Keystrokes, Mouse Clicks, and Gazing at the Computer: How Physician Interaction with the EHR Affects Patient Participation

Abstract

Patients may be more reluctant to actively participate in medical encounters when physicians are more physically engaged with the computer (e.g., keyboard activity) than when their behavior is less demonstrative (e.g., gazing at EHR). Using easy to deploy communication tactics (e.g., asking about a patient's thoughts and concerns, social conversation) while working on the computer can help physicians engage patients as well as maintain conversational flow.

<p>The role of medical data in efficient patient care delivery: a review</p>

“…First, one national level research reported the adoption level of EHR as it was higher in rural practices than urban counterparts, reversing the earlier trends 72. Another similar research also reported the necessity of considering the patient’s behavioral aspects while using the tool during patient rendering procedures so as to increase patient’s engagement level 73. These issues may call for behavioral scientists to address this particular patient concern.…”

Well-prepared outpatient visits satisfy patient and physican

“…The increasing number of complex patients, multidisciplinary treatments and mandatory registrations causes an increased administrative burden on medical professionals 1. Recent research has shown that for each hour of direct patient care, a physician spends 2 hours on documentation in the electronic patient records (EPRs) 2–5. This increased administrative burden limits the amount of time and attention of the physician for the patient, as well as the active participation of patients during the outpatient visit 3 4…”

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“…13 In the study, the researchers analyzed video recordings of 217 patient encounters, involving 32 unique primary care and specialty physicians. Using meticulous coding, the researchers assessed patient participation in clinical encounters by enumerating patient behaviors, such as asking questions, stating preferences, or expressing concerns.…”