Providers' perceived facilitators and barriers to EHR screen sharing in outpatient settings.

As health care becomes more patient-centered, some scholars and policy makers propose shifting use of electronic health records (EHRs) to a tool to educate and engage patients. Physician-patient screen sharing may provide a way to achieve this. However, the barriers and facilitators that physicians...

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Bibliographic Details
Published in:Applied Ergonomics Vol. 58; pp. 301 - 308
Main Author: Asan, Onur
Format: research Journal Article
Published: Elsevier B.V. Jan2017
Online Access:View this record in EBSCOhost
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      dt: Jan2017
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      pub: Elsevier B.V.
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        atl: Providers' perceived facilitators and barriers to EHR screen sharing in outpatient settings.
      aug:
        au: Asan, Onur
        affil: Center for Patient Care and Outcomes Research, Division of General Internal Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, USA
      sug:
        subj:
          Consumer Participation
          Primary Health Care
          Family Practice
          Ambulatory Care
          Male
          Computer Terminals
          Attitude of Health Personnel
          Attitude to Health
          Software
          Interior Design and Furnishings
          Data Display
          Interviews
          Patient Education
          Female
          Communication
          Physician-Patient Relations
          Human
          Male
          Female
      ab: As health care becomes more patient-centered, some scholars and policy makers propose shifting use of electronic health records (EHRs) to a tool to educate and engage patients. Physician-patient screen sharing may provide a way to achieve this. However, the barriers and facilitators that physicians experience with screen sharing are unknown. In this study, we explored providers' facilitators and barriers to using EHR as a primary care communication tool. We conducted an interview study with 14 primary care providers to discover their views on screen sharing. We used the work system model as a conceptual framework to classify emergent factors. Content analysis yielded 28 facilitators and 56 barriers to patient-centered screen sharing in primary care. We linked these to work system elements. We outline suggestions for more patient-centered EHR systems, and for provider communication training. Finally, we consider the role screen sharing might play in the development of physician-patient situation awareness.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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