Medical College of Wisconsin
CTSIResearch InformaticsREDCap

Providers' perceived facilitators and barriers to EHR screen sharing in outpatient settings. Appl Ergon 2017 Jan;58:301-307

Date

09/17/2016

Pubmed ID

27633226

DOI

10.1016/j.apergo.2016.07.005

Scopus ID

2-s2.0-84978956451 (requires institutional sign-in at Scopus site)   16 Citations

Abstract

As health care becomes more patient-centered, some scholars and policy makers propose shifting use of electronic health records (EHRs) to a tool to educate and engage patients. Physician-patient screen sharing may provide a way to achieve this. However, the barriers and facilitators that physicians experience with screen sharing are unknown. In this study, we explored providers' facilitators and barriers to using EHR as a primary care communication tool. We conducted an interview study with 14 primary care providers to discover their views on screen sharing. We used the work system model as a conceptual framework to classify emergent factors. Content analysis yielded 28 facilitators and 56 barriers to patient-centered screen sharing in primary care. We linked these to work system elements. We outline suggestions for more patient-centered EHR systems, and for provider communication training. Finally, we consider the role screen sharing might play in the development of physician-patient situation awareness.

Author List

Asan O



MESH terms used to index this publication - Major topics in bold

Ambulatory Care
Attitude of Health Personnel
Communication
Computer Terminals
Data Display
Electronic Health Records
Family Practice
Female
Health Knowledge, Attitudes, Practice
Humans
Interior Design and Furnishings
Interviews as Topic
Male
Patient Education as Topic
Patient Participation
Physician-Patient Relations
Primary Health Care
Software