Title
Technology-mediated information sharing between patients and clinicians in primary care encounters
Abstract
Objective: The aim of this study was to identify and describe the use of electronic health records EHRs for information sharing between patients and clinicians in primary-care encounters. This topic is particularly important as computers and other technologies are increasingly implemented in multi-user health-care settings where interactions and communication between patients and clinicians are integral to interpersonal and organisational outcomes. Method: An ethnographic approach was used to classify the encounters into distinct technology-use patterns based on clinicians’ interactions with the technology and patients. Each technology-use pattern was quantitatively analysed to assist with comparison. Quantitative analysis was based on duration of patient and clinician gaze at EHR. Findings: Physicians employed three different styles to share information using EHRs: 1 active information sharing, in which a clinician turns the monitor towards the patient and uses the computer to actively share information with the patient; 2 passive information sharing, when a clinician does not move the monitor, but the patient might see the monitor by leaning in if they choose and 3 technology withdrawal, when a clinician does not share the monitor with the patient. Conclusion: A variety of technology-mediated information-sharing styles may be effective in providing patient-centred care. New EHR designs may be needed to facilitate information sharing between patients and clinicians.
Year
DOI
Venue
2014
10.1080/0144929X.2013.780636
Behaviour & IT
Keywords
Field
DocType
primary care encounter,technology-mediated information sharing,human–machine interface,technology withdrawal,share information,cscw,active information sharing,technology-use pattern,distinct technology-use pattern,electronic health records ehrs,different style,passive information sharing,new ehr design,information sharing,electronic health records system,collaborative learning,human machine interface
Interpersonal communication,Collaborative learning,Computer-supported cooperative work,Computer science,Knowledge management,Human–machine interface,Primary care,Information sharing
Journal
Volume
Issue
ISSN
33
3
0144-929X
Citations 
PageRank 
References 
6
0.56
9
Authors
2
Name
Order
Citations
PageRank
Onur Asan1337.25
Enid N. H. Montague2102.18