Investigating usability and "meaningful use" of electronic medical records

Teston, Christa

doi:10.1145/2379057.2379101

Cited by 4 publications

(3 citation statements)

References 26 publications

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“…Instead, it should be seen as a mediator of a different representation of medical work (and of the patient’s body), rather than an “innocuous storage device” ( 42 ), p. 532. For this reason, the introduction of electronic medical records (EMRs) into medical practice has also significantly impacted the doctor-patient communication ( 43 , 44 ).…”

Section: The Pros and Cons Of Using Electronic Medical Recordsmentioning

confidence: 99%

Digital technology in medical visits: a critical review of its impact on doctor-patient communication

et al. 2023

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With the rapid advances of digital technology, computer-mediated medical practices are becoming increasingly dominant in medical visits. However, the question of how to ensure effective, patient-centered communication in this transition remains crucial. In this mini-review, we explore this topic by reviewing quantitative and survey-based studies, as well as discursive-interactional studies that focus on the visit as a communicative event. The review is organized into four sections: the introductory section provides a brief synthesis of the two main models used in medical practice and describes the effects of patient-centered communication practices on patients’ health and well-being. The second section presents and discusses qualitative and quantitative studies that assess the effect of technology on medical interaction and its impact on patient-centered communication. The third section focuses on whether and how the digital medical record represents a “potential communication risk” during doctor-patient interactions and explores how certain pen-and-paper literacy practices could help mitigate these challenges. In the concluding section, we outline and analyze three key considerations for utilizing technologies to foster and enhance patient-centered communication during medical visits.

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Section: The Pros and Cons Of Using Electronic Medical Recordsmentioning

confidence: 99%

Digital technology in medical visits: a critical review of its impact on doctor-patient communication

et al. 2023

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“…Ethnographic, observational, and discourse analytic studies of the actual use of computerized systems in primary care encounters temper the unqualified enthusiasm toward the introduction of digital technology in medical consultations. These studies document the way computational tasks disrupt the doctor’s modus operandi during the consultation and disturb the interaction with the patient (see also Gillum, 2013, for a historical perspective, and Teston, 2012a, for a summary of research regarding issues with electronic medical record system design). Greatbatch et al conducted a longitudinal observational study of the consultations of general practitioners, beginning prior to the introduction of digital technologies and extending to their systematic uptake and concurrent dismissal of paper-based systems (Greatbatch, Heath, Campion, & Luff, 1995; Greatbatch, Luff, Heath, & Campion, 1993).…”

Section: Literacy Technologies In Medical Practicementioning

confidence: 99%

“…Under the rapid advances of digital technology, traditional paper-based forms of reading and writing are steadily giving way to digital-based literacies, in theory as well as in application. This process is especially evident in the practice of medicine, with health information technology legislation incentivizing the use of electronic records (Teston, 2012a). Despite institutional pressure toward practicing medicine in a paperless fashion, it has been observed that doctors continue to use analog literacy technologies in medical encounters.…”

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confidence: 99%

Endangered Literacies? Affordances of Paper-Based Literacy in Medical Practice and Its Persistence in the Transition to Digital Technology

Sterponi

Zucchermaglio

Alby

et al. 2017

Written Communication

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Under the rapid advances of digital technology, traditional paper-based forms of reading and writing are steadily giving way to digital-based literacies, in theory as well as in application. Drawing on a study of literacy in a medical workplace context, this article examines critically the shift toward computer-mediated textual practices. While a considerable body of research has investigated benefits and issues associated with digital literacy tools in medicine, we consider the affordances of paper-based practices. Our analysis of verbal interaction and textual artifacts drawn from a qualitative study of oncology visits indicates that the uses of pen and paper are advantageous for both doctor and patient. Specifically, they allow doctors to process and package information in ways that are favorable to their personal modus operandi, and they enable patients to participate in the medical visit and

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Pushing boundaries of normalcy

Moeller

2015

Commun. Des. Q. Rev

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We are all patients in some way---or, at the least, patients-in-waiting. Although I am reminded of this reality on a daily, if not hourly, basis, it is most apparent when I log onto the Internet to engage in what millions of users have begun doing in the last few decades: surf for health information. Typing in "breast cancer" for what must be the thousandth time, I look again for research that will provide insight into this biopolitical phenomenon. Perhaps more telling, I search for information about my own body. As I scan the material, I cannot help but ask myself what qualities I possess or have developed and how they fit into the categories of "high risk," "moderate risk," or "low to no risk."

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Investigating usability and "meaningful use" of electronic medical records

Cited by 4 publications

References 26 publications

Digital technology in medical visits: a critical review of its impact on doctor-patient communication

Digital technology in medical visits: a critical review of its impact on doctor-patient communication

Endangered Literacies? Affordances of Paper-Based Literacy in Medical Practice and Its Persistence in the Transition to Digital Technology

Pushing boundaries of normalcy

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