{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T15:15:09Z","timestamp":1726845309692},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,1,1]]},"abstract":"Abstract<\/jats:title>\n Objective Electronic health records (EHRs) have great potential to improve quality of care. However, their use may diminish \u201cpatient-centeredness\u201d in exam rooms by distracting the healthcare provider from focusing on direct patient interaction. The authors conducted a qualitative interview study to understand the magnitude of this issue, and the strategies that primary care providers devised to mitigate the unintended adverse effect associated with EHR use.<\/jats:p>\n Methods and Materials Semi-structured interviews were conducted with 21 healthcare providers at 4 Veterans Affairs (VAs) outpatient primary care clinics in San Diego County. Data analysis was performed using the grounded theory approach.<\/jats:p>\n Results The results show that providers face demands from both patients and the EHR system. To cope with these demands, and to provide patient-centered care, providers attempt to perform EHR work outside of patient encounters and create templates to streamline documentation work. Providers also attempt to use the EHR to engage patients, establish patient buy-in for EHR use, and multitask between communicating with patients and using the EHR.<\/jats:p>\n Discussion and Conclusion This study has uncovered the challenges that primary care providers face in integrating the EHR into their work practice, and the strategies they use to overcome these challenges in order to maintain patient-centered care. These findings illuminate the importance of developing \u201cbest\u201d practices to improve patient-centered care in today\u2019s highly \u201cwired\u201d health environment. These findings also show that more user-centered EHR design is needed to improve system usability.<\/jats:p>","DOI":"10.1093\/jamia\/ocv142","type":"journal-article","created":{"date-parts":[[2015,11,15]],"date-time":"2015-11-15T01:18:38Z","timestamp":1447550318000},"page":"137-143","source":"Crossref","is-referenced-by-count":28,"title":["Strategizing EHR use to achieve patient-centered care in exam rooms: a qualitative study on primary care providers"],"prefix":"10.1093","volume":"23","author":[{"given":"Jing","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Biomedical Informatics, University of California, San Diego, San Diego, CA, USA"},{"name":"Health Services Research & Development, VA San Diego Healthcare System, San Diego, CA, USA"}]},{"given":"Yunan","family":"Chen","sequence":"additional","affiliation":[{"name":"Health Services Research & Development, VA San Diego Healthcare System, San Diego, CA, USA"},{"name":"Department of Informatics, University of California, Irvine, Irvine, CA, USA"}]},{"given":"Shazia","family":"Ashfaq","sequence":"additional","affiliation":[{"name":"Health Services Research & Development, VA San Diego Healthcare System, San Diego, CA, USA"}]},{"given":"Kristin","family":"Bell","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, VA San Diego Health Care System, San Diego, CA, USA"},{"name":"Department of Medicine, University of California, San Diego, San Diego, CA, USA"}]},{"given":"Alan","family":"Calvitti","sequence":"additional","affiliation":[{"name":"Health Services Research & Development, VA San Diego Healthcare System, San Diego, CA, USA"}]},{"given":"Neil J","family":"Farber","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of California, San Diego, San Diego, CA, USA"}]},{"given":"Mark T","family":"Gabuzda","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, VA San Diego Health Care System, San Diego, CA, USA"},{"name":"Department of Medicine, University of California, San Diego, San Diego, CA, USA"}]},{"given":"Barbara","family":"Gray","sequence":"additional","affiliation":[{"name":"Health Services Research & Development, VA San Diego Healthcare System, San Diego, CA, USA"}]},{"given":"Lin","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Public Health, University of California, San Diego, San Diego, CA, USA"}]},{"given":"Steven","family":"Rick","sequence":"additional","affiliation":[{"name":"Health Services Research & Development, VA San Diego Healthcare System, San Diego, CA, USA"}]},{"suffix":"Jr","given":"Richard L","family":"Street","sequence":"additional","affiliation":[{"name":"Department of Communication, Texas A&M University, College Station, TX, USA"}]},{"given":"Kai","family":"Zheng","sequence":"additional","affiliation":[{"name":"School of Public Health Department of Health Management and Policy, School of Information, 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