Electronic medical record use and physician-patient communication: An observational study of Israeli primary care encounters

Ruth Stashefsky Margalit, Debra Roter, Mary Ann Dunevant, Susan M Larson, Shmuel Reis

Research output: Contribution to journalArticle

Abstract

Objectives: Within the context of medical care there is no greater reflection of the information revolution than the electronic medical record (EMR). Current estimates suggest that EMR use by Israeli physicians is now so high as to represent an almost fully immersed environment. This study examines the relationships between the extent of electronic medical record use and physician-patient communication within the context of Israeli primary care. Methods: Based on videotapes of 3 Israeli primary care physicians and 30 of their patients, the extent of computer use was measured as number of seconds gazing at the computer screen and 3 levels of active keyboarding. Communication dynamics were analyzed through the application of a new Hebrew translation and adaptation of the Roter Interaction Analysis System (RIAS). Results: Physicians spent close to one-quarter of visit time gazing at the computer screen, and in some cases as much as 42%; heavy keyboarding throughout the visit was evident in 24% of studied visits. Screen gaze and levels of keyboarding were both positively correlated with length of visit (r = .51, p <.001 and F(2,27) = 2.83, p <.08, respectively); however, keyboarding was inversely related to the amount of visit dialogue contributed by the physician (F(2,27) = 4.22, p

Original languageEnglish (US)
Pages (from-to)134-141
Number of pages8
JournalPatient Education and Counseling
Volume61
Issue number1
DOIs
StatePublished - Apr 2006

Fingerprint

Electronic Health Records
Observational Studies
Primary Health Care
Communication
Physicians
Videotape Recording
Primary Care Physicians

Keywords

  • Electronic medical record
  • Israel
  • Patient-centeredness
  • Physician-patient communication
  • RIAS

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Electronic medical record use and physician-patient communication : An observational study of Israeli primary care encounters. / Margalit, Ruth Stashefsky; Roter, Debra; Dunevant, Mary Ann; Larson, Susan M; Reis, Shmuel.

In: Patient Education and Counseling, Vol. 61, No. 1, 04.2006, p. 134-141.

Research output: Contribution to journalArticle

@article{7bacc54ae81b4a698dbb470ddc3f4509,
title = "Electronic medical record use and physician-patient communication: An observational study of Israeli primary care encounters",
abstract = "Objectives: Within the context of medical care there is no greater reflection of the information revolution than the electronic medical record (EMR). Current estimates suggest that EMR use by Israeli physicians is now so high as to represent an almost fully immersed environment. This study examines the relationships between the extent of electronic medical record use and physician-patient communication within the context of Israeli primary care. Methods: Based on videotapes of 3 Israeli primary care physicians and 30 of their patients, the extent of computer use was measured as number of seconds gazing at the computer screen and 3 levels of active keyboarding. Communication dynamics were analyzed through the application of a new Hebrew translation and adaptation of the Roter Interaction Analysis System (RIAS). Results: Physicians spent close to one-quarter of visit time gazing at the computer screen, and in some cases as much as 42{\%}; heavy keyboarding throughout the visit was evident in 24{\%} of studied visits. Screen gaze and levels of keyboarding were both positively correlated with length of visit (r = .51, p <.001 and F(2,27) = 2.83, p <.08, respectively); however, keyboarding was inversely related to the amount of visit dialogue contributed by the physician (F(2,27) = 4.22, p",
keywords = "Electronic medical record, Israel, Patient-centeredness, Physician-patient communication, RIAS",
author = "Margalit, {Ruth Stashefsky} and Debra Roter and Dunevant, {Mary Ann} and Larson, {Susan M} and Shmuel Reis",
year = "2006",
month = "4",
doi = "10.1016/j.pec.2005.03.004",
language = "English (US)",
volume = "61",
pages = "134--141",
journal = "Patient Education and Counseling",
issn = "0738-3991",
publisher = "Elsevier Ireland Ltd",
number = "1",

}

TY - JOUR

T1 - Electronic medical record use and physician-patient communication

T2 - An observational study of Israeli primary care encounters

AU - Margalit, Ruth Stashefsky

AU - Roter, Debra

AU - Dunevant, Mary Ann

AU - Larson, Susan M

AU - Reis, Shmuel

PY - 2006/4

Y1 - 2006/4

N2 - Objectives: Within the context of medical care there is no greater reflection of the information revolution than the electronic medical record (EMR). Current estimates suggest that EMR use by Israeli physicians is now so high as to represent an almost fully immersed environment. This study examines the relationships between the extent of electronic medical record use and physician-patient communication within the context of Israeli primary care. Methods: Based on videotapes of 3 Israeli primary care physicians and 30 of their patients, the extent of computer use was measured as number of seconds gazing at the computer screen and 3 levels of active keyboarding. Communication dynamics were analyzed through the application of a new Hebrew translation and adaptation of the Roter Interaction Analysis System (RIAS). Results: Physicians spent close to one-quarter of visit time gazing at the computer screen, and in some cases as much as 42%; heavy keyboarding throughout the visit was evident in 24% of studied visits. Screen gaze and levels of keyboarding were both positively correlated with length of visit (r = .51, p <.001 and F(2,27) = 2.83, p <.08, respectively); however, keyboarding was inversely related to the amount of visit dialogue contributed by the physician (F(2,27) = 4.22, p

AB - Objectives: Within the context of medical care there is no greater reflection of the information revolution than the electronic medical record (EMR). Current estimates suggest that EMR use by Israeli physicians is now so high as to represent an almost fully immersed environment. This study examines the relationships between the extent of electronic medical record use and physician-patient communication within the context of Israeli primary care. Methods: Based on videotapes of 3 Israeli primary care physicians and 30 of their patients, the extent of computer use was measured as number of seconds gazing at the computer screen and 3 levels of active keyboarding. Communication dynamics were analyzed through the application of a new Hebrew translation and adaptation of the Roter Interaction Analysis System (RIAS). Results: Physicians spent close to one-quarter of visit time gazing at the computer screen, and in some cases as much as 42%; heavy keyboarding throughout the visit was evident in 24% of studied visits. Screen gaze and levels of keyboarding were both positively correlated with length of visit (r = .51, p <.001 and F(2,27) = 2.83, p <.08, respectively); however, keyboarding was inversely related to the amount of visit dialogue contributed by the physician (F(2,27) = 4.22, p

KW - Electronic medical record

KW - Israel

KW - Patient-centeredness

KW - Physician-patient communication

KW - RIAS

UR - http://www.scopus.com/inward/record.url?scp=33644890465&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33644890465&partnerID=8YFLogxK

U2 - 10.1016/j.pec.2005.03.004

DO - 10.1016/j.pec.2005.03.004

M3 - Article

C2 - 16533682

AN - SCOPUS:33644890465

VL - 61

SP - 134

EP - 141

JO - Patient Education and Counseling

JF - Patient Education and Counseling

SN - 0738-3991

IS - 1

ER -