Researchers videotaped 71 encounters between 47 patients and 39 clinicians that took place from Nov. 1, 2011, to Nov. 30, 2013. Researchers then interviewed patients via telephone before the videotaped visit, and again after the visit. Patients were asked to rate the quality of the care they received in the previous six months.
Here are five notes:
1. Of those patients with heavy computer use during clinical encounters, 48 percent said they received excellent care.
2. Eighty-three percent of patients whose physician engaged minimally with computers during the encounter said the care was excellent.
3. Researchers found physicians with high computer use experienced negative rapport building with patients, which had statements that expressed disagreement or criticisms.
4. High computer use was linked with more social rapport building.
5. Those encounters with moderate computer use engaged in somewhat less rapport building, but had a positive demeanor.
“Although social rapport building can build trust and satisfaction, concurrent computer use may inhibit authentic engagement, and multitasking clinicians may miss openings for deeper connection with their patients,” the authors wrote.
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