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Computer-based documentation: effects on parent-provider communication during pediatric health maintenance encounters
Kevin B Johnson1, Janet R Serwint, Lawrence A Fagan
1Department of Pediatrics, Vanderbilt University Medical Center, 2209 Garland Ave, Nashville, TN 37232, USA. kevin.johnson@vanderbilt.edu
Pediatrics
|September 3, 2008
Summary
Implementing a computer-based documentation tool improved parent-clinician communication in pediatric visits. This system enhanced partnership strategies and patient-centered interactions, supporting its integration into primary care.
Area of Science:
- Pediatric Health Communication
- Health Informatics
- Clinical Documentation Systems
Background:
- Effective communication between parents and healthcare providers is crucial in pediatric care.
- Traditional documentation methods may impact the dynamics of parent-clinician interactions.
- Evaluating new technologies for their effect on communication is essential.
Purpose of the Study:
- To assess the impact of a computer-based documentation tool (ClicTate) on communication during pediatric health maintenance encounters.
- To compare communication patterns before and after the implementation of the ClicTate system.
Main Methods:
- A quasiexperimental study design was employed.
- Communication dynamics were analyzed using the Roter Interaction Analysis System.
- Encounters were audiotaped/videotaped and analyzed for question ratios, information exchange, and interaction styles.
Main Results:
- Computer-based documentation visits showed a higher proportion of open-ended questions (28% vs 21%).
- The ClicTate system was associated with increased use of partnership strategies and more patient-centered communication.
- Social and positive talk increased, while orienting and transition phrases decreased.
Conclusions:
- The ClicTate system positively influenced parent-clinician communication in pediatric settings.
- Integration of computer-based documentation tools can enhance communication in primary care pediatric visits.
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