TY - JOUR
T1 - Ethnically diverse patients' perceptions of clinician computer use in a safety- net clinic
AU - Ratanawongsa, Neda
AU - Barton, Jennifer L.
AU - Schillinger, Dean
AU - Yelin, Edward H.
AU - Hettema, Jennifer E.
AU - Lum, Paula J.
PY - 2013
Y1 - 2013
N2 - Electronic health record (EHR) implementation may aff ect patient- clinician communication for diverse safety- net populations. We conducted a cross- sectional survey of English-, Spanish-, and Cantonese- speaking patients in a public hospital clinic with a basic EHR. We examined multivariate associations of patient race/ ethnicity, language, and education with perceptions of primary- care provider (PCP) computer use. Among 399 respondents, 25% had less than a high school education, 22% preferred Spanish, and 17% Cantonese. Asian (AOR 3.1), non- English- speakers (AOR 3.6) were more likely to report that PCPs used the computer half or more of the visit. Asians were more likely to report that computers helped PCPs remember patient concerns (AOR 5.6). Non- English- speakers had lower odds of reporting that PCPs listened less carefully to them because of computers (AOR 0.3). Patients at risk for communication barriers may perceive advantages of PCP computer use. Safety- net clinics should consider EHR impact on communication disparities.
AB - Electronic health record (EHR) implementation may aff ect patient- clinician communication for diverse safety- net populations. We conducted a cross- sectional survey of English-, Spanish-, and Cantonese- speaking patients in a public hospital clinic with a basic EHR. We examined multivariate associations of patient race/ ethnicity, language, and education with perceptions of primary- care provider (PCP) computer use. Among 399 respondents, 25% had less than a high school education, 22% preferred Spanish, and 17% Cantonese. Asian (AOR 3.1), non- English- speakers (AOR 3.6) were more likely to report that PCPs used the computer half or more of the visit. Asians were more likely to report that computers helped PCPs remember patient concerns (AOR 5.6). Non- English- speakers had lower odds of reporting that PCPs listened less carefully to them because of computers (AOR 0.3). Patients at risk for communication barriers may perceive advantages of PCP computer use. Safety- net clinics should consider EHR impact on communication disparities.
KW - Electronic health records
KW - Health care disparities
KW - Health communication
KW - Health information technology
KW - Limited english proficiency
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U2 - 10.1353/hpu.2013.0188
DO - 10.1353/hpu.2013.0188
M3 - Article
C2 - 24185151
AN - SCOPUS:84887125362
VL - 24
SP - 1542
EP - 1551
JO - Journal of Health Care for the Poor and Underserved
JF - Journal of Health Care for the Poor and Underserved
SN - 1049-2089
IS - 4
ER -