Voran David
Truman Medical Center, Community and Family Medicine, 7900 Lee's Summit Road, Kansas City, MO 64139-1246(∗).
PM R. 2017 May;9(5S):S26-S33. doi: 10.1016/j.pmrj.2017.01.010.
The computer is an integral part of a clinical office examination room. How a physician simultaneously uses the computer and interacts with patients will either enhance or deter patient engagement in areas of health maintenance and rehabilitation. With the growing emphasis on patient-centered care and management of chronic health conditions, patient engagement plays an ever-increasing role in U.S. health care. This paper reviews and discusses the 4 broad factors that influence the traditional physician-patient examination room interaction: physician computer/technology skills and dexterity, verbal and nonverbal communication, design and spatial arrangement, and hardware considerations. If used effectively, in-room technology will both enhance patient care and engender a greater degree of patient trust in their provider.
计算机是临床办公室检查室不可或缺的一部分。医生如何同时使用计算机并与患者互动,将促进或阻碍患者在健康维护和康复方面的参与度。随着对以患者为中心的护理和慢性健康状况管理的日益重视,患者参与在美国医疗保健中发挥着越来越重要的作用。本文回顾并讨论了影响传统医患检查室互动的四大因素:医生的计算机/技术技能与熟练程度、言语和非言语沟通、设计与空间布局以及硬件考量。如果有效使用,室内技术将既能提升患者护理水平,又能增强患者对其医疗服务提供者的信任度。