Capturing the patients' voices: Planning for patient-centered electronic health record use. Int J Med Inform 2016 Nov;95:1-7
Date
10/05/2016Pubmed ID
27697228Pubmed Central ID
PMC5055069DOI
10.1016/j.ijmedinf.2016.08.002Scopus ID
2-s2.0-84982182196 (requires institutional sign-in at Scopus site) 24 CitationsAbstract
OBJECTIVES: To understand (1) the perceptions of patients regarding use of EHR during clinic visits, (2) the impact of the presence of EHR on patient interactions with physicians, and (3) the ways in which EHR usage might increase patient engagement.
METHODS: We conducted semi-structured interviews of a convenience sample of patients of internal medicine resident doctors from three primary care clinics. Interviews were audio-recorded and transcribed verbatim. We used thematic analysis to identify themes from the transcripts. Informed consent was obtained from each participant.
RESULTS: We interviewed 32 patients; 37.5% male. Our analysis revealed three primary themes: (1) the views and beliefs of patients on the use of EHR in clinics, (2) patients' perception of the communication skills of residents, and (3) patients' perceptions about information sharing, patient engagement, and health education related to the EHR. An invitation to patients to view the screen as the physician interprets its content increases patient satisfaction and understanding. Residents' possessed skills in communication is not impeded when using EHR.
CONCLUSION: Patients generally express a positive or neutral perception of EHR use during clinic visits. Using information voiced by patients, we can teach health providers EHR strategies that are likely to engage patients in the visit and engender their trust.
Author List
Asan O, Tyszka J, Fletcher KEAuthor
Kathlyn E. Fletcher MD Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aged
Ambulatory Care
Ambulatory Care Facilities
Communication
Electronic Health Records
Humans
Male
Middle Aged
Patient Satisfaction
Patient-Centered Care
Physician-Patient Relations
Physicians
Videotape Recording
Young Adult
