TY - JOUR
T1 - Providers’ perceived facilitators and barriers to EHR screen sharing in outpatient settings
AU - Asan, Onur
N1 - Publisher Copyright:
© 2016
PY - 2017/1/1
Y1 - 2017/1/1
N2 - 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.
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.
KW - Barriers and facilitators
KW - EHRs
KW - Physician-EHR interaction
KW - Physician-patient communication
KW - Works system model
UR - http://www.scopus.com/inward/record.url?scp=84978956451&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84978956451&partnerID=8YFLogxK
U2 - 10.1016/j.apergo.2016.07.005
DO - 10.1016/j.apergo.2016.07.005
M3 - Article
C2 - 27633226
AN - SCOPUS:84978956451
SN - 0003-6870
VL - 58
SP - 301
EP - 307
JO - Applied Ergonomics
JF - Applied Ergonomics
ER -