TY - JOUR
T1 - Computers in the consulting room
T2 - A case study of clinician and patient perspectives
AU - Aydin, Carolyn E.
AU - Anderson, James G.
AU - Rosen, Peter N.
AU - Felitti, Vincent J.
AU - Weng, Hui Ching
N1 - Funding Information:
This project was supported by a research grant from the Kaiser-Permanente Medical Group. CompuHx was designed by Fuzzy Logic, Inc., La Jolla, CA.
PY - 1998
Y1 - 1998
N2 - Few clinicians in the United States use computers during patient encounters and many still worry that computers will depersonalize their interactions with patients. This case study describes patient and clinician reactions to a computer-based health appraisal system. Findings showed no difference in any aspect of patient satisfaction between computer and non-computer groups. Use of a computer in the consulting room neither depersonalized nor enhanced patient satisfaction. Clinicians (in this case, nurse practitioners and physician assistants) were willing to use the system, which they perceived as having benefits for patient care, but were concerned about the increased time required for exams, effort required to learn the system while still interacting appropriately with the patient, increased monitoring of their performance, and other organizational issues. Clinicians who used the system showed a higher tolerance for uncertainty and communicated more frequently with each other and with others throughout the department. Implementation was slowed by the need to demonstrate the monetary value of the system.
AB - Few clinicians in the United States use computers during patient encounters and many still worry that computers will depersonalize their interactions with patients. This case study describes patient and clinician reactions to a computer-based health appraisal system. Findings showed no difference in any aspect of patient satisfaction between computer and non-computer groups. Use of a computer in the consulting room neither depersonalized nor enhanced patient satisfaction. Clinicians (in this case, nurse practitioners and physician assistants) were willing to use the system, which they perceived as having benefits for patient care, but were concerned about the increased time required for exams, effort required to learn the system while still interacting appropriately with the patient, increased monitoring of their performance, and other organizational issues. Clinicians who used the system showed a higher tolerance for uncertainty and communicated more frequently with each other and with others throughout the department. Implementation was slowed by the need to demonstrate the monetary value of the system.
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U2 - 10.1023/A:1019021913951
DO - 10.1023/A:1019021913951
M3 - Article
C2 - 10916585
AN - SCOPUS:0032148873
SN - 1386-9620
VL - 1
SP - 61
EP - 74
JO - Health Care Management Science
JF - Health Care Management Science
IS - 1
ER -