The impact of electronic medical records on patient-doctor communication during consultation: a narrative literature review
The impact of electronic medical records on patient-doctor communication during consultation: a narrative literature review
复制标题
DOI：
10.1111/j.1365-2753.2008.01065.x
复制
发表时间：
2009-08-01
影响因子：
2.4
通讯作者：
Reis, Shmuel
中科院分区：
文献类型：
--
作者：
Shachak, Aviv;Reis, Shmuel
电子病历（EMR）的使用对医患沟通（PDC）的影响很少被研究。随着数据的积累，本文的目的是回顾文献的EMR对PDC的影响，以确定重复的主题，并提供初步的指导方针和未来的方向，医学教育和研究。（发表在过去10年中，实证调查，直接评估的EMR对医患沟通的影响）进行了审查。一个定性的，接地理论的方法来分析data.ResultsEMR的使用往往有一个积极的影响，信息交流，但施加了负面影响，以病人为中心。一些医生的特点，如他们的计算机技能和行为风格，协助克服这种负面影响。ConclusionThe使用EMR发挥积极和消极的影响，医患关系。这些负面影响可以通过一些简单的方法以及更好的电子病历系统设计和医学教育干预来克服。医生的日常实践整合EMR的使用到临床遇到，以及更好的设计EMR系统和EMR和通信培训可能会促进PDC在计算机化的设置。
Rationale, aims and objectiveThe effect of Electronic Medical Record (EMR) use on Patient-Doctor Communication (PDC) has rarely been studied. As data accumulate, the purpose of this article is to review the literature on EMR effect on PDC, to identify recurring themes and to offer preliminary guidelines and future directions for medical education and research.MethodA database search was conducted and 14 articles that met inclusion criteria (published in the past 10 years, empirical investigations, direct assessment of the EMR impact on patient-doctor communication) were selected for review. A qualitative, grounded theory-like approach was employed to analyse the data.ResultsEMR use often has a positive impact on information exchange, but exerts a negative influence on patient centredness. Some physician characteristics such as their computer skills and behavioural style assist in overcoming this negative influence.ConclusionThe use of EMR exerts both positive and negative impacts on physician-patient relationships. The negative impacts can be overcome by some simple means as well as better designs of EMR systems and medical education interventions. Physicians' everyday practices of integrating EMR use into the clinical encounter as well as better design of EMR systems and EMR and communication training may facilitate PDC in computerized settings.