Abstract
We present findings of an international conference of diverse participants exploring the influence of electronic health records (EHRs) on the patient–practitioner relationship. Attendees united around a belief in the primacy of this relationship and the importance of undistracted attention. They explored administrative, regulatory, and financial requirements that have guided United States (US) EHR design and challenged patient-care documentation, usability, user satisfaction, interconnectivity, and data sharing. The United States experience was contrasted with those of other nations, many of which have prioritized patient-care documentation rather than billing requirements and experienced high user satisfaction. Conference participants examined educational methods to teach diverse learners effective patient-centered EHR use, including alternative models of care delivery and documentation, and explored novel ways to involve patients as healthcare partners like health-data uploading, chart co-creation, shared practitioner notes, applications, and telehealth. Future best practices must preserve human relationships, while building an effective patient–practitioner (or team)-EHR triad.
Highlights
International participants were invited because nonUS practitioners have had longer and generally more positive electronic health record (EHR) experiences than many in the United States
Telehealth holds great promise to connect patients, practitioners, and family members when geographical, medical, and psychological barriers prevent in-person visits.[74]. Participants at this groundbreaking conference valued hearing the aspirations, challenges, and perspectives of a diverse group of attendees. They remained committed to protecting the patient–practitioner relationship as the foundation of excellent care and patient and practitioner satisfaction in this age of advancing health information technology
International colleagues demonstrated the value of EHRs with documentation centered around clinical care, seamless interoperability, and prompt data access for patient care and population health
Summary
Practitioners want to be respected for medical expertise and technical skills but recognized as having human limitations, especially when grappling with healthcare system challenges Both groups believe clinical encounters should be about patient care and not its documentation. Conference participants noted that the EHR was introduced into traditional ways of conducting care before rethinking roles, tasks, workflow, workloads, and redundancy. New systems reveal hidden flaws, for example, poorly controlled patients lost to care They present unforeseen challenges like balancing improved access to patient records with maintaining confidentiality[4,5,6,28,29] or leveraging tools such as templates and copy and paste while creating useful and ethical documentation.[4,13,14]
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