title: Dichotomy between physicians' and patients' attitudes regarding EMR use during outpatient encounters.
abstract: Detrimental effects on physician-patient rapport are an often-voiced concern regarding the impacts of implementing an EMR in busy outpatient healthcare environments. Our objectives in this study were to: 1) identify significant concerns of physicians regarding implementation of an EMR in an outpatient clinic, both prior to implementation and after 6 months of use, and 2) assess patients' satisfaction with their outpatient encounters in this clinic, including general and EMR-specific factors. For physicians, physician-patient rapport was a concern prior to EMR implementation and increased with use of the system. In contrast, patients did not indicate a sense of loss of rapport with their physicians when an EMR was used during their outpatient visits. However, physicians and patients shared a concern about the privacy of medical information contained in an EMR.
authors.affiliation: Section of Medical Informatics, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
authors.forename: C S
authors.initials: CS
authors.lastname: Gadd
authors.forename: L E
authors.initials: LE
authors.lastname: Penrod
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000554:Ambulatory Care Facilities; D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D003219:Confidentiality; D003625:Data Collection; D005260:Female; D006801:Humans; D008297:Male; D016347:Medical Records Systems, Computerized; D008875:Middle Aged; D017060:Patient Satisfaction; D010361:Patients / Q000523:psychology; D010817:Physician-Patient Relations; D010820:Physicians / Q000523:psychology*