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Multi-tasking in practice: coordinated activities in the computer supported doctor-patient consultation.
M Gibson1, K N Jenkings, R Wilson
1School of Healthcare Studies, University of Leeds, West Yorkshire LS6 9UT, UK. m.j.gibson@leeds.ac.uk
International Journal of Medical Informatics
|May 26, 2005
Summary
This study introduces a new transcription method to analyze how general practitioners (GPs) multitask during patient consultations. This method enhances understanding of human-computer-human interactions in primary care settings.
Area of Science:
- Medical Informatics
- Human-Computer Interaction
- General Practice
Background:
- General practitioners (GPs) engage in complex multitasking during patient consultations, involving both computer use and direct patient interaction.
- Understanding these interactions is crucial for optimizing clinical workflows and technology integration in primary care.
Purpose of the Study:
- To describe and demonstrate a novel data transcription methodology for analyzing the intricate multitasking in GP-patient consultations.
- To support the evaluation of a prototype medical prescribing decision support system (Prodigy).
Main Methods:
- Development of a seven-level data transcription methodology.
- Utilized techniques from conversation analysis (CA) and video analysis (VA).
- Data collected from simulated primary care consultations for asthma and angina.
Main Results:
- The methodology provides a detailed account of coordinated doctor-patient activities and required multitasking.
- Successfully applied to analyze GP interactions with computers and patients during consultations.
Conclusions:
- The described transcription methodology is applicable to understanding human-computer-human interactions in various settings.
- Offers a framework for evaluating clinical decision support systems and improving primary care technology use.