TY  - JOUR
AU  - Khoong, Elaine C
AU  - Cherian, Roy
AU  - Matta, George Y
AU  - Lyles, Courtney R
AU  - Schillinger, Dean
AU  - Ratanawongsa, Neda
PY  - 2019
DA  - 2019/05/22
TI  - Perspectives of English, Chinese, and Spanish-Speaking Safety-Net Patients on Clinician Computer Use: Qualitative Analysis
JO  - J Med Internet Res
SP  - e13131
VL  - 21
IS  - 5
KW  - vulnerable populations
KW  - electronic health records
KW  - attitude to computers
KW  - physician-patient relations
KW  - communication barriers
AB  - Background: Safety-net systems serve patients with limited health literacy and limited English proficiency (LEP) who face communication barriers. However, little is known about how diverse safety-net patients feel about increasing clinician electronic health record (EHR) use. Objective: The aim of this study was to better understand how safety-net patients, including those with LEP, view clinician EHR use. Methods: We conducted focus groups in English, Spanish, and Cantonese (N=37) to elicit patient perspectives on how clinicians use EHRs during clinic visits. Using a grounded theory approach, we coded transcripts to identify key themes. Results: Across multiple language groups, participants accepted multitasking and silent clinician EHR use if focused on their care. However, participants desired more screen share and eye contact, especially when demonstrating physical concerns. All participants, including LEP participants, wanted clinicians to include them in EHR use. Conclusions: Linguistically diverse patients accept the value of EHR use during outpatient visits but desire more eye contact, verbal warnings before EHR use, and screen-sharing. Safety-net health systems should support clinicians in completing EHR-related tasks during the visit using patient-centered strategies for all patients. 
SN  - 1438-8871
UR  - http://www.jmir.org/2019/5/e13131/
UR  - https://doi.org/10.2196/13131
UR  - http://www.ncbi.nlm.nih.gov/pubmed/31120020
DO  - 10.2196/13131
ID  - info:doi/10.2196/13131
ER  -