Authors: Wei Wei Lee Maria A Alkureishi Obioma Ukabiala Laura Ruth Venable Samantha S Ngooi Daina D Staisiunas Kristen E Wroblewski Vineet M Arora
Publish Date: 2016/07/11
Volume: 31, Issue: 11, Pages: 1315-1322
Abstract
In 2013 one year after EMR implementation telephone interviews were conducted with patients using openended and Likert style questions to elicit positive and negative perceptions of EMR use by physicians Interview transcripts were analyzed qualitatively to develop a coding classification Satisfaction with physician EMR use was examined using bivariate statisticsIn total 108 interviews were completed and analyzed Two major themes were noted 1 Clinical Functions of EMR and 2 Communication Functions of EMR as well as six subthemes 1a Clinical Care ie clinical efficiency 1b Documentation ie proper record keeping and access 1c Information Access 1d Educational Resource 2a Patient Engagement and 2b Physical Focus ie body positioning Overall 85 979/1154 of patient perceptions of EMR use were positive with the majority within the “Clinical Care” subtheme n = 218 Of negative perceptions 66 115/175 related to the “Communication Functions” theme and the majority of those related to the “Physical Focus” subtheme n = 71 The majority of patients 90 95/106 were satisfied with physician EMR use 59 63/107 reported the computer had a positive effect on their relationship and only 7 8/108 reported the EMR made it harder to talk with their doctorsDespite concerns regarding EMRs impeding doctor–patient communication patients reported largely positive perceptions of the EMR with many patients reporting high levels of satisfaction Future work should focus on improving doctors “physical focus” when using the EMR to redirect towards the patient
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