patient clinician communication
Paul RJ et al, Health Systems, 1(2)
The user in this paper is not a medical specialist but a real user of healthcare, a patient. The paper starts by looking at the lack of impact of information systems (ISs) in healthcare, examining the causes as published in the literature. An overview of these causes is enriched by the concerns arising from the first author’s personal experiences as a Parkinson’s disease patient (about 4 million suffer worldwide) for over 12 years. Seven short ethnographic studies are told as the basis for supporting this user’s perspective of these concerns.
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Published:
December 2012 |
Keyword(s): Electronic Health Records, Information Systems, Parkinson´s Disease, Patient, Patient-clinician communication
Lown BA, Rodriguez D. Academic Medicine, 87(4)
The media through which we communicate shape how we think, how we act, and who we are. Electronic health records (EHRs) may promote more effective, efficient, coordinated, safer care. Research is emerging, but more is needed to assess the effect of EHRs on communication, relationships, patients’ trust, adherence, and health outcomes.
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Published:
April 2012 |
Keyword(s): Electronic Health Records, Patient-clinician communication, United States
Two of the most important developments in ambulatory practice over the past 20 years are the advent of patient and relationship-centered care (PRCC) and electronic health records (EHRs). However, there is a large gap in knowledge and practice between PRCC and EHR use. We believe the integration of PRCC with EHRs has the potential to personalize care, improve population-based care, and increase patient involvement.
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Published:
May 2010 |
Keyword(s): Electronic Health Records, Patient-Centered Care, Patient-clinician communication, Systems Integration, United States
Tjora A et al, J Med Internet Res, 7(2)
BACKGROUND
Direct electronic communication between patients and physicians has the potential to empower patients and improve health care services. Communication by regular email is, however, considered a security threat in many countries and is not recommended. Systems which offer secure communication have now emerged. Unlike regular email, secure systems require that users authenticate themselves. However, the authentication steps per se may become barriers that reduce use.
OBJECTIVES
The objective was to study the experiences of patients who were using a secure electronic communication system. The focus of the study was the users’ privacy versus the usability of the system.
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Published:
5 May 2005 |
Keyword(s): e-Mail, Internet, Norway, Patient-clinician communication, Privacy, Usability
Emont S. California HealthCare Foundation, 2011
Patient portals can offer important benefits to patients and provider organizations. These technologies — particularly when integrated with an electronic health record (EHR) — have the potential to improve both quality and access to care through features that enable patients to: communicate electronically and securely with their provider; access their medical records; schedule appointments; pay bills; and refill prescriptions.
This paper examines research documenting the implementation of patient portals and their impact on health care delivery. It is intended to inform the work of health care providers — particularly safety-net organizations — as they plan and implement patient portals and develop measurement strategies for assessing their impact.
Many research initiatives document patient-level measures such as use of patient portals features, user demographics, and overall satisfaction with the portal. A limited number of studies bridge the gap between patient-level measures and long-term outcome measures, including health care quality indicators and operational efficiency.
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Published:
May 2011 |
Keyword(s): Adoption, Electronic Health Records, Incentives, Literature Review, patient portals, Patient-clinician communication, Research, United States
Khozin S et al, Journal of Participatory Medicine, 3
If you were to start from scratch and design a medical practice that helped patients and physicians collaborate, reduced the inefficiencies inherent in traditional clinical encounters, improved patient access, and reinforced quality care–what would that look like?
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Published:
12 January 2011 |
Keyword(s): Continuity of Patient Care, Electronic Health Records, Electronic Medical Records, Participatory Medicine, Patient-clinician communication, United States
Fiks AG et al, J Am Med Inform Assoc, 18(1)
Objectives
To characterize patterns of electronic medical record (EMR) use at pediatric primary care acute visits.
Design
Direct observational study of 529 acute visits with 27 experienced pediatric clinician users.
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Published:
6 December 2010 |
Keyword(s): Electronic Health Records, Electronic Medical Records, Patient-clinician communication, Pedriatics, Primary Care, United States
Dedding C et al, Social Science & Medicine, 72(1)
In this report we discuss the consequences of e-health for patient-clinician encounters. On the basis of an analysis of the literature, we propose an analytical framework, composed of five different themes, regarding the impact of e-health on the relationship between patients and their health professionals. Internet health sites can: be or come to be a replacement for face-to-face consultations; supplement existing forms of care; create favorable circumstances for strengthening patient participation; disturb relations; and/or force or demand more intense patient participation.
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Published:
5 November 2010 |
Keyword(s): e-Health, Health Information, Internet, Netherlands, Patient Participation, Patient-clinician communication, Physician-Patient Relationship
Zhou YY et al, Health Affairs, 29(7)
The American Recovery and Reinvestment Act identified secure patient-physician e-mail messaging as an objective of the meaningful use of electronic health records. In our study of 35,423 people with diabetes, hypertension, or both, the use of secure patient-physician e-mail within a two-month period was associated with a statistically significant improvement in effectiveness of care as measured by the Healthcare Effectiveness Data and Information Set (HEDIS).
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Published:
1 July 2010 |
Keyword(s): Chronic Care, e-Mail, Effectiveness, Electronic Health Records, Meaningful Use, Patient-clinician communication, Primary Care, Quality of Health Care, Secure web communications, United States
Bonacina S, Pinciroli F. Medical and Care Compunetics 6, 2010
New services devoted to improve personalized healthcare are emerging from information technology developments. Personal health record systems allow the patients to participate actively in their healthcare process. However, the dissemination and use of personal health record systems face with some barriers, for example low health literacy that leads to discrepancy in understanding medical concepts.
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Published:
8 June 2010 |
Keyword(s): Databases, Ontology, Patient-clinician communication, Terminology
O'Malley, Ann S. et al, Research Briefs, 131
Commercial electronic medical records (EMRs) both help and hinder physician interpersonal communication—real-time, face-to-face or phone conversations—with patients and other clinicians, according to a new Center for Studying Health System Change (HSC) study based on in-depth interviews with clinicians in 26 physician practices. EMRs assist real-time communication with patients during office visits, primarily through immediate access to patient information, allowing clinicians to talk with patients rather than search for information from paper records. For some clinicians, however, aspects of EMRs pose a distraction during visits.
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Published:
April 2010 |
Keyword(s): Communication, Electronic Health Records, Patient, Patient-clinician communication, United States
Shachak, Aviv et al, Journal of General Internal Medicine, 24(3)
OBJECTIVE
To describe physicians’ patterns of using an Electronic Medical Record (EMR) system; to reveal the underlying cognitive elements involved in EMR use, possible resulting errors, and influences on patient–doctor communication; to gain insight into the role of expertise in incorporating EMRs into clinical practice in general and communicative behavior in particular.
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Published:
March 2009 |
Keyword(s): Electronic Health Records, Interviews, Israel, Patient-clinician communication, Physician-Patient Relationship, Primary Care
