Date of Conferral

1-1-2021

Degree

Ph.D.

School

Health Services

Advisor

Jill Kaspszak

Abstract

Little is known concerning the effects of the mediated electronic health record (MEHR) on physician-patient communication, thereby making it difficult to provide patient-centered care. The purpose of this qualitative study was to examine and understand the perceptions of physicians and patients regarding how MEHR affects their communication during medical encounters in the outpatient setting. Data were collected from five physicians and five patients who provided email responses to open-ended questions. Driven by the media richness theory, a content analysis was performed to analyze the responses. Findings revealed that screen gazing, heavy keyboarding, and positioning of the computer monitor affect physician-patient communication during medical encounters. Recommendations include physicians’ training to enable them to understand how they can improve their communication with patients when using MEHR. Additionally, the computer monitor should be positioned in a manner that allows physicians to maintain eye contact with patients and enables patients to see the contents of the screen. The findings may contribute to social change by improving communication between physicians and patients, thereby enhancing quality of care.

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