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Enhancing Patient-Centered Communication and Collaboration by Using the Electronic Health Record in the Examination Room

by White, A., & Danis, M.

Dialogue is an important component of this process: “If you don't mind, I am going to be typing as you speak. I'm happy to show you what I'm writing”; “I'm going to look up your test results, would you like to look at them together?”; “Let's look at the trends in your blood pressure readings”; “Now that we've seen how you're doing, let's talk about how you can continue to improve. . . .” These verbal and nonverbal cues could potentiate collaboration by facilitating a joint assessment of the patient's current health status and highlighting opportunities for active patient involvement.

Abstract

Introducing the HER with a verbal explanation and patient-centered body language, by positioning the screen as a bridge rather than a divider, could enhance the relationship and jumpstart the process of activation. Dialogue is an important component of this process. "If you don't mind, I am going to be typing as you speak. I'm happy to show you what I'm writing"; "I'm going to look up your test results, would you like to look at them together"; "Let's look at the trends in your blood pressure readings";"Now that we've seen how you're doing, let's talk about how you can continue to improve..." These verbal and nonverbal cues could potentiate collaboration by facilitating a joint assessment of the patient's current health status and highlighting opportunitites for active patient involvement.

Jama-Journal of the American Medical Association, 32(7):1299-1305 - 2013