title: Providers' perceived facilitators and barriers to EHR screen sharing in outpatient settings.
abstract: 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.
authors.affiliation: Center for Patient Care and Outcomes Research, Division of General Internal Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, USA. Electronic address: oasan@mcw.edu.
authors.forename: Onur
authors.initials: O
authors.lastname: Asan
mesh_terms: D000553:Ambulatory Care; D001291:Attitude of Health Personnel; D003142:Communication; D016288:Computer Terminals; D003626:Data Display; D057286:Electronic Health Records; D005194:Family Practice; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007374:Interior Design and Furnishings; D007407:Interviews as Topic; D008297:Male; D010353:Patient Education as Topic; D010358:Patient Participation; D010817:Physician-Patient Relations; D011320:Primary Health Care; D012984:Software
keywords: Barriers and facilitators; EHRs; Physician-EHR interaction; Physician-patient communication; Works system model