Abstract
BackgroundElectronic health records (EHRs) may reduce medical errors and improve care, but can complicate clinical encounters.ObjectiveTo describe hospital-based physicians’ perceptions of the impact of EHRs on patient–physician interactions and contrast...
Highlights
Electronic health records (EHRs) were developed for billing and documentation, but have increasingly shifted administrative tasks to physicians, fundamentally changing their work, workflow and interactions with patients
We noted the same four themes among officebased physicians, but the rank order of the top two responses differed by setting: hospital-based physicians commented most frequently that they spend less time with patients because they have to spend more time on computers, officebased physicians commented most frequently on EHRs worsening the quality of their interactions and relationships with patients
EHRs were first developed for billing and documentation, but have increasingly shifted administrative tasks to physicians, fundamentally changing their work, workflow and, how they interact with patients
Summary
Electronic health records (EHRs) were developed for billing and documentation, but have increasingly shifted administrative tasks to physicians, fundamentally changing their work, workflow and interactions with patients. EHRs may reduce medical errors and improve care through compliance with guidelines, improved care coordination and access to health information,[1,2,3] their use can complicate clinical encounters and impact patient–physician interactions.[4,5]. Conclusion In our analysis of a large sample of physicians, hospital-based physicians generally perceived EHRs as negatively altering patient interactions, they emphasized different reasons than their office-based counterparts. These findings add to the prior literature that focuses on outpatient physicians, and can shape interventions to improve how EHRs are used in inpatient settings
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