TY - JOUR
T1 - Protecting healing relationships in the age of electronic health records
T2 - report from an international conference
AU - Toll, Elizabeth T.
AU - Alkureishi, Maria A.
AU - Lee, Wei Wei
AU - Babbott, Stewart F.
AU - Bain, Philip A.
AU - Beasley, John W.
AU - Frankel, Richard M.
AU - Loveys, Alice A.
AU - Wald, Hedy S.
AU - Woods, Susan S.
AU - Hersh, William R.
N1 - Publisher Copyright:
© The Author(s) 2019. Published by Oxford University Press on behalf of the American Medical Informatics Association.
PY - 2019/10/1
Y1 - 2019/10/1
N2 - We present findings of an international conference of diverse participants exploring the influence of electronic health records (EHRs) on the patient–practitioner relationship. Attendees united around a belief in the primacy of this relationship and the importance of undistracted attention. They explored administrative, regulatory, and financial requirements that have guided United States (US) EHR design and challenged patient-care documentation, usability, user satisfaction, interconnectivity, and data sharing. The United States experience was contrasted with those of other nations, many of which have prioritized patient-care documentation rather than billing requirements and experienced high user satisfaction. Conference participants examined educational methods to teach diverse learners effective patient-centered EHR use, including alternative models of care delivery and documentation, and explored novel ways to involve patients as healthcare partners like health-data uploading, chart co-creation, shared practitioner notes, applications, and telehealth. Future best practices must preserve human relationships, while building an effective patient–practitioner (or team)-EHR triad.
AB - We present findings of an international conference of diverse participants exploring the influence of electronic health records (EHRs) on the patient–practitioner relationship. Attendees united around a belief in the primacy of this relationship and the importance of undistracted attention. They explored administrative, regulatory, and financial requirements that have guided United States (US) EHR design and challenged patient-care documentation, usability, user satisfaction, interconnectivity, and data sharing. The United States experience was contrasted with those of other nations, many of which have prioritized patient-care documentation rather than billing requirements and experienced high user satisfaction. Conference participants examined educational methods to teach diverse learners effective patient-centered EHR use, including alternative models of care delivery and documentation, and explored novel ways to involve patients as healthcare partners like health-data uploading, chart co-creation, shared practitioner notes, applications, and telehealth. Future best practices must preserve human relationships, while building an effective patient–practitioner (or team)-EHR triad.
KW - Burnout
KW - Design
KW - International experience with electronic health records
KW - Patient–practitioner relationship
KW - Patient–practitioner–computer triad
KW - Solutions to electronic health record challenges
UR - http://www.scopus.com/inward/record.url?scp=85085287440&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85085287440&partnerID=8YFLogxK
U2 - 10.1093/jamiaopen/ooz012
DO - 10.1093/jamiaopen/ooz012
M3 - Review article
AN - SCOPUS:85085287440
SN - 2574-2531
VL - 2
SP - 282
EP - 290
JO - JAMIA Open
JF - JAMIA Open
IS - 3
ER -