Opinión de profesionales y pacientes sobre la introducción de la informática en la consulta

Buscató, C. Roig; Yuste, Noemí; Toirán, A. Seguer; Díaz, Sabando; Font, S. Juncosa

doi:10.1157/13078597

Cited by 12 publications

(4 citation statements)

References 3 publications

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“…With respect to the patient-physician relationship, this study reveals the dichotomy between patient and physician perceptions of the interference of EHRs. Similar to previous studies, [8][9][10][11][12][13][14] we found that the majority of patients feel that they are able to maintain good communication and a relationship with their physician in the presence of EHRs. As found in other studies, patient satisfaction remained high with physician EHR usage.…”

Section: Discussionsupporting

confidence: 90%

“…Multiple Choice Questions Correct Answer: The correct answer is option c. Despite the initial negative perceptions of physicians regarding EHR implementation, many studies have shown that EHR implementation leads to improved efficiency, 2 clinician acceptance of the EHR systems, 2,5,8 and overall patient satisfaction. 1,2,[8][9][10][11][12][13][14] However, several studies have found that clinicians are not fully satisfied with EHR systems. Some studies have documented a dichotomy between the perceptions of patients and physicians regarding the impact of EHR systems on patient-physician relationship.…”

Section: Clinical Relevance Statementmentioning

confidence: 99%

“…6 Additionally, physicians looking at an EHR during the clinical encounter may appear distracted or disinterested, potentially impacting the patient's perceptions of the physician. 7 Despite these initial negative perceptions of EHR implementation, research reveals improved efficiency in hospitals and outpatient clinics, 2 clinician acceptance and approval of the EHR systems, 2,5,8 and overall patient satisfaction 1,2,[8][9][10][11][12][13][14] with EHR use.…”

mentioning

confidence: 99%

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Patient and Physician Perceptions of the Impact of Electronic Health Records on the Patient–Physician Relationship

Eberts

Capurro

2019

Appl Clin Inform

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Objectives Limited studies have been performed in South America to assess patient and physician perceptions of electronic health record (EHR) usage. We aim to study the perceptions of patients and physicians regarding the impact of EHRs on the patient–physician relationship. Methods We use a survey instrument to assess the physician computer experience and opinions regarding EHR impact on various aspects of patient care. An additional survey is used to assess patient opinions related to their medical visit. Surveys are administered in two outpatient clinics in a private, academic health care network. Results While a majority of physicians believed that EHRs have an overall positive impact on the quality of health care, many physicians had negative perceptions of the impact of EHRs on the patient–physician relationship. A majority of patients felt comfortable with their physician's use of the EHR and felt that their physician was able to maintain good personal contact while using the computer. Conclusion Although physicians believe EHRs have a generally positive impact on the overall quality of care, the EHR's impact on the patient–physician relationship is still of concern. Patients do not perceive a negative interference from the EHR on the patient–physician relationship.

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Section: Discussionsupporting

confidence: 90%

Section: Clinical Relevance Statementmentioning

confidence: 99%

mentioning

confidence: 99%

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Patient and Physician Perceptions of the Impact of Electronic Health Records on the Patient–Physician Relationship

Eberts

Capurro

2019

Appl Clin Inform

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“…Physicians' perception of negative impact was not shared by patients who considered that computer use had in general a positive impact on patientphysician communication. Patients' reaction is not surprising, since previous studies on patients' views about the relationship with their doctor regarding the impact of the computer stated that contact with their doctor did not differ significantly [32,38,[46][47][48][49][50]. Nevertheless, concerns about confidentiality were always raised, which did not occur in this study.…”

Section: The Impact Of Computer Use In Clinical Communicationmentioning

confidence: 48%

Computer use in primary care and patient-physician communication

Sobral

Rosenbaum

Figueiredo-Braga

2015

Patient Education and Counseling

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Physicians and Electronic Health Records

Simon

Kaushal²,

Cleary³

et al. 2007

Arch Intern Med

152

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Background: Electronic health records (EHRs) allow for a variety of functions, ranging from visit documentation to laboratory test ordering, but little is known about physicians' actual use of these functions. Methods: We surveyed a random sample of 1884 physicians in Massachusetts by mail and assessed availability and use of EHR functions, predictors of use, and the relationships between EHR use and physicians' perceptions of medical practice. Results: A total of 1345 physicians responded to the survey (71.4% response rate), and 387 (28.8%) reported that their practice had adopted EHRs. More than 80% of physicians with EHRs reported having the ability to view laboratory reports (84.8%) and document visits electronically (84.0%), but considerably fewer reported being able to order laboratory tests electronically (46.8%) or transmit prescriptions to a pharmacy electronically (44.7%). Fewer than half of the physicians who had systems with clinical decision support, transmittal of electronic prescriptions, and radiology order entry actually used these functions most or all of the time. Compared with physicians who had not adopted EHRs, EHR users reported more positive views of the effects of computers on health care; there were no significant differences in these attitudes between high and low users of EHRs. Overall, about 1 in 4 physicians reported dissatisfaction with medical practice; there was no difference in this measure by EHR adoption or use. Conclusions: There is considerable variability in the functions available in EHRs and in the extent to which physicians use them. Future work should emphasize factors that affect the use of available functions.

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Opinión de profesionales y pacientes sobre la introducción de la informática en la consulta

Abstract: The introduction of computers into consultations was accepted well. Professionals were more worried than patients about possible loss of confidentiality, and thought that there had been bigger changes in the doctor-patient relationship and that visits had become longer.

Cited by 12 publications

References 3 publications

Patient and Physician Perceptions of the Impact of Electronic Health Records on the Patient–Physician Relationship

Patient and Physician Perceptions of the Impact of Electronic Health Records on the Patient–Physician Relationship

Computer use in primary care and patient-physician communication

Physicians and Electronic Health Records

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