Association Between Clinician Computer Use and Communication With Patients in Safety-Net Clinics

doi:10.1001/jamainternmed.2015.6186

Observational Study

. 2016 Jan;176(1):125-8.

doi: 10.1001/jamainternmed.2015.6186.

Association Between Clinician Computer Use and Communication With Patients in Safety-Net Clinics

Neda Ratanawongsa¹, Jennifer L Barton², Courtney R Lyles¹, Michael Wu³, Edward H Yelin⁴, Diana Martinez¹, Dean Schillinger¹

Affiliations

¹ Division of General Internal Medicine, University of California, San Francisco (UCSF)2UCSF Center for Vulnerable Populations at San Francisco General Hospital, San Francisco.
² Department of Medicine, Oregon Health & Science University, Portland4VA Portland Health Care System, Portland, Oregon.
³ John Burns School of Medicine, University of Hawaii, Honolulu.
⁴ Division of Rheumatology, UCSF7Institute for Health Policy Studies, UCSF.

PMID: 26619393
PMCID: PMC4701618
DOI: 10.1001/jamainternmed.2015.6186

Observational Study

Association Between Clinician Computer Use and Communication With Patients in Safety-Net Clinics

Neda Ratanawongsa et al. JAMA Intern Med. 2016 Jan.

. 2016 Jan;176(1):125-8.

doi: 10.1001/jamainternmed.2015.6186.

Authors

Neda Ratanawongsa¹, Jennifer L Barton², Courtney R Lyles¹, Michael Wu³, Edward H Yelin⁴, Diana Martinez¹, Dean Schillinger¹

Affiliations

¹ Division of General Internal Medicine, University of California, San Francisco (UCSF)2UCSF Center for Vulnerable Populations at San Francisco General Hospital, San Francisco.
² Department of Medicine, Oregon Health & Science University, Portland4VA Portland Health Care System, Portland, Oregon.
³ John Burns School of Medicine, University of Hawaii, Honolulu.
⁴ Division of Rheumatology, UCSF7Institute for Health Policy Studies, UCSF.

PMID: 26619393
PMCID: PMC4701618
DOI: 10.1001/jamainternmed.2015.6186

No abstract available

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Conflict of interest statement

Conflict of Interest Disclosures: No disclosures were reported.

Comment in

Computers in the Examination Room.
Frankel RM. Frankel RM. JAMA Intern Med. 2016 Jan;176(1):128-9. doi: 10.1001/jamainternmed.2015.6559. JAMA Intern Med. 2016. PMID: 26619228 No abstract available.
More computer use during consultations is linked to lower patient satisfaction.
Wise J. Wise J. BMJ. 2015 Nov 30;351:h6395. doi: 10.1136/bmj.h6395. BMJ. 2015. PMID: 26628480 No abstract available.

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References

1. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011;155(2):97–107. - PubMed
1. Frankel R, Altschuler A, George S, et al. Effects of exam-room computing on clinician-patient communication: a longitudinal qualitative study. J Gen Intern Med. 2005;20(8):677–682. - PMC - PubMed
1. Rouf E, Whittle J, Lu N, Schwartz MD. Computers in the exam room: differences in physician-patient interaction may be due to physician experience. J Gen Intern Med. 2007;22(1):43–48. - PMC - PubMed
1. Margalit RS, Roter D, Dunevant MA, Larson S, Reis S. Electronic medical record use and physician-patient communication: an observational study of Israeli primary care encounters. Patient Educ Couns. 2006;61(1):134–141. - PubMed
1. Roter D, Larson S. The Roter interaction analysis system (RIAS): utility and flexibility for analysis of medical interactions. Patient Educ Couns. 2002;46(4):243–251. - PubMed

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[1] Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011;155(2):97–107. - PubMed

[2] Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011;155(2):97–107. - PubMed

[3] Frankel R, Altschuler A, George S, et al. Effects of exam-room computing on clinician-patient communication: a longitudinal qualitative study. J Gen Intern Med. 2005;20(8):677–682. - PMC - PubMed

[4] Frankel R, Altschuler A, George S, et al. Effects of exam-room computing on clinician-patient communication: a longitudinal qualitative study. J Gen Intern Med. 2005;20(8):677–682. - PMC - PubMed

[5] Rouf E, Whittle J, Lu N, Schwartz MD. Computers in the exam room: differences in physician-patient interaction may be due to physician experience. J Gen Intern Med. 2007;22(1):43–48. - PMC - PubMed

[6] Rouf E, Whittle J, Lu N, Schwartz MD. Computers in the exam room: differences in physician-patient interaction may be due to physician experience. J Gen Intern Med. 2007;22(1):43–48. - PMC - PubMed

[7] Margalit RS, Roter D, Dunevant MA, Larson S, Reis S. Electronic medical record use and physician-patient communication: an observational study of Israeli primary care encounters. Patient Educ Couns. 2006;61(1):134–141. - PubMed

[8] Margalit RS, Roter D, Dunevant MA, Larson S, Reis S. Electronic medical record use and physician-patient communication: an observational study of Israeli primary care encounters. Patient Educ Couns. 2006;61(1):134–141. - PubMed

[9] Roter D, Larson S. The Roter interaction analysis system (RIAS): utility and flexibility for analysis of medical interactions. Patient Educ Couns. 2002;46(4):243–251. - PubMed

[10] Roter D, Larson S. The Roter interaction analysis system (RIAS): utility and flexibility for analysis of medical interactions. Patient Educ Couns. 2002;46(4):243–251. - PubMed

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Association Between Clinician Computer Use and Communication With Patients in Safety-Net Clinics

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Association Between Clinician Computer Use and Communication With Patients in Safety-Net Clinics

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