Article Figures & Data
Tables
Additional Files
Supplemental Appendixes 1-2
Supplemental Appendix 1. Observation Protocol; Supplemental Appendix 2. Patient Interview Guide: An Ethnographic Investigation into the Impact of Information Technology in a Family Medicine Clinical Practice
Files in this Data Supplement:
- Supplemental data: Appendixes 1-2 - PDF file, 6 pages
The Article in Brief
Gradual Electronic Health Record Implementation: New Insights on Physician and Patient Adaptation
Renee R. Shield , and colleagues
Background Although there is considerable interest in implementation of electronic health records (EHRs), there is limited information about how doctors, staff, and patients adapt to the implementation process. This study examines the effects of EHR implementation on a medical practice, particularly on doctor-patient communication and behaviors and patients� responses.
What This Study Found During the implementation of an electronic health record, strong patient trust in the doctor-patient relationship was maintained and work flow improved. The role of the computer and the choice of where in the room it was placed had a significant effect on the doctor-patient interaction.
Implications
- Gradual implementation of an electronic health record may help support the development of beneficial adaptations by doctors and staff, while maintaining positive patient-doctor relationships and fostering the sharing of medical information.