Patient stress and the computer in the consulting room

Area of Science:

• Medical Informatics
• Patient Experience
• Clinical Psychology

Background:

• The integration of diagnostic computers into clinical practice is increasing.
• Understanding patient perceptions and reactions to computer-assisted consultations is crucial for effective implementation.
• Previous research has not fully explored the impact of computer use on patient stress and attitudes in outpatient settings.

Purpose of the Study:

• To evaluate patient reactions to the use of diagnostic computers by physicians during outpatient consultations.
• To assess the influence of computer use on patient stress levels and attitudes towards medical technology.
• To identify factors correlating with patient acceptance of computer-assisted medical evaluations.

Main Methods:

• A study conducted in a hospital out-patient clinic involving new referrals with dyspeptic symptoms.
• Patient reactions were measured using validated questionnaires assessing mood (stress, arousal) and attitudes towards medical computer use.
• Data analysis included statistical comparisons between patients who experienced computer use and those who did not, employing multiple regression.

Main Results:

• Patient self-reported stress increased significantly post-consultation when a computer was used (P < 0.05).
• A trend suggested less stress reduction in patients who experienced computer use compared to a typical post-consultation drop.
• Patients with prior computer experience reported more favorable attitudes towards medical computer use (P = 0.007).

Conclusions:

• While computer experience positively influences attitudes, high patient stress is a significant barrier to acceptance, regardless of experience.
• Doctors utilizing computers should prioritize maintaining a 'human touch,' particularly for anxious or nervous patients.
• Careful consideration of patient psychological state is essential for successful integration of diagnostic computers in healthcare settings.