The impact of electronic medical records in the modern primary health care system on the interaction between doctor and patient in Moscow
- Autores: Veselkova A.Y.1, Zvonareva E.S.1, Kornilov M.N.1, Ushenin V.V.1, Kornilova E.B.2, Hołownia-Voloskova M.E.2,3
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Afiliações:
- National Research University “High School of Economics”
- Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department
- Department of Experimental and Clinical Pharmacology, Medical University of Warsaw
- Edição: Volume 65, Nº 5 (2021)
- Páginas: 405-410
- Seção: HEALTH CARE ORGANIZATION
- ##submission.dateSubmitted##: 25.10.2024
- URL: https://hum-ecol.ru/0044-197X/article/view/637958
- DOI: https://doi.org/10.47470/0044-197X-2021-65-5-405-410
- ID: 637958
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Texto integral
Resumo
Introduction. Digital technologies are an essential condition for the development of modern health care. New forms of interaction between the supplier and the consumer of medical services determine the need to understand the attitude of the doctor and the patient to this employment operation.
Purpose. Assess the change in the quality of communications between the doctor and the patient with the widespread introduction of electronic medical records.
Material and methods. Within the framework of the project, a content analysis of media materials was held. Mass (questionnaire) survey of doctors and patients in November–December 2020 was executed. The comprehensive survey had 482 respondents, including 168 doctors and 314 patients.
Results. Most (61.5%) of medical professionals indicate a decrease in time costs during the patient’s reception, an increase in time to work with patients is noted in 47.4% of respondents. 55% of doctors report that the service helps better focus on the provision of medical care, and 47.6% of respondents believe that the conduct of medical documentation in electronic form allows reducing the frequency of passing a significant pathology. Among patients, 52.2% believe that introducing electronic medical records will enable you to increase the time that the doctor pays to the patient during the reception. 68.9% of patients indicate an improvement in the interaction between doctors and patients.
Conclusion. High-quality results can be achieved only if there is a medical staff with the skills of using modern digital technologies and new communication skills with a patient when using electronic medical records.
Sobre autores
Aleksandra Veselkova
National Research University “High School of Economics”
Autor responsável pela correspondência
Email: noemail@neicon.ru
ORCID ID: 0000-0002-1135-7430
Rússia
Elena Zvonareva
National Research University “High School of Economics”
Email: noemail@neicon.ru
ORCID ID: 0000-0002-4788-6991
Rússia
Maksim Kornilov
National Research University “High School of Economics”
Email: noemail@neicon.ru
ORCID ID: 0000-0002-2743-199X
Rússia
Vasilii Ushenin
National Research University “High School of Economics”
Email: noemail@neicon.ru
ORCID ID: 0000-0002-1800-4195
Rússia
Ekaterina Kornilova
Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department
Email: ekaterinakornilova2017@gmail.com
ORCID ID: 0000-0002-7214-4340
MD, PhD, Leading Researcher, Research Institute of Health Organization and Medical Management of Moscow Healthcare Department, Moscow, 115184, Russian Federation.
e-mail: ekaterinakornilova2017@gmail.com
RússiaMalvina Hołownia-Voloskova
Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department; Department of Experimental and Clinical Pharmacology, Medical University of Warsaw
Email: noemail@neicon.ru
ORCID ID: 0000-0002-2437-298X
Polônia
Bibliografia
- Van der Kleij R.M.J.J., Kasteleyn M.J., Meijer E., Bonten T.N., Houwink E.J.F., Teichert M., et al. SERIES: eHealth in primary care. Part 1: Concepts, conditions and challenges. Eur. J. Gen. Pract. 2019; 25(4): 179-89. https://doi.org/10.1080/13814788.2019.1658190
- Alkureishi M.A., Lee W.W., Lyons M., Press V.G., Imam S., Nkansah-Amankra A., et al. Impact of electronic medical record use on the patient-doctor relationship and communication: a systematic review. J. Gen. Intern. Med. 2016; 31(5): 548-60. https://doi.org/10.1007/s11606-015-3582-1
- Halbesleben J.R.B., Rathert C. Linking physician burnout and patient outcomes: exploring the dyadic relationship between physicians and patients. Health Care Manage. Rev. 2008; 33(1): 29-39. https://doi.org/10.1097/01.HMR.0000304493.87898.72
- Maly R.C., Stain J.A., Umezawa Y., Leake B., Anglin M.D. Racial/ethnic differences in breast cancer outcomes among older patients: effects of physician communication and patient empowerment. Health Psychol. 2008; 27(6): 728. https://doi.org/10.1037/0278-6133.27.6.728
- Safran D. G., Taira D.A., Rogers W.H., Kosinski M., Ware J.E., Tarlov A.R. Linking primary care performance to outcomes of care. J. Fam. Pract. 1998; 47(3): 213-20.
- Chen J.Y., Tao M.L., Tisando D., Malin J., Ko C., Timmer M., et al. Impact of physician-patient discussions on patient satisfaction. Med. Care. 2008; 46(11): 1157-62. https://doi.org/10.1097/MLR.0b013e31817924bc
- Keating N.L., Green D.C., Kao A.C., Gazmararian J.A., Wu V.Y., Cleary P.D. How are patients’ specific ambulatory care experiences related to trust, satisfaction, and considering changing physicians? J. Gen. Intern. Med. 2002; 17(1): 29-39. https://doi.org/10.1046/j.1525-1497.2002.10209.x
- Waljee J. F., Hu E.S., Newman L.A., Alderman A.K. Correlates of patient satisfaction and provider trust after breast conserving surgery. Cancer. 2008; 112(8): 1679-87. https://doi.org/10.1002/cncr.23351
- Hsu J., Huang J., Fung V., Robertson N., Jimison H., Frankel R. Health information technology and physician-patient interactions: impact of computers on communication during outpatient primary care visits. J. Am. Med. Inform. Assoc. 2005; 12(4): 474-80. https://doi.org/10.1197/jamia.M1741
- Doyle R.J., Wang N., Anthony D., Borkan J., Shield R.R., Goldman R.E. Computers in the examination room and the electronic health record: physicians’ perceived impact on clinical encounters before and after full installation and implementation. Fam. Pract. 2012; 29(5): 601-8. https://doi.org/10.1093/fampra/cms015
- Ventres W., Kooienga S., Marlin R., Vickovic N., Stewart V. Clinician style and examination room computers: a video ethnography. Fam. Med. 2005; 37(4): 276-81.
- Ventres W., Kooienga S., Vuckovic N., Marlin R., Nygren P., Stewart V. Physicians, patients, and the electronic health record: an ethnographic analysis. Ann. Fam. Med. 2006; 4(2): 124-31. https://doi.org/10.1370/afm.425
- Greatbatch D., Heath C., Campion P., Luff P. How do desk-top computers affect the doctor-patient interaction. Fam. Pract. 1995; 12(1): 32-6. https://doi.org/10.1093/fampra/12.1.32
- Booth N., Robinson P. Interference with the patient-doctor relationship - the cultural gap? Lessons from observation. Stud. Health Technol. Inform. 2002; 87: 6-9.
- Gibbings-Isaac D., Iqbal M., Tahir M.A., Kumarapeli P., de Lusignan S. The pattern of silent time in the clinical consultation: an observational multichannel video study. Fam. Pract. 2012; 29(5): 616-21. https://doi.org/10.1093/fampra/cms001
- Als A.B. The desk-top computer as a magic box: patterns of behaviour connected with the desk-top computer; GPs’ and patients’ perceptions. Fam. Pract. 1997; 14(1): 17-23. https://doi.org/10.1093/fampra/14.1.17
- Shachak A., Hadas-Dayagi M., Ziv A., Reis S. Primary care physicians’ use of an electronic medical record system: a cognitive task analysis. J. Gen. Intern. Med. 2009; 24(3): 341-8. https://doi.org/10.1007/s11606-008-0892-6
- Montague E., Asan O. Considering social ergonomics: the effects of HIT on interpersonal relationships between patients and clinicians. Work. 2012; 41(Suppl. 1): 4479-83. https://doi.org/10.3233/WOR-2012-0748-4479
- Booth A., LeCouteur A., Chur-Hansen A. The impact of the desktop computer on rheumatologist-patient consultations. Clin. Rheumatol. 2013; 32(3): 391-3. https://doi.org/10.1007/s10067-012-2140-z
- Dowell A., Stubbe M., Scott-Dowell K., Macdonald L., Dew K. Talking with the alien: interaction with computers in the GP consultation. Aust. J. Prim. Health. 2013; 19(4): 275-82. https://doi.org/10.1071/PY13036
- Margalit R.S., Roter D., Dunevant A., Larson S., Reis S. Electronic medical record use and physician-patient communication: An observational study of Israeli primary care encounters. Patient Educ. Couns. 2006; 61(1): 134-41. https://doi.org/10.1016/j.pec.2005.03.004
- Fiks A.G., Alessandrini E.A., Forrest C.B., Khan S., Localio A.R., Gerber A. Electronic medical record use in pediatric primary care. J. Am. Med. Inform. Assoc. 2011; 18(1): 38-44. https://doi.org/10.1136/jamia.2010.004135
- Booth N., Robinson P., Kohannejad J. Identification of high-quality consultation practice in primary care: the effects of computer use on doctor-patient rapport. Inform. Prim. Care. 2004; 12(2): 75-83. https://doi.org/10.14236/jhi.v12i2.111
- McGrath J.M., Arar N.H., Pugh J.A. The influence of electronic medical record usage on nonverbal communication in the medical interview. Health Informatics J. 2007; 13(2): 105-18. https://doi.org/10.1177/1460458207076466
- Saleem J.J., Flanagan M.E., Russ A.L., McMullen C.K., Elli L., Russell S.A., et al. You and me and the computer makes three: variations in exam room use of the electronic health record. J. Am. Med. Inform. Assoc. 2014; 21(e1): 147-51. https://doi.org/10.1136/amiajnl-2013-002189
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