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Related Experiment Videos

How do desk-top computers affect the doctor-patient interaction?

D Greatbatch1, C Heath, P Campion

  • 1Department of General Practice, University of Liverpool, UK.

Family Practice
|March 1, 1995
PubMed
Summary

Introducing desktop computers into general practice significantly altered doctor-patient communication. This study analyzed video recordings to understand the impact of computer technology on practitioner conduct and patient information disclosure.

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Area of Science:

  • Medical Informatics
  • Human-Computer Interaction
  • General Practice

Background:

  • The integration of technology into healthcare settings is rapidly evolving.
  • Understanding the impact of computer systems on clinical communication is crucial for effective patient care.
  • Previous research has not fully explored the nuanced changes in doctor-patient interaction following computer implementation in general practice.

Purpose of the Study:

  • To investigate the effects of introducing desktop computer systems on communication dynamics within general practice consultations.
  • To analyze changes in practitioner behavior and patient information disclosure post-computer implementation.
  • To derive recommendations for training and technology design based on observed interaction patterns.

Main Methods:

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  • Video-recording of general practice consultations before and after computer system introduction.
  • Qualitative analysis of recordings and transcripts using conversation analysis techniques.
  • Identification of regular interaction patterns to assess communication shifts.

Main Results:

  • The introduction of computers significantly impacted patient-doctor communication.
  • Specific changes were observed in practitioner conduct and the extent of patient information disclosure.
  • Computer technology altered the interactional patterns during consultations.

Conclusions:

  • Computerized systems have a demonstrable effect on the communication quality and information exchange in general practice.
  • Recommendations are proposed for enhancing general practitioner training in using these systems.
  • Suggestions are made for the redesign of medical computer technologies to improve consultation effectiveness.