) | 11 (44.0) |
| Hispanic, n (%) | 12 (48.0) |
| Asian, n (%) | 6 (24.0) |
| White, n (%) | 4 (16.0) |
| African-American, n (%) | 2 (8.0) |
| Multiethnic, n (%) | 1 (4.0) |
| Primary Language Spanish, n (%) | 10 (40.0) |
| Limited English proficiency, n (%)* | 6 (24.0) |
| ≤ 8th grade education, n (%) | 2 (8.0) |
| Some high school or graduate/GED, n (%) | 7 (28.0) |
| Some college or college graduate, n (%) | 16 (64.0) |
| Limited health literacy, n (%)† | 5 (20.0) |
| Income ≤ $20,000/year, n (%) | 23 (92.0) |
|
| |
| Clinicians (n=25) | |
| Mean age, y (SD) | 44.9 (11.9) |
| Women, n (%) | 14 (66.7) |
| Primary care clinic, n (%) | 14 (56.0) |
| Diabetes clinic, n (%) | 5 (20.0) |
| Cardiology clinic, n (%) | 3 (12.0) |
| Rheumatology clinic, n (%) | 3 (12.0) |
| Physician, n (%) | 21 (84.0) |
| Nurse practitioner or physician assistant, n (%) | 4 (16.0) |
| Years since professional degree, mean (SD) | 15.7 (11.3) |
|
| |
| Encounters (n=35) | |
| Relationship length years at baseline, n (%) | |
| < 1 year | 2 (5.7) |
| 1–5 years | 19 (54.3) |
| >5 years | 14 (40.0) |
| Language during encounter, n (%) | |
| English | 29 (82.9) |
| Spanish | 5 (14.3) |
| Spanish interpreter | 1 (2.9) |
| Electronic health record (EHR) use during visit, n (%) | |
| Multitasking EHR and Silent EHR Use | 26 (74.2) |
| Multitasking EHR only | 6 (17.1) |
| No EHR use | 3 (8.6) |
| Visit length in minutes, median (IQR) | 20.6 (16.7 – 32.2) |
| Proportion (%) of visit time during encounters, median (IQR) | |
| Multitasking EHR use | 30.5 (20.4 – 41.2) |
| Silent EHR use | 4.6 (0.0 – 11.1) |
| Patient education using EHR | 0.0 (0.0 – 1.0) |
| Multitasking non-EHR tasks | 4.3 (2.0 – 10.8) |
| Silent non-EHR tasks | 0.0 (0.0 – 0.0) |
| Patient education using paper | 0.0 (0.0 – 0.4) |
| Physical examination | 9.0 (0.0 – 30.5) |
| Focused patient-clinician talk | 33.1 (0.24 – 44.2) |
*
Spanish-speaking patients who reported English proficiency less than “very well.”
†
Somewhat, a little bit, or not at all confident “filling out medical forms by yourself”