Rwigema Chris, Fang William H, Chen Xiao, Lane Christina, Jones Ian A, Vangsness C Thomas
Department of Orthopaedics, University of Southern California Keck School of Medicine, Los Angeles, USA.
Department of Translational Medicine, Western University of Health Sciences, Los Angeles, USA.
Cureus. 2023 Aug 21;15(8):e43885. doi: 10.7759/cureus.43885. eCollection 2023 Aug.
Background The transition from paper charts to electronic medical records (EMRs) has resulted in greater efficiency and reduced medical errors. This study aimed to examine the perception of patients and orthopedic residents regarding computer use during the clinic visit. Methodology This study utilized a cross-sectional cluster design. Orthopedic resident physicians were given a one-time general pre-visit survey. Additional surveys were given to patients and resident physicians post-visit. Surveys included questions that assessed satisfaction and the perceived impact of computer usage on doctor-patient interactions. Logistic generalized estimating equations were run to determine if there was an association between patient response and clinician assessment, adjusting for repeated measures within clinicians. Results A total of 80 patients and 15 residents completed the surveys. Results from the physician pre-visit survey showed that more residents perceived the computer as having a "negative" (47%) than "positive" (26%) effect on their relationship with patients. According to the post-visit analysis, patients perceived the residents' use of the EMR as having an overall positive effect on their ability to establish a personal connection and having a positive effect on their ability to give them attention. Conclusions Overall, there was little correlation between patient and resident perception of the computer's effect on their relationship. Patients generally perceived the computer as having a positive effect on their interaction with the residents even when residents had a negative perception of the computer's effect on their interaction.
背景 从纸质病历向电子病历（EMR）的转变提高了效率并减少了医疗差错。本研究旨在调查患者和骨科住院医师在门诊就诊期间对使用计算机的看法。方法 本研究采用横断面整群设计。对骨科住院医师进行一次性的就诊前一般调查。在就诊后对患者和住院医师进行额外调查。调查包括评估满意度以及计算机使用对医患互动的感知影响的问题。运行逻辑广义估计方程以确定患者反应与临床医生评估之间是否存在关联，并对临床医生内部的重复测量进行调整。结果 共有80名患者和15名住院医师完成了调查。医师就诊前调查结果显示，更多住院医师认为计算机对他们与患者的关系产生“负面”影响（47%），而非“正面”影响（26%）。根据就诊后分析，患者认为住院医师使用电子病历对他们建立个人联系的能力有总体积极影响，对住院医师给予他们关注的能力也有积极影响。结论 总体而言，患者和住院医师对计算机对他们关系的影响的看法之间几乎没有相关性。即使住院医师对计算机对他们互动的影响持负面看法，患者通常仍认为计算机对他们与住院医师的互动有积极影响。
