Going Mobile: Resident Physicians' Assessment of the Impact of Tablet Computers on Clinical Tasks, Job Satisfaction, and Quality of Care

Sweeney, Megan; Paruchuri, Kaavya; Weingart, Saul N.

doi:10.1055/s-0038-1667121

Cited by 5 publications

(5 citation statements)

References 31 publications

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“…As noted by Luff et al (1992), screen-based systems do tend to localize staff members to those screens, constraining locations of collaborations. This finding is further supported by previous studies reporting improved communication and workflow with mobile technology (Prgomet et al, 2009;Sweeney et al, 2018).…”

Section: Visual Connections Between Staff Worktations and Clinic Spaces And Observed Communication Frequencies Of The Spaces (Space Levelsupporting

confidence: 88%

Beyond Co-location: Visual Connections of Staff Workstations and Staff Communication in Primary Care Clinics

Lim

Kanfer

Stroebel

et al. 2020

Environment and Behavior

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The importance of communication among healthcare providers has been long recognized, and many healthcare organizations are implementing team-based care, with emphasis on staff communication. While previous empirical studies in various settings illustrate the role of built environments in user communication, there is a lack of quantified interpersonal spatial metrics to predict interactions. This study investigates how interpersonal spatial metrics at different scales predict staff communication patterns by empirically studying four primary care clinics that provide team-based care. We found that staff members in clinics with higher visual connections among staff members reported more timely and frequent communication. We also found that staff members talked to each other more frequently when their workstations were visually connected. The findings of this study are expected to help designers and facility managers provide well-designed team-based clinic layouts, beyond just shared work spaces for team members, for improved staff communication.

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Section: Visual Connections Between Staff Worktations and Clinic Spaces And Observed Communication Frequencies Of The Spaces (Space Levelsupporting

confidence: 88%

Beyond Co-location: Visual Connections of Staff Workstations and Staff Communication in Primary Care Clinics

Lim

Kanfer

Stroebel

et al. 2020

Environment and Behavior

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“…The results showed that information quality and system quality were significant predictors of satisfaction, and, therefore, intention to use the system. 62 In addition, Li and Jiao 63 confirmed that there is a significant relationship between system quality and user satisfaction and that this relationship affects the actual use of online services. In addition, system quality perceptions have been reported to affect behavioral intention and usage decisions in many studies.…”

Section: M-health App Qualitymentioning

confidence: 98%

The Determinants of M-Health Adoption in Developing Countries: An Empirical Investigation

2019

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Background The potential benefit of mobile health (M-Health) in developing countries for improving the efficiency of health care service delivery, health care quality, and patient safety, as well as reducing cost, has been increasingly recognized and emphasized in the last few years. Objective Limited research has investigated the facilitators and barriers for the adoption of M-Health in developing countries to secure successful implementation of the technology. To fill this knowledge gap, we propose an integrative model that explains the patient's adoption behavior of M-Health in developing countries grounded on the unified theory of acceptance and use of technology, dual-factor model, and health belief model. Method We empirically tested and evaluated the model based on data collected using a survey method from 280 patients living in a developing country. Partial least squares (PLS-SEM) technique was used for data analysis. Results The results showed that performance expectancy, effort expectancy, social influence, perceived health threat, M-Health app quality, and life quality expectancy have a direct positive effect on patients’ intention to use M-Health. The results also showed that security and privacy risks have a direct negative effect on the patient's intention to use M-Health. However, resistance to change was found to have an indirect negative effect on patients’ intention to use M-Health through the performance expectancy. Conclusion The research contributes to the existing literature of health information systems and M-Health by better understanding how technological, social, and functional factors are associated with digital health applications and services use and success in the context of developing countries. With the widespread availability of mobile technologies and services and the growing demand for M-Health apps, this research can help guide the development of the next generation of M-Health apps with a focus on the needs of patients in developing countries. The research has several theoretical and practical implications for the health care industry, government, policy makers, and technology developers and designers.

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“…These tools and applications are frequently used during medical consultations (Sousa and Zaroukian 2003). Many of these mobile devices and applications have been shown to result in a variety of positive outcomes because of their capacity to assist in decision-making, facilitate care monitoring, and seamless access to reference material (Sweeney et al, 2018;Harper et al, 2019) For example, using of personal digital assistants (PDAs) positively influenced decision making and diagnostic tasks in several simulated patient cases (Coopmans and Biddle, 2008). Additionally, using electronic handheld devices for clinical reference resulted in improved patient safety, process improvement, increased quality care delivery, and safer care (Rothschild et al 2006;Patel et al 2012).…”

Section: Background Mobile Technology In Clinical Encountersmentioning

confidence: 99%

“…Thus, computing technologies can enhance the capacity of the physician during medical consultations (Sweeney et al, 2018). The potential benefit of improving the quality of care and operational efficiency make HITs appealing to many HMOs and primary care providers.…”

Section: Background Mobile Technology In Clinical Encountersmentioning

confidence: 99%

“…The prior literature is replete with studies that conclude that the outcomes of using HITs are not always positive. Thus, although computer technology can improve patient-doctor relationship during clinical encounters, there are also challenges, including information overload and reduced focus on patients, that can reverse these benefits (Alkureishi et al, 2016;Noordman et al, 2010;Chaudhry et al, 2006;Makoul et al,2001;Sweeney et al, 2018). The evidence from the prior literature on information overload and physician burnout makes it critical to examine how these mobile and tablet technologies influence physician-patient interaction to devise appropriate intervention policies.…”

Section: Background Mobile Technology In Clinical Encountersmentioning

confidence: 99%

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Tablet in the Consultation Room and Physician Satisfaction

Kumi

Reychav

Azuri

et al. 2023

International Journal of Healthcare Information Systems and Informatics

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The purpose of the study is to investigate patient-physician interactions during a clinical encounter to ascertain the impact of tablet computing on physician satisfaction during a clinical encounter. This study was conducted at a primary care clinic, and the physicians who participated could use a tablet during their clinical encounters. The authors compared satisfaction between physicians who used the tablet during a clinical encounter and those who did not using data from 122 clinical encounters involving 82 patients. The results indicate that physicians who used the tablet during clinical encounters are more satisfied than those who did not. Additionally, there was a meaning difference in satisfaction between physicians who used the tablet to educate patients and share information than those who did not. HITs have potential benefits, but they also come with risks. To effectively manage the risks and benefits of HITs, healthcare providers should be deliberate and strategic in the implementation of HITs.

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Going Mobile: Resident Physicians' Assessment of the Impact of Tablet Computers on Clinical Tasks, Job Satisfaction, and Quality of Care

Abstract: The introduction of tablet computers enhanced resident physicians' perceptions of efficiency, effectiveness, and job satisfaction. Investments in this technology are warranted.

Cited by 5 publications

References 31 publications

Beyond Co-location: Visual Connections of Staff Workstations and Staff Communication in Primary Care Clinics

Beyond Co-location: Visual Connections of Staff Workstations and Staff Communication in Primary Care Clinics

The Determinants of M-Health Adoption in Developing Countries: An Empirical Investigation

Tablet in the Consultation Room and Physician Satisfaction

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